Medication distribution Henderson

inventory Pharmacy products or merchandise that are available to meet future demand. Includes all items on the shelves, in the CII cabinet, in the refrigerator, supplies (syringes, flavor agents, compounding vehicles). Note proper storage of products.

Terms to be familiar with Turnover rate: the number of times a product is purchased, sold, and replaced during a specific accounting period. High turnover indicates effective inventory control. Inventory control: procedures to meet anticipated demands of purchasers while controlling inventory size to generate optimal profits.

Product purchasing Ordered online through a wholesaler (Cardinal, McKesson) Exception of CIIs, most all can be ordered by a technician How do you know what needs to be ordered? System replenishment Manual order ***note package size, quantity needed, type of packaging*** Options of appropriate sources: Wholesaler Manufacturer (direct) Other pharmacies

Expediting emergency orders What is an emergency order? Problem solving Know your times/deadlines for ordering Borrow from another institution

Receiving goods Sealed in totes Each tote has a manifest to verify all products are included Check for damaged goods and report discrepancies to the vendor

Rotation of Stock Newest shipments should be placed behind existing medications Earliest expiration should be in front Remove from stock: Expired/discontinued products Recalled products

Recalls The FDA or pharmaceutical manufacturer man recall a product if it is deemed unsafe or has reported problems. All recalls must be checked promptly and stored Class 1: has strong likelihood it will cause serious adverse effects Class 2: a chance the product may cause temporary but reversible adverse effects Class 3: not likely to cause adverse effects Class 4: doesn’t exist. 

returns With expired product, follow the manufacturer’s return policy or pharmacy’s return policy. Acceptable time frame for returns if there was an ordering error.

Reverse distributer The pharmacy served as the distributer to send product to other stores, hospitals, clinics, etc. Idaho frowns upon selling product to clinics for clinic use. This practice is discouraged.

Automated counting devices Often called “robots” Increase efficiency Reduces cost Aids in patient safety ADS: Automatic dispensing system Each “cell” must have name, strength, lot #, and expiration date

robots All machines have staff that install and maintain. Require constant filling to ensure each “cell” contains adequate amount of product. Should be calibrated regularly