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1. Drug distribution in the
hospital

2. Introduction
Drug dispensing is one of the most
important functions of the pharmacists
at community or hospital pharmacy
With introduction of modern finished
pharmaceuticals, the old
compounding concept of drugs has
become obsolete.

3. Different drug distribution systems
Individual prescription order system
Complete floor stock system
I) Charged floor stock system
II) Non – Charged floor stock system
iii) Drug Basket system
iv) Mobile dispensing unit
v) Combination individual prescription &
Floor stock method
Unit dose dispensing systems

4. Individual Prescription order
system
Similar to community
pharmacy
Advantages
a) All medication orders are
directly reviewed by the
pharmacist.
b) good working relationship
between doctor, pharmacist
& Nurse.
c) clear control of inventory

5. Complete floor stock system
Medicines are distributed
through the nursing
stations to the inpatients.
a) Charged floor stock
system.
b) Non-charged floor
stock system.

6. Advantages
a) Ready availability of medications
b) Drug returns can be eliminated.
c) Reduction in number of drug
transcriptions
d) Reduction in number of Pharmacy
personnel

7. Disadvantages
Increased number of medication errors
Greater chances of pilferage
Increased drug inventories in the wards.
Increased chances of drug deterioration
Lack of proper storage facilities.
Greater load on the Nurse time

8. Prescribing of Floor stock
drugs
Doctor gives the
prescription in the
patient’s case note.
The same is copied
and sent to the
pharmacy for
review and fill

9. Procedure for selection of the
drugs in floor stock
Pharmacy &
Therapeutic
committee makes
the necessary
recommendations
on selection of the
list.

10. Drug Basket method
Drug Basket method is used to supply non
charge floor stock medicines to the wards.
Under this method the night nurse checks the
medicine cabinets, utility rooms and drug
refrigerator and identifies the drugs which
are running out of stock limits and places an
order and puts the indent in the basket
provided by the pharmacy.
The Pharmacy then refills and sends back to
the ward.

11. Mobile Dispensing Unit.
The pharmacy assistant will take the
mobile unit to various wards, depending
on the order, the stocks are distributed
and the copies of orders are sent to the
Pharmacy for refilling the cartons.

12. Unit Dose Drug Distribution
Method
Those medications which are
ordered, packaged, handled
administered and charged in
multiples of single dose units
containing a predetermined amount
of drug or supply sufficient for one
regular dose, application or use.

13. Types
Centralized Unit dose dispensing
Decentralized Unit dose dispensing

14. Advantages
24 hours pharmaceutical care services
All medication orders are filled in pharmacy
by qualified pharmacist
Pharmacist’s interpretation of prescriptions
and intervention help in prevention of
medication errors.
labeling mistakes are prevented
Eliminates credits and prevent the losses
Effective utilization of Professionals and non
professionals.

15. Nurse time is saved and can devote for
patient care
Pilferages and spoilages are minimized
Pharmacist can be available in the wards
for solving prescription related problems.
good working relationship can be
improved between the doctor, pharmacist
and Nurse.

16. Central Unit dose dispensing
All doses of medication are kept in
the central pharmacy. With the help
of dumb waiters and Pneumatic
systems, the medication orders are
sent to the pharmacy. The filled
medications are sent to the wards in
the same procedure.

17. Decentralized UDDS
Ward Pharmacy
Bed side pharmacy
Satellite Pharmacy

18. Decentralized unit dose
distribution system
In each floor of the hospital through
satellite pharmacies, the distribution
of the drugs takes place.
The central pharmacy acts as
procurement place.