They had ceremonies, they just weren't as elaborate. It just depended on who sponsored who.

Outfit has had a bunch of mid-level guys busted for drugs. Their activity was no doubt approved or financed by higher-ups but because the Outfit has such a dearth of cooperators nobody was ever charged.

Just a few drug cases off the top of my head:

Rocky Infelise in the early seventies for being involved in heroin trafficking with black street gangs. Turk Torello was also suspected of financing drug deals around this time.

Victor Plescia arrested in 1990 for running a drug trafficking ring. He was a member of the Melrose Park crew who reported to Al Tornabene and Anthony Zizzo. Frank Bonavolante was another M.P. crew member involved in this bust.

Chicago Heights members (and brothers) Clement and Chris Messino, nephews of Willie Messino, were arrested in 1995 on charges of running a cocaine ring throughout the 1980's.

Sam Sarcinelli, another Heights crew member was imprisoned in the late eighties for drug trafficking.

Additionally, there is information that several small and mid- level dealers were murdered to prevent them from cooperating with authorities, ostensibly to disguise the involvement of the upper echelon of the Outfit in the funding of these rings.

There is also information that drug dealers were extorted or forced to pay a street tax to operate in certain areas. This essentially makes the Outfit complicit in whatever drug activity is being taxed.

With all this said, the Outfit wasn't as involved as the New York families in drugs and were much more strict concerning the involvement of their members in drug trafficking. However, we'll probably never know the true extent of their involvement in the drug trade.