1. Telepharmacy Preopening Inspection Digital Evidence
Pharmacy Information
Pharmacy Operating Name:
Pharmacy Manager:
Contact Information:
Phone:

2. 1a. External View of the pharmacy (Street view including the external signage)

3. 1b. Hours of Operations sign

4. 1c. Professional products area for Schedule 3 drugs (+ Lock-and-leave barriers if the premise is open for business while the pharmacy is closed or N/A)

5. 1d. Signage at 25 feet from dispensary or N/A

6. 1e. “Medication Information” Sign or N/A

7. 2a. Dispensary Area

8. 2b. Gate/door at the entrance into the dispensary

9. 2c. Placeholder for College Licence

10. 2d. Professional Service Area for Schedule 2 drugs

11. 2e. Patient Consultation area

12. 2f. Dispensing counter and service counter

13. 2g. Computer terminals for prescription processing

14. 2h. Shelving

15. 3a. Secure storage space

16. 3b. Locked metal safe or Safe declaration

17. 3c. Security camera system AND surveillance signage

18. 3d. Motion sensors

19. 3e. Monitored alarm or N/A

20. 3f. Physical barriers OR n/a

21. 4a. Double stainless steel sink

22. 4b. Equipment as per PPP-59 Telephone Refrigerator Rx filing supplies
Rx balance
Metric weights
Glass graduates
Mortar
Pestle
Spatulas
Funnels
Stirring rods
Ointment slab/ parchment paper
Counting tray
Disposable drinking cups
Soap dispenser
Paper towel dispenser
Plastic/metal garbage containers
Plastic lining
Fax machine

23. 4c. Equipment (Cold Chain) 1. Thermometer 2. Temperature log

24. 4d. Equipment (Methadone) OR n/a

25. 4e. References (CPBC) 1. BC Pharmacy Practice Manual 2. ReadLinks

26. 4f. References (General)
Compendium
Complementary/ Alternative
Dispensatory
Drug Interactions
Non-Rx Medication
Medical Dictionary
Pregnancy and Lactation
Pediatrics
Therapeutics

27. 4g. References (if applicable) OR n/a
☐ Veterinary
☐ Psychiatric
☐ Geriatric
☐ Specialty compounding
☐ Methadone
PPP-66
CSPBC
CAMH
Drug Monograph

28. 5a. Prescription hardcopy (i. e
5a. Prescription hardcopy (i.e. the label/paper attached to the original prescription, which contains prescription information generated after transmitting to PharmaNet)

29. 5b. Marked Prescription (Sample)

30. 6a. Shredder OR Contract with a document destruction company

31. 6b. Offsite storage contract or N/A

32. 7a. Drug receiving area

33. 7b. Drugs

34. 7c. Storage area for non-usable and expired drugs

35. 8a. Prescription Product Label 1. Single-entity product. 2
8a. Prescription Product Label 1. Single-entity product Multiple-entity product

36. 8b. Filling supplies (e.g. vials and bottles including caps)

37. 9a. Name Badge

38. 9b. Policy and Procedure manual

39. 10a. Tool/ technology enabling direct supervision on dispensary activities

40. 10b. Tool/ technology used for transmitting prescription and personal health information between sites

41. 10c. Tool/ technology used for processing prescriptions at the central pharmacy for prescriptions received at the telepharmacy

42. 10d. Tool/ technology enabling direct supervision on product final check

43. 10e. Tool/ technology enabling direct pharmacists/patient consultation