1. Medication distribution
Henderson

2. 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.

3. 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.

4. 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

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

6. 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

7. 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

8. 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. 

9. 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.

10. 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.

11. 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

12. 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