This document outlines the goals and organization of a hospital pharmacy service. It discusses that the pharmacy service aims to (1) provide qualified pharmacy services to patients and health professionals, (2) assure high quality practice through standards and promotion, (3) promote research, and (4) disseminate pharmaceutical knowledge. It also describes the roles and responsibilities of pharmacy staff, including effective administration, developing patient-oriented clinical services, compounding preparations, providing drug information, participating in research and education, and ensuring quality assurance. The pharmacy is organized under the hospital administration and led by a licensed pharmacist to achieve its objectives through proper management.

1. CHAPTER 1
DEPARTMENT OF HEALTH
HOSPITAL PHARMACY SERVICE
GENERAL STATEMENT/PRINCIPLE
The hospital shall maintain a Pharmaceutical Service that conforms with ethical and
professional standards and legal requirements.
The organization of a hospital pharmacy must satisfy the need for pharmacists
performing their role as the vital link in the chain of health professionals dedicated to
patient care. The pharmacist’s role is to provide at all times, an adequate supply of
safe, effective and good quality drugs in appropriate dosage forms consistent with the
needs of the patients and to rationalize drug utilization in collaboration with the
medical staff.
INSTITUTIONAL GOALS FOR THE HOSPITAL PHARMACY SERVICE
1. To provide the benefits of a qualified hospital pharmacist to patients and to
the allied health professionals and institutions;
2. To assure a high quality of professional practice through the establishment
and maintenance of standards of professional ethics, education and
attainment and promotion of economic welfare;
3. To promote research in hospital pharmacy practices; and
4. To disseminate pharmaceutical knowledge by providing exchange of
information among hospital pharmacists and members of allied specialties
and professions.
In order to transform these goals into realities, all hospital pharmacists should broaden
and strengthen their abilities in the following areas:
1. Effective Administration and Management of a Pharmaceutical
Service in a Hospital
The chief of the Pharmacy Service or personnel specializing in its
administration, must be familiar with the health care system and the specific
functions of the hospital so that objectives can be achieved in cooperation
with other hospital services and with other programs that ensure continuity of
patient care.
Broad areas of administrative and management responsibilities include
planning and integrating professional services, budgeting, inventory control,
cost review, cost effectiveness, audit, maintenance of records and
preparation of reports. As a basis for this responsibility, pharmacy personnel
must be thoroughly familiar with the organization of a hospital, staff and line
relationships and the appropriate lines of communication.

2. Pharmacy activities must be coordinated with medical, nursing and other
services and with the administrative elements of the hospital.
The chief of pharmacy or his/her designate is responsible and accountable
for all pharmaceutical services related to patient care and expenditure of
funds. He/she must be able to analyze and interpret prescribing trends and
the economic impact of new drug developments, which, for budgeting
purposes, are translated into forecast for future drug expenditures. The chief
of pharmacy or his/her designate must maintain an adequate system of stock
and inventory control and must have the ability to control operational cost
without compromising services.
The chief of pharmacy is responsible for recording all other pharmacy
operations which may be legally or administratively required.
2. Development and Provision of Patient-Oriented Services
Pharmacy, as practiced in the hospital setting, is developing a wide
spectrum of clinical services which have become part of the overall
pharmaceutical services although it may not be directly associated with drug
dispensing. Fundamental to these clinical services is the pharmacist’s
knowledge of drugs, diseases, patient and drug variables, and his ability to
interact closely on a personal basis with other health professionals and
patients. Academic training in areas such as toxicology, pathophysiology and
therapeutics, as well as clinical experience, provide the background for a
pharmacist to function in this clinical role.
The service includes:
a. Drug information, which encompasses the collection, organization,
retrieval, interpretation and evaluation of the applicable literature in
appropriate fashion;
b. Collection of the pharmacy patient data base;
c. Patient education;
d. Monitoring and auditing of therapeutic regimens;
e. Drug-use review;
f. Monitoring/reporting of specific adverse drug reactions to decrease
their incidence; and
g. Performing other similar functions designed to improve patient care by
maximizing drug use. Clinical functions may also extend to the
pharmacist’s role in primary care as well as in the management of
chronic care patients.
A. Development and Conduct of Compounding Extemporaneous and
other Pharmaceutical Preparations and Packaging Program
The hospital pharmacist must frequently respond to the need for special
dosage forms and formulations not available in the market. This would
require an adequate understanding of the principles involved in the
preparation of pharmaceutical dosage forms. This would involve the concepts

3. of biopharmaceutics, bioavailability/bioequivalence, stability, microbiology
and techniques of medication administration. In some instances, as in the
case of intravenous admixtures and total parenteral nutrition, the pharmacist
must be familiar with patient variables such as electrolyte and fluid balance,
and other factors such as personal hygiene, environmental control, and
equipment performance.
B. Provision of Comprehensive Information of Drugs and their Action
Fundamental to the pharmacist’s contribution to health care is the
knowledge of drugs and their actions. Being the primary source of
information concerning drugs, the Pharmacy Service must maintain the
appropriate information sources as well as develop mechanisms for
evaluating information and transmitting it to the institution’s professional
staff and patients.
The pharmacist must know the effects of drugs on biological systems in
assessing determinants of every action such as absorption, distribution,
metabolism and excretion of a drug; drug interactions with other drugs, food
or diagnostic agents; effects of a disease state on the drug’s action; and
miscellaneous patient and drug variables. This would require knowledge in
chemistry, pharmacology, toxicology, pathophysiology, pharmaceutics,
therapeutics, and patient care techniques as well as some background in the
social sciences.
C. Conduct and Participation in Pharmaceutical Research
The hospital pharmacist must be prepared to participate in clinical
research designated by the medical staff and to conduct pharmaceutical
research or initiate it. The pharmacist may act as the principal or co-
investigator or may use the resources of the pharmacy to support a particular
research study. Equally important, is the pharmacist’s ability to collect
appropriate data, interpret them, apply the conclusions drawn from the data,
and transmit the results effectively.
An educational background with an appropriate orientation and training in
research methodology including criteria for the structure of a research report,
is therefore recommended.
D. Conduct and Participation in Educational Programs/Activities
A wide range of educational programs/activities involving all health
practitioners and students of various health professions is performed
routinely in the hospital. The chief of the Pharmacy Service or his/her
designate, is responsible for coordinating the pharmacy’s contribution to
these educational programs. He/she is also responsible for training new

4. personnel and carrying on continuous educational programs for pharmacists,
pharmacy support personnel, pharmacy students, etc.
E. Development and Conduct of a Quality Assurance Program for
Pharmaceutical Services.
A major responsibility of the Pharmaceutical Service is the assurance of
the quality of its services and products dispensed, strictly following the
hospital’s control program for drug dispensing. The pharmacist must conduct
audits to assure that patients are provided with appropriate benefits of all
pharmaceutical services and that quality patient care services are rendered
to them.
GENERAL OBJECTIVE:
To properly utilize the Pharmacy Service to the maximum geared toward the
actual dynamics of better patient care.
SPECIFIC OBJECTIVES:
1. To provide at all times, medications of the highest standard in appropriate dosage
forms consistent with the needs of the patients in collaboration with the medical
staff;
2. To rationalize drug utilization and procurement in collaboration with the Pharmacy
and Therapeutics Committee;
3. To render effective and efficient professional service to in and out- patients of all
economic levels;
4. To utilize resources of the hospital pharmacy in the development and
improvement of the profession as a whole;
5. To conduct and support medical and pharmaceutical researches appropriate to
the goals, objectives and resources of the pharmacy and hospital;
6. To maintain the appropriate information sources and develop mechanisms of
evaluating and transmitting information to the institution’s professional staff and
patients; and
7. To maintain the Pharmaceutical Quality Assurance Program.

5. CHAPTER 2
ORGANIZATION AND PERSONNEL
A. ORGANIZATION
The hospital pharmacy should be properly organized meeting the
minimum requirements prescribed by the Bureau of Food and Drugs (BFAD), the
Licensure Act of the Bureau of Licensing and Regulations (BLR), and the
enhancement standards of the HOMS based on the capabilities of hospitals. The
organization of a hospital pharmacy must satisfy the needs of the pharmacists
performing their role as the vital link in the chain of health providers dedicated to
patient care.
The hospital Pharmacy Service shall be under the general
supervision of the administrative officer or Chief of Hospital (COH); it will directly
be administered and supervised by a licensed pharmacist.
The organization serves to establish the authority relationships
between positions and to assign special tasks that achieve the pharmacy’s
objectives.
The pharmacy head practices the five essentials of good
management, namely, planning, organizing, directing coordinating and
controlling.
An organizational chart showing the flow of administrative authority
is essential to the selection and categorization of employees. The chart should be

6. designed to meet the specific requirements of the Pharmacy Service. (See Figure
1).
In addition to the chart, an outline showing the subdivisions of the
service and the responsibilities assigned to each subdivision may also be
prepared for larger pharmaceutical services. (See Figure IV)
It is imperative to list all functions of the Pharmacy Service in the
planning of personnel requirements of various work systems (e.g., a unit dose
system will require more personnel for dispensing in-patient drugs than a floor
stock system); the estimate of work load units per function (e.g., a number of out-
patient prescriptions, number of drug information requests, etc.); the time
required to complete each workload unit, etc.

11. B. PERSONNEL
To carry out the broad scope of Pharmaceutical Service in a hospital, there
should be an adequate number of competent and qualified personnel that conforms
with the established staffing pattern of the DOH (See Table 1). Sufficient supportive
personnel (technical, clerical and other non-technical) are needed to prevent
pharmacists from performing non-judgmental tasks. Appropriate supervisory
controls for supportive personnel must also be maintained.
All personnel must possess the required education and training needed. Their
competence must be maintained through relevant continuing education programs
and activities.
A set of hospital policies, wherein the component service objectives of the
hospital are reflected, should be formulated. Written policies to govern the
procedural conduct of the pharmacy should exist and these should be kept current.
Implementing policies should be clearly understood and complied with, when
applicable.
The Pharmacy Service should be under the supervision of a professionally-
competent and legally-qualified pharmacist whose training conforms with the
standard qualifications established by the DOH.
The head of the Service shall perform both technical and administrative
functions associated with the operation of the pharmacy. In the performance of
these duties, the pharmacist is expected to coordinate the activities of the
pharmacy with other hospital services and to work within the overall policies of the
hospital and the DOH.
The management of a pharmacy in a hospital utilizes the same concepts
common to all organizations whether it be in industries, offices, etc. As a manager
or supervisor, the pharmacist must plan, organize, direct, coordinate and control
people, supplies and equipment in a manner that would produce a drug service that
is efficient and economical.
One resource available to a manager or supervisor which he/she is least
conscious of, is the resource of TIME. But time, along with money and people, limits
the output of any manager because of all the resources available to him/her, time is
the most scarce, for it cannot he rented, hired nor bought.
The higher the manager is in an organization and the larger the organization,
the more demands are made on his time. But, whatever is his/her level or the size
of his organization, it is crucial to his/her productivity that he/she develop effective
techniques in dealing with time and getting things done.
Top time management specialists agree on two basic concepts to maximize
time: (1)the direct and controlled use of time, and (2) setting of priorities and the
allocation of time based on these priorities.

12. RELATIONSHIP
The Pharmacy Service shall expect the following services from:
1. The Office of the Chief of Hospital
– Supports and approves all official requirements relevant to the pharmacy
activities/programs.
2. Administrative Services
– Attends to the following financial matters:
a. Budget - budget requirements
b. Supply - actual drug procurement and turn-over of delivered drugs
properly documented to the pharmacy.
c. Accounting - availability of funds and replenishment of revolving
fund.
d. Billing - report on all drugs paid by the patient based on forwarded
charge slips.
Plus other personnel, housekeeping, engineering and maintenance
requirements.

13. 3. Medical Social Work Service
– Responsible for patient classification, and assistance for drug availability
to patients.
4. Nursing Service
– Responsible for the patient’s drug needs and all other drug-related
matters.
5. Medical Service
– Coordinates with the PTC on drug and drug-related matters.
– Provides the drug requirements of patients in coordinating efforts:
a. Assistance in the preparation of the hospital formulary based on
the Philippine National Drug Formulary (PNDF) and the Generics
Act of 1988.
b. Assistance in the preparation of the Annual Drug Procurement
Program (ADPP) and the semi-annual drug requirement for the
DOH bidding.
c. Active participation and inputs on drug and drug-related matters
such as Adverse Drug Reaction (ADR), Drug Utilization Review
(DUR), Infection Control, etc.
6. Dietary Service
– Provides referrals on request for hyper-alimentation diet and/or total
parenteral nutrition.
7. Resident Commission on Audit (COA) Auditor
– Responsible for auditing matters
Pharmaceutical Services expected by other hospital service components:
1. Chief of Hospital (COH)
– Provides an adequate supply of safe, effective and good quality drugs in
appropriate dosage forms consistent with the needs of the patients and
rationalizes drug utilization in collaboration with the medical staff.
2. Administrative Service
– Submits budgetary requirements
– Submits monthly report to the accountant for the reimbursement of the
Maintenance and Other Operating Expenses (MOOE) Fund of the hospital
issued to charity/service patients.
– Forwards charge slip to the billing section for drug payment of patients
prior to their discharge.
– Supply Office - prepares Requisition Issue Vouchers (RIVs) with the
specifications, quantity arid cost of drugs based on the Official Price
Schedule with attached individual stock position sheet of each item for
the actual procurement of drugs.
3. Medical Service
– Coordinates closely with the medical staff on drug and drug-related
matters:
– Provides the drug requirements through the PTC.
– Prepares the final ADPP and the semestral drug requirements for
bidding.
– Establishes the Hospital Drug Formulary.
– Disseminates information on other drug-related matters.
– Participates actively in committee activities as ADR, DUR, Infection
Control, etc.

14. 4. Nursing Service
– Provides drugs needed by patients by doctors’ orders and other related
matters that affect the Nursing Service.
5. Medical Social Service
– Assures availability of drugs for deserving patients.
6. Dietary Service
– Disseminates drug information on food-drug interaction.
7. Medical Records Service
– Prepares monthly report on the number of prescriptions filled;
– Prepares statement of expenses on drugs/medicines.
8. Resident COA Auditor
– Establishes a Good Inventory Control System - such as no over and
under stocking of drugs, expired and deteriorated drugs, breakages, etc.
9. Services the drug requirements of personnel and the general public including
referrals to health facilities and the “Murang Gamot Project” of selected
hospitals.
Relationship with other agencies relevant to the practice of pharmacy:
– BFAD in compliance with the legal requirements of the BFAD based on the Food,
Drugs, Devices and Cosmetics Act as amended; RA 3720 in the issuance of the
License to Operate (LTO) and regular inspection/monitoring and in compliance
with the Generics Act of 1988 (RA 6675), and the Pharmacy Law (RA 5921) as
amended.
– The Dangerous Drugs Board (DDB) in compliance with the legal requirements of
the Dangerous Drugs Act (DDA) as amended (RA 6425) relevant to the practice
of pharmacy.
– Bureau of Licensing and Regulations in compliance with the legal requirements
for hospital pharmacy based on the Hospital Licensure Act (RA 4226).
– Professional Regulation Commission (PRC) in compliance with the ethical and
professional practices and the continuing education program requirement.
– HOMS and other services under the OHFS consultative/advisory services on
Hospital Pharmacy enhancement standards, Hospital Operations and
Management of hospital pharmacy, etc.
JOB DESCRIPTIONS
CHIEF PHARMACIST
Provide the overall supervision of the activities of the Pharmacy Service of
comparatively large general or special hospitals and perform other related functions.
Specifically, the Chief Pharmacist shall:
1. Establish and implement policies and procedures of the pharmacy in
accordance with the policies of the hospital and of the DOH;
2. Instruct, train and supervise all employees of the Pharmacy Service;
3. Review and approve schedule of duties of the pharmacy staff
4. Prepare requisitions for awarded drug items and other supplies for
procurement based on the approved price schedule;

15. 5. Provide information concerning drugs and drug therapy to physicians, nurses
and other health personnel of the hospital;
6. Participate actively as member and secretary of the hospital’s Pharmacy and
Therapeutics Committee (PTC);
7. Assist in the evaluation of reports on ADR, DUR and Infection Control
Programs;
8. Plan and prepare research activities on behavioral and socio-economic,
pharmaceutical operational and clinical researches;
9. Supervise the posting and checking of deliveries to bulk storeroom of the
pharmacy for safekeeping and proper storage.
10.Prepare reports and memoranda to the COH, Administrator and other
departments of the hospital on pharmacy matters;
11.Plan suitable educational and training programs for professional staff and
pharmacy interns in accordance with the requirements of the DOH
National/Regional Committee on Affiliation and Training of Students
(NCATS/RCATS);
12.Prepare/conduct the Quality Assurance Program (QAP) Review of the
Pharmacy Service and participate in the QAP of the hospital multi-
disciplinary committee;
13.Attend meetings/seminar-workshops/consultative meetings related to drugs
and hospital pharmacy practices;
14.Recommend pharmacy development or improvements to the COH;
15.Check and evaluate overall performance of the pharmacy staff and approve
performance ratings of the pharmacy personnel;
16.Check the maintenance of the drug inventory control program;
17.Control dangerous and regulated drug distribution and drug dispensing
activities; and
18.Perform other related functions.
SUPERVISING PHARMACIST
Supervise activities of the Pharmacy Service of smaller general or special hospitals
and/or supervise the activities of employees in the Pharmacy Service of a
comparatively large general or special hospital, and perform other related functions.
Specifically, the Supervising Pharmacist shall:
1. Assume the duties and functions of the chief pharmacist in his/her absence;
2. Assist in the planning of special projects, training of pharmacy interns and
personnel in different areas of the Pharmacy Service;
3. Assist in the preparation of policies and procedures of the Pharmacy Service;
4. Supervise clerical and record-keeping activities;
5. Supervise the preparation of delicate prescriptions not commercially available;
6. Collate ADR, Infection Control and DIJR reports;
7. Supervise the receiving, checking and proper storage of all drugs, biological and
medical supplies;
8. Check the prepared schedule of duties of pharmacists and other personnel;
9. Supervise the maintenance of drug inventory control program;
10.Assist in the preparation of requisitions through the RIVs on the awarded drug
items for procurement;
11.Assist in the planning and preparation of research activities;

16. 12.Assist in the preparation of suitable educational pharmacy programs for
professional staff and pharmacy interns;
13.Supervise dispensing of drugs to in and out-patients;
14.Check completed work of pharmacist before issuance;
15.Assist in the preparation of the Q~AP of the Pharmacy Service;
16.Attend meetings/seminar-workshops and consultative meetings related to drugs
and hospital pharmacy practices;
17.Assist in the evaluation of the overall performance of the pharmacy staff and
review performance appraisal forms of pharmacy personnel; and
18.Perform other related functions.
19.Listing of all regulated and narcotic drugs on their appropriate books
SENIOR PHARMACIST
Under general supervision, the Senior Pharmacist shall supervise the activities of
a small group of employees of the Pharmacy Service of a general hospital or special
hospital and perform other related functions.
Specifically, the Senior Pharmacist shall:
1. Assume the functions and responsibilities of the supervising pharmacist in
his/her absence;
2. Assist the supervising pharmacist in the supervision of Pharmaceutical Service
activities or perform other duties relating to the preparation, care, distribution,
disposition and inspection of drugs and supplies;
3. Assist the supervising pharmacist in planning, organizing and implementing
pharmacy policies and procedures in accordance with established policies of the
hospital and the DOH;
4. Guide subordinates in work prioritization and specific tasks to be performed and
reviewed;
5. Record controlled drugs to registered opium and additional opium books;
6. Supervise bulk compounding activities;
7. Supervise the maintenance of the Drug Information Center with updates,
journals and literature files, etc.;
8. Prepare prescriptions not commercially available;
9. Supervise the bottling and labelling of stocks from bulk compounded stocks;
10.Inspect and monitor drugs in all treatment areas;
11.Participate in all research activities;
12.Discuss performance report with subordinate employees;
13.Inspect stocks, equipment and requisitions as needed;
14.Supervise the preparation of intravenous admixtures;
15.Assist in the training of pharmacy interns;
16.Participate in the QAP of the Pharmacy Service; and
17.Perform other related functions.
PHARMACIST
Under general supervision, the pharmacist fills and dispenses drugs and medical
supplies to in-patients and Out-out-patients ordered or prescribed by a licensed
physician, dentist or veterinarian.

17. Specifically, the Pharmacist shall:
1. Fill prescriptions and dispense drugs;
2. Compound preparations not available commercially;
3. Label all drug containers issued to various services;
4. Check the manufacture and expiration dates and labels of drugs;
5. Post delivery receipts and record issuances of drugs to ledger cards and
accomplish issue report forms after every shift;
6. File prescriptions and maintain them for the required number of years as
prescribed by law;
7. Participate in medical rounds when deemed necessary for medication history of
patients in promoting rational drug therapy;
8. Notify physicians of any therapeutic incompatibilities, potential drug interactions
and duplicate prescriptions;
9. Make certain that the right patient takes the right drug and right dosage at the
right time;
10.Maintain follow-up inventory weekly;
11.Prepare/check/sign charges to pay/Medicare patients on medications;
12.Participate in research activities;
13.Attend scientific seminar-workshops/consultative meetings and continuing
education on drug-related matters and hospital pharmacy practices;
14.Participate in the QAP of the Pharmaceutical Service;
15.Prepare performance appraisal report; and
16.Perform other related functions.
PHARMACY AIDE
Under supervision, the pharmacy aide shall:
1. Perform work incidental or preparatory to the work of the pharmacist;
2. Clean empty bottles, cylinders, funnels, mortars and other pharmacy equipment/
apparatus;
3. Assist the pharmacist on drug inventory control;
4. Pre-package drugs and pharmaceuticals and arrange them in shelves;
5. Inform the pharmacist of our-of-order equipment;
6. Assist in the preparation of charges for pay/Medicare patients
7. Participate in the QAP of the Pharmacy Service;
8. Attend staff development programs/seminar-workshops relevant to his/her work,
9. Accomplish the performance appraisal report;
10.Perform other related functions.
CLERK
Under general supervision, the clerk shall:
1. Do all the typing/filing/safekeeping of documents, receiving and releasing papers
pertinent to the operation of the Pharmacy Service;
2. Counter-check submitted issue forms of the pharmacy staff on duty for entry to
stock/supplies ledger cards;
3. Record issuances of drugs daily in the ledger cards;
4. Prepare adjustment sheets as the basis for the statistical report on the monthly
consumption and balances of stocks in the pharmacy;
5. Participate in the QAP of the Pharmacy Service;

18. 6. Attend staff development programs and seminar/workshops relevant to his/her
work;
7. Accomplish the performance appraisal report; and
8. Perform other related functions.
STOREKEEPER
Under general supervision, the storekeeper shall:
1. Receive/check/post drugs on ledger cards for safekeeping and proper storage in
the bulk storage area and record releases for pharmacy stocks in the active
storage area;
2. Transfer/withdraw drug items from bulk storeroom to active storeroom of
pharmacy for distribution assisted by the utility worker;
3. Conduct regular and weekly follow-up of physical inventory of drugs;
4. Inspect drugs stored at the bulk storeroom as to expiry dates, slow and fast
moving drugs, etc.;
5. Attend seminar/workshops, and other staff development programs relevant to
the work;
6. Participate in the QAP of the Pharmacy Service;
7. Accomplish performance appraisal report; and
8. Perform other related functions.
UTILITY WORKER
Under general supervision, the utility worker shall:
1. Maintain housekeeping and sanitation of the pharmacy as well as its bulk and
active storage areas;
2. Maintain facilities of the pharmacy;
3. Attend to the administrative needs in the operation of the Pharmacy Service;
4. Assist the storekeeper in the transfer or withdrawal of drug items from the bulk
storage area to the active storage area of the pharmacy for eventual
distribution;
5. Participate in the QAP of the Pharmacy Service;
6. Accomplish the performance appraisal report; and
7. Perform other related functions
GENERAL QUALIFICATIONS OF A HOSPITAL PHARMACIST
The person who takes charge of the Pharmacy Service of a small or big
institution must have the same qualifications. A hospital pharmacist should be able to
command respect from his/her co-workers, as well as the medical, nursing,
administrative staff and other clients.
It is important for the hospital pharmacist to be physically and mentally fit to
perform his/her duties. He/she should be enthusiastic, resourceful and alert in order to
be dependable, available, and progressive. The hospital pharmacist should be dynamic,
conscientious, industrious and helpful. He/she must observe good public relations and
be generous with his or her time and ability.

19. The hospital pharmacist must be knowledgeable in chemistry, pharmacology,
pharmacokinetics, toxicology, pathophysiology, pharmaceutics, therapeutics, patient
care techniques, and must have a background in social sciences and the theory and
practices of pharmacy.
The hospital pharmacist should know the laws, rules and regulations pertinent to
the practice of pharmacy, and be abreast with the updated list of dangerous drugs.
He/she should be familiar with medical terminologies and must be able to interpret
doctor’s medication orders. He/she should be regularly informed on matters relating to
medications, uses, doses and other drug-related matters and must be able to
communicate these information with other health practitioners.
PHARMACY PERSONNEL QUALIFICATION STANDARD REQUIREMENTS
CHIEF PHARMACIST
1. B.S. Degree in Pharmacy;
2. Duly licensed by law to practice pharmacy;
3. M.S. in Pharmacy or its equivalent;
4. With 6 years experience - 3 years supervisory work and 3 years as dispensing
pharmacist, with on-the-job training/continuing education; and
5. Physically, mentally, emotionally, and morally fit to work.
SUPERVISING PHARMACIST
1. B.S. Degree in Pharmacy;
2. Duly licensed by law to practice pharmacy;
3. With 4 years experience - with 2 years of supervisory work in a pharmacy and 2
years as dispensing pharmacist; with at least 12 units of M.A. and on-the-job
training/continuing education; and
4. Physically, mentally, emotionally, and morally fit to work.
SENIOR PHARMACIST
1. B.S. Degree in Pharmacy;
2. Duly licensed by law to practice pharmacy;
3. With at least three (3) years experience, 1 year on supervisory work and 2 years
as dispensing pharmacist with on-the-job training/continuing education; and
4. Physically, mentally, emotionally, and morally fit to work.
STAFF PHARMACIST
1. B.S. Degree in Pharmacy;
2. Duly licensed by law to practice pharmacy;
3. New graduate/or at least 1 year pharmacy practice, orientation with further on-
the-job training/ continuing education; and
4. Physically, mentally, emotionally, and morally fit to work.
PHARMACY AIDE

20. 1. Completion of at least two (2) years of college studies;
2. Two (2) years experience in a pharmacy; and
3. Physically, mentally, emotionally, and morally fit to work.
CLERK
1. Completion of two (2) years of college studies;
2. One (1) year experience in the preparation of routine office correspondence,
endorsements, reports or other related clerical work;
3. Career Service (Subprofessional) Relevant Eligibility for First Level Position; and
4. Physically, mentally, emotionally, and morally fit to work.
STOREKEEPER
1. Completion of two (2) years of college studies;
2. One (1) year experience in recording and storing of supplies;
3. Career Service (Subprofessional) Relevant Eligibility for First Level Position; and
4. Physically, mentally, emotionally, and morally fit to work.
UTILITY WORKER
1. Completion of elementary school course or must be able to read, write, count,
and interpret verbal or written instruction of normal complexity
2. Six (6) months of experience in manual work;
3. Civil Service Eligibility not required; and
4. Physically, mentally, emotionally, and morally fit to work.
CHAPTER 3
PLANTS, FACILITIES, EQUIPMENT AND OTHER MATERIALS
Plants, facilities, equipment and other materials of the hospital pharmacy must
comply with the BFAD minimum standard requirements for the issuance of LTO in the
establishment of the hospital pharmacy. However, these are further standardized based
on the hospital’s capability levels, size, and scope of service.

21. Adequate spaces, equipment and supplies are provided for the professional and
administrative functions of the Pharmacy Service to assure patient safety through the
proper storage, preparation (compounding, packaging and labelling) and dispensing of
drugs.
Drugs are stored under proper condition of sanitation, temperature, light,
ventilation, segregation and security.
The pharmacy must develop a design which would be accessible to both in and
out-patients, business offices and frontline services.
Premises must be well-ventilated and should have concrete tiles or wooden
flooring.
There must be suitable areas for compounding, manipulating parenteral
medications, dispensing, adequate storage of drugs with wooden pallets for drug boxes
and biological products as specified in the label, for flammables and for administrative
functions.
It must be provided with suitable cabinets for storing poison and/or dangerous
drugs with sectional type of cabinets and must have an adequate supply of water.