PRX425 Inventory & Product Flow Terms

drop ship

non-specialty pharmacies do not keep the pricier drugs on the shelves (takes up space and inventory) rather the medications are sent directly from the wholesaler or manufacturer to the patient

what type of environment are hazardous drugs stored?

in a negative (-) pressure environment

Drug Supply Chain Security Act of 2013 (DSCSA)

enacted as Title II of the Drug Quality and Security Act of 2013.

• Installed to enhance the security of the US pharmaceutical supply to ensure there is no fraudulent products in the US drug supply chain.

• requires each packaging tote or drug to have its very own 2D barcode(drug) and/or tracking number which allows the product to be tracked from point A (manufacturer) to when the dispenser (pharmacy) receives it.

How long should DSCSA documents be kept?

6 years

transaction information (TI)

details about the product, including the lot number and NDC

transaction history (TH)

a record of all prior transactions

transaction statement (TS)

a statement confirming compliance with DSCSA

Which pharmacy organization monitors ‘pharmacy permitted areas’ only?

Board of Pharmacy

• pharmacy permitted areas: pharmacies that are LICENSED to store medication at that location ONLY

what is USP’s controlled room temperature?

20^o to 25^oC ( 68^oF to 77^oF)

TUG robot

an autonomous mobile machine used in hospitals to securely transport and deliver dispensed medications from the central pharmacy to patient care units.

centralized cart fill

patient scheduled medications are filled in central pharmacy (robot/manual) and are dispensed individually to the nursing unit.

• stored securely in either locked medication cart or bedside patient server (think of Gran-Gran’s nurse with the big red cart and small mouthwash cups on top)

• PRN/controlled substance meds are obtained from ADC’s located on the nursing unit

decentralized cart fill

patient medications are pulled from inventory in the ADC’s located on the nursing units.

• pharmacy stocks ADCs w/ frequently used medications (ex. metformin, gabapentin, losartan)

  • there must be an ACTIVE medication order

profile unit storage

requires an ACTIVE medication order

non-profile unit storage

used when pharmacy cannot facilitate the recognition of an order in a timely manner for patient care. when there is no time to wait for a new electronic prescription to come through the robot.

location: operating rooms…why? during surgery..why should a patient have to wait for the pharmacy for the anesthesiologist to put the patient to sleep?

override unit storage

consists of medications the P & T Committee identifies as if there is a delay in the pharmacy, could cause immediate harm or delay in care to the patient.

ex. injectable pain medications, epinephrine, crash cart meds!

consignment inventory

supply chain management strategy where the distributor/wholesaler stores its medications in the pharmacy, but doesn't charge the pharmacy until the product is used.

• used for expensive items with a low usage rate, but you need fairly quick access if ordered (ex. oncology agents, immune globulin, biologics, and angioedema agents)