1. 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.

2. 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.

3. 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.

4. 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

6. 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/