Community Pharmacy Internship at Medicament Pharmacy
Department of Pharmacy
CiST college,New Baneshor
CiST College, New Baneshor,ktm
This is to certify that Mr. Ranjit Pandey and Mr. Ishwor
Bahadur Gurung have successfully completed the one week
Community Pharmacy Internship at Medicament Pharmacy from
Sep 2, 2013 to Sep 9, 2013. During their internship, they have
been found to be actively participating in all the activities.
Narad Parkas GR
It is our great honor to complete community internship at Medicament
Pharmacy, Kathmandu. We are very grateful towards Medicament
Pharmacy for allowing us to complete our internship successfully.
We would like to thanks our gratefulness to Phr Mr.Baburam Humagain
for great support and guidance before going to community.
We would like to express our heartfelt thanks to the owner of
Medicament Pharmacy Mr Narad Parkas GR for such a kind co-
operation and sheer encouragement throughout the training.
Finally, we are really thankful to Mrs.Monika GR and the entire staffs of
Medicament Pharmacy for the great support and co-operation
throughout the training.
It is our great pleasure to be a trainee at Medicament Pharmacy. During
our training, we have gained practical knowledge on drug procurement,
arrangement, storage, dispensing and proper counseling techniques.
Moreover, we learnt about the purchase policy, documentation, checking
of expired medicines and storage of thermo labile drugs in refrigerator.
In addition, we have learnt about various surgical items and their uses.
On the top of all, this training helped a lot to make us feel the dire need
of a pharmacist in community pharmacy. Thus, this training has indeed
been very fruitful for us to achieve our goal to be a competent
pharmacist and to uplift our profession.
Pharmacy is the health profession that links the health sciences with the chemical sciences and it
is charged with ensuring the safe and effective use of pharmaceutical drugs. The scope of
pharmacy practice includes more traditional roles such as compounding and dispensing
medications, and it also includes more modern services related to health care, including clinical
services, reviewing medications for safety and efficacy, and providing drug information.
Pharmacists, therefore, are the experts on drug therapy and are the primary health professionals
who optimize medication use to provide patients with positive health outcomes.
A Community pharmacy is the place where most pharmacists practice the profession of
pharmacy. It is the community pharmacy where the dichotomy of the profession exists—health
professionals who are also retailers. Community pharmacies usually consist of a retail storefront
with a dispensary where medications are stored and dispensed. The dispensary is subject to
pharmacy legislation; with requirements for storage conditions, compulsory texts, equipment,
etc., specified in legislation.
Goals and objectives
To develop a concern for the patient's health and welfare and an appreciation for the
impact of the community pharmacist in the health care system.
To foster the development of a responsible, professional attitude.
To develop professional judgment.
To develop proficiency in educating patients on health and medication-related matters.
To learn the value, importance and application of patient profiles.
To process prescriptions and acquire knowledge in the specialty of community pharmacy
To apply information gained in the didactic education component of the curriculum into
To provide a variety of exposures to pharmacy operation and to different practitioner
philosophies and problem solving skills.
The functions of community pharmacy practice are:
It includes securing correct information from patients concerning an accurate and complete drug
history, advising the patient as to proper use and storage of prescription drugs and assisting in
proper selection of over-the-counter medications. Moreover, current public-health information,
e.g., information related to cancer, diabetes, heart, sexually transmitted diseases, etc. can be
obtained. Also, the patient can be monitored through outcomes assessment.
Dispensing of Prescriptions:
It includes receiving, verification, checking for errors, drug selection, filling, recording, filing
and delivery of prescription to the patient. Besides, contacting physicians, interpreting telephone
and written orders, handling of patient records and understanding laws related to drug type,
pricing strategies and completing all third party medical reimbursement are a part of it.
Inventory control, ordering and returning merchandise, receiving and pricing drug products,
stock arrangement and storage, management policies, bookkeeping, payroll, bills, employee
policies, complaints, correspondence, pharmacy layout, traffic patterns, etc. are included in the
Drug and Product Information:
It includes identifying/evaluating information about both prescription and non-prescription drugs
so that one can obtain the knowledge of general drug information, generic and trade names,
common dosage forms, indications, side effects, interactions and patient counseling for the top
200 drugs dispensed..
This includes bulk compounding, when appropriate.
It includes age-specific over the counter medications, hospital and surgical supplies, diabetic
para pharmaceuticals, cosmetics and other health-related items.
Medicament Pharmacy (Community Pharmacy)
We were posted for two weeks in Medicament Pharmacy for community internship. We visited
there on daily basis for 8 days excluding Saturday from 11:00 a.m. to 5:00 p.m. looking after
the activities inside the pharmacy and applying our theoretical knowledge which were in general
Medicament Pharmacy is situated in Budhanagar, Kathmandu which has been owned by Mr. Mr
Narad Parkas GR .The working hour of this pharma is from 7:00 am to 9:00 pm. The
doctors visiting this pharmacy are from different departments which are listed below:
Arrangement of drugs
There are four racks for the arrangement of drugs. Tablets and capsules are arranged in the racks
according to their therapeutic categories. Drugs are classified as antacids, NSAIDS, antibiotics,
antihypertensive, antidiabetic, etc. The liquid dosage forms like solution and syrups are kept in
separate racks and topical dosage forms are arranged according to therapeutic category in
separate rack. Various ophthalmic and otic preparations are also arranged separately. Thermo
labile drugs like insulin are kept in the refrigerator. Similarly, inhalers, nasal sprays are kept
separately and ayurvedic preparations are also kept separately. Various surgical items like
syringe, needles, gloves, bandages, etc and orthopedic items like crutches, abdominal binder,
ankle binder, etc are arranged in separate rack.
Drugs available in the pharmacy
There are approximately 500 to 700 brand drugs and 200 generic drugs. They are arranged in the
racks according to their therapeutic categories. The drugs are categorized into over the counter
(OTC) drugs and prescription drugs. The OTC drugs are:
Tab. Paracetamol 500mg
Vitamin B complex caps
Oral rehydration solution
Betadiene mouth wash
Vitamin C tablet
Vitamin E tablet
Nitra gel toothpaste
Glucose powder 100 mg/ 400 mg
Common drugs being prescribed in the pharmacy
Staffing in pharmacy
The minimum number of staffs in this pharmacy is 7 in the morning and evening while there is
only 2-3 in the day time when there is minimum flow of patients. Cash bills are prepared by the
proprietor himself manually. Picking of the drugs are done according to the prescription and
dispensing is done by all staffs available there with proper counseling. Those patients requiring
special counseling like dry powder inhaler, nasal spray, pessaries, etc are given special directions
and precautions for the assurance of drug compliance.
Workflow in pharmacy
Collecting of Prescription
Picking of Drugs
Dispensing of Drugs
Making of Bill Manually
Payment of Bill
Fig: Workflow in Pharmacy
Dispensing of drugs
Drugs are dispensed to the patients according to the prescription. In case of high price, patients
are allowed to get the medicines for certain period and for left out dose, they come to the
pharmacy next time. As patients do not accept the brand substitution, only drugs prescribed by
the physician are kept in the pharmacy.
Refund of bills
There is a provision of refunding as per the interest of the patients. For this, the patient has to
bring the bill along with them and after calculating the amount to be refunded, cash payment is
Stocks of medicines are reordered from the supplier on daily basis. The suppliers come to the
pharmacy and take the list of drug lacking in the pharmacy and supply the drug immediately if
available. Inventory list helps to check the stock of medicine as well as the price of the medicine.
In case of emergency, the proprietor call to the supplier for the inventory and the supplier supply
those medicines immediately by sending his staff with the drug and bill. Shortage of drug in
pharmacy is maintained by calling to the different suppliers. If the medicine is not available in
the supplier then the patient is sent to another pharmacy or the patient is told to come on the next
The frequency of visit of Marketing Representative to the pharmacy is less. They visit to the
Selection criteria of drugs in pharmacy
There were no any standard techniques for the selection of drug in this pharmacy. The inventory
of the drug was done the basis of drug generally being prescribed by the doctors visiting the
List of suppliers:
Daily sales record
Number of sales bills and refunded bills are added daily. Then the total cash is obtained by
subtracting refunded bills from sales bills.
Poor patient fund service
There is no provision of poor patient fund service to those who are unable to pay their medical
expenses. The sample drugs available to the pharmacy are given to such patients. Other drugs are
to be purchased by the patient himself/herself.
Handling of expired and damaged drugs
Drugs are sent back to the supplier after expiry date for Nepalese manufacturing company, but in
case of international company the drug are not returned, they are just thrown. The problem
related to expiry is rare due to limited stock in the pharmacy. So, there is less chance of expired
drugs being dispensed.
During our internship, we found some of the expired syringes which are sent back to the supplier
for disposal. The pharmacy itself does not have any provision for disposal of expiry drugs.
To arrange the drugs scientifically, it should be arranged in therapeutic order with
proper storage condition.
To keep a pharmacist in the pharmacy for dispensing and counseling patients.
To make different cupboards for handling of narcotics and controlled drugs.
During our two weeks internship period in Medicament Pharmacy, we came to know that the
role of pharmacist is very crucial in a community pharmacy. Still there is a room for the
development of a role of pharmacist in clinical aspect as well. It may take time to establish our
role in community setting but nothing is impossible for a willing heart.
Throughout our training period, we were able to acquire knowledge on the system of drug
procurement in community pharmacy, dispensing of drugs and counseling techniques of medical
To be a trainee in Medicament Pharmacy was indeed an honor for us.
Lastly, we wish Medicament Pharmacy good luck for their improvement in better patient care
and achieve their goal very soon.