inventory•mostly done by computer when inventory gets to set point.•small pharmacies order supply from wholesaler•chain pharmacy orders from company warehouse

•schedule 2 drug ordering---that’s special!•must use form 222 from DEA•pharmacy must account for every 222 form•must be signed by whoever applied for pharmacy’s DEA license.

DEA 222 form• no markouts or changes allowed--use new form• pharmacy keeps blue form• green copy to DEA • brown copy to supplier• electronic 222 form being used.• supplier must ship all drugs within 60 days from

written date• if dr wants sch 2 drugs in his office…dr fills 222

form and pharmacy is supplier.

drugs received• 3 files needed-----OTC and noncontrolled meds, sched

3-5 meds , and sch 2 meds.• check box against the invoice• invoice checked by pharmacist and signed• sch 2 drugs--will come with supplier 222 form. get

pharmacys 222 paper, initialed by pharmacist at drug received line. when all are counted, diagonal line across paper and RPh signs. store both papers in sch 2 file.

• $10,000 fine for no RPh initial on paper.• if e-222 form print out hardcopy.• let RPh handle sch 2 boxes.

Drug maintenance• maker knows drug decomposition rate to give

expiration date• this date is good for recommended temp and

conditions. • degrades quicker if high heat, ect• dehydrated meds----don’t last long after

reconstituted.• antibiotics liquids expire at 14 days except

Augmentin and Biaxin expire at 10 days.• most in refrig except clarithromycin and

clindamycin best at room temp

controlled substances• DEA says CS can may scattered among

regular drug stock or locked up together in a group.

• http://quizlet.com/20879903/pharmacy-handouts-flash-cards/