The Practice Review Program is fully underway in community pharmacies across the province. As Compliance Officers conduct more practice reviews, they are noticing opportunities for the College to provide clarification to pharmacy professionals on selected areas of common concern.
This installment of Practice Review Program Insights focuses on inventory management of compounding materials and products.
Many pharmacies have established procedures in their inventory management process to account for expiry dates. These processes include tagging soon-to-expired products and routinely checking for and pulling off expired products in the inventory. During a Pharmacy Review, Compliance Officers have found that some pharmacies do not account for expiry dates of the raw materials used in compounding. It is important that these products are also checked as part of the routine inventory management process.
Pharmacies may occasionally prepare compounds in advance for anticipated prescriptions. It is important the following be recorded on the label: all ingredients and their strengths, the date the compound was prepared, the total quantity prepared, the expected expiry date, and the appropriate lot number. It is strongly advised that pharmacies use a compounding log in this situation. Please refer to NAPRA's Guidelines to Pharmacy Compounding (2006) and Model Standards for Pharmacy Compounding of Non-Hazardous Sterile Preparations (2015) for more information on record keeping for non-sterile and sterile preparations. To determine the stability of a compound, please consult an appropriate compounding reference.
Return-to-stock compounds must also have the expiry date and lot number recorded on the label with all patient identifiers removed (in accordance with all other return-to-stock drug products). Once return-to-stock compounds have expired, they must be identified, removed, and stored in a separate area of the pharmacy or a secure storage area until final disposal.
- Practice Review Program, PRP Insights