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Administrative SOPs

SOP's listed as links are currently available. Others will be coming soon.
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Number Updated Reviewed  Title
1.001 10/18/23 Employment Information
1.001.01 10/18/23 Employment Procedure
1.001.02 10/18/23 Employment Benefits and Information
1.001.03 10/18/23 Non-Disclosure Agreement
1.001.04 10/18/23 Employee Records
1.001.05 8/27/08 10/18/23 Resumes
1.002 10/18/23 Pharmacist Responsibilities
1.002.01 10/18/23 Pharmacist I Responsibilities
1.002.02 10/18/23 Pharmacist II Responsibilities (if different)
1.002.03 10/18/23 Pharmacist-in-Charge Responsibility
1.003 10/18/23 Pharmacy Technician Responsibilities
1.003.01 10/18/23 Technician I
1.003.02 10/18/23 Technician II
1.003.03 10/18/23 Technician III
1.004 10/18/23 Pharmacy Intern Responsibilities
1.004.01 10/18/23 Pharmacist Intern Responsibilities
1.004.02 10/18/23 Technician Intern Responsibilities
1.005 u 8/21/19 10/18/23 Designated Person (USP 2019)
1.006 10/18/23 Pharmacy - Manager Responsibilities (Non-Pharmacist)
1.007 10/18/23 Pharmacy - Manager Responsibilities (Pharmacist)
1.007.01 3/20/15 10/18/23 Federal Anti-Kickback Statute Compliance
1.008 10/18/23 Ancillary Personnel Responsibilities
1.009 3/10/15 10/18/23 Technician Supervision
1.01 10/18/23 Developing Standard Operating Procedures
1.011 10/18/23 SOP Master Book - Maintenance
1.011 u 8/21/19 10/18/23 SOP Master Book - Maintenance (USP 2019)
1.012 10/18/23 SOP Revised / Retired
1.013 10/18/23 SOP Writing and Implementation
1.014 12/16/05 10/18/23 Security of the Pharmacy
1.015 10/18/23 Length of Time to Keep Documents / Samples
1.015 u 8/21/19 10/18/23 Length of Time to Keep Documents / Samples (USP 2019)
1.016 10/18/23 Display of License
1.016.1 7/31/08 10/18/23 Display of Certificates
1.016.2 3/10/15 10/18/23 Negative Outcome Notification
1.017 3/30/15 10/18/23 Certificate of Analysis
1.018 8/30/05 10/18/23 Shipping of Prescriptions
1.018.1 3/10/15 10/18/23 Shipment Timeliness Quality Control
1.019 10/18/23 Hours of Pharmacy Operation
1.019.1 3/10/15 10/18/23 After-Hours Supervision
1.02 10/18/23 Delivery and Pickup of Drugs / Equipment / Supplies
1.02.01 7/31/08 10/18/23 Delivery of Compounded Preparations
1.02.02 1/5/15 10/18/23 Monitoring Packaging and Transfer of Compounded Medications
1.02.02 u 8/21/19 10/18/23 Monitoring Packaging and Transfer of Compounded Medications (USP 2019)
1.021 10/18/23 Pharmacy Order of Work Flow
1.022 10/18/23 Facility Design & Operation
1.022 u 8/21/19 10/18/23 Facility Design & Operation (USP 2019)
1.022.1 1/15/18 10/18/23 Closing Down or Deactivating a Compounding Laboratory
1.023 10/18/23 Audits - Handling of
1.024 10/18/23 Insurance - Liability
1.025 10/18/23 Advertising / Detailing / Marketing - Human
1.027 10/18/23 Patient Medication Records System Security
1.029 10/18/23 Use of Cell Phones
1.031 10/18/23 Pharmacy Library
1.032 10/18/23 Care, Security and Backup of Computer Systems
1.033 10/18/23 Authorization to Input and Modify Data on Computer Systems
1.041 10/18/23 Controlled Substance Handling
1.041.1 7/21/08 10/18/23 Controlled Substances Dispensing
1.041.2 5/10/12 10/18/23 Diversion Prevention in of the Pharmacy
1.042 10/18/23 Storage and Handling of Bulk Chemicals and Finished Drug Preparations
1.043 3/30/15 10/18/23 Receipt of Bulk Chemicals
1.044 9/16/05 10/18/23 Chemical and Ingredient Storage
1.045 9/16/05 10/18/23 Checking for Out of Date Chemicals and Storage Pending Destruction
1.046 5/14/12 10/18/23 Destruction\Return of Drugs Used for Compounded Sterile Preparations
1.047 9/16/05 10/18/23 Cleaning of Used Chemical Containers Prior to Disposal
1.047 u 8/21/19 10/18/23 Cleaning of Used Chemical Containers Prior to Disposal (USP 2019)
1.049 10/21/05 10/18/23 Abbreviations Used in the Pharmacy
1.05 10/18/23 Posting of Chemical Hazard Codes
1.051 10/18/23 Security of Compounding Areas
1.051.1 7/31/08 10/18/23 Security of the Sterile Compounding Area
1.052 10/18/23 Compounding with Ingredients on Negative List
1.052.1 7/21/08 10/18/23 FDA Negative List
1.053 3/30/15 10/18/23 Compounding Ingredients
1.053 u 8/21/19 10/18/23 Compounding Ingredients (USP 2019)
1.054 10/18/23 Recalling Sterile and Nonsterile Compounded Preparations
1.054 u 8/21/19 10/18/23 Recalling Sterile and Nonsterile Compounded Preparations (USP 2019)
1.055 10/18/23 Environmental Compounding
1.059 9/24/09 10/18/23 Methods Used to Assess Compounding Skills
1.059.01 9/24/09 10/18/23 Direct Observation of Technique
1.059.02 10/18/23 Developing and/or Evaluating Written Tests for Knowledge of Compounding Skills
1.06 10/18/23 Water Supply
1.061 10/18/23 Waste Disposal
1.061.01 10/18/23 Regular Trash
1.061.02 10/18/23 Hazardous Materials / Syringes & Needles
1.062 10/18/23 Care and Maintenance of the Compressed Gas Supply
1.063 10/18/23 Determining the Availability of a Commercial Drug
1.064 10/18/23 How to Handle a Product Recall
1.064 u 8/21/19 10/18/23 How to Handle a Product Recall (USP 2019)
1.065 10/18/23 Administering the First Dose of a Medication in the home
1.066 10/18/23 Documenting allergic and/or anaphylactic reactions
1.067 3/30/15 10/18/23 Documenting an adverse drug(s) reaction
1.067 u 8/21/19 10/18/23 1.067.u - Documenting an Adverse Drug Reaction (USP 2019)
1.068 10/18/23 Medical Abbreviations
1.069 10/18/23 Incident Reporting
1.07 3/30/15 10/18/23 Compliance with OSHA Regulations
1.071 10/12/07 10/18/23 HIPAA Compliance
1.072 6/2/05 10/18/23 Patient Grievances
1.073 6/2/05 10/18/23 Patient Evaluation and Surveys
1.073.1 9/5/08 10/18/23 Patient Satisfactory Survey
1.074 9/5/08 10/18/23 Patient Education
1.080 12/16/05 10/18/23 Chemical Abbreviations/Acronyms
1.081 2/1/06 10/18/23 How to Handle the Media
1.082 1/5/06 10/18/23 Talc USP Suppliers
1.083 7/15/08 10/18/23 Vendor Accounts
1.084 7/15/08 10/18/23 Medication Profile
1.085 7/15/08 10/18/23 Emergency Drug Procurement
1.086 7/15/08 10/18/23 Stock Rotation
1.087 7/15/08 10/18/23 Pharmacy Assessment (Patient)
1.088 7/21/08 10/18/23 Drug and Chemical Selection
1.089 7/21/08 10/18/23 Labeling Office Use Products
1.089.1 9/27/18 10/18/23 Off-Label Drug Use and Dispensing
1.090 7/31/08 10/18/23 Annual Review of the Compounded Sterile Preparations
1.091 8/15/08 10/18/23 Checking Customers Out
1.092 8/15/08 10/18/23 Job Description
1.093 8/15/08 10/18/23 Orientation for Delivery Driver
1.094 8/15/08 10/18/23 Job Orientation for Aseptic Compounding Personnel
1.095 8/15/08 10/18/23 Review of Policies and Procedures by Personnel
1.096 8/27/08 10/18/23 Records and Reports
1.096 u 8/21/19 10/18/23 Records and Reports (USP 2019)
1.096.1 9/1/17 10/18/23 Record Retention
1.096.2 8/11/08 10/18/23 Clinical Records Retention
1.096.3 10/26/18 10/18/23 Retention of Records
1.097 9/5/08 10/18/23 Practitioner Education
1.098 9/16/08 10/18/23 Administration of Ophthalmic Ointments
1.098.1 9/16/08 10/18/23 Administration of Ophthalmic Solutions-Suspensions
1.099 9/16/08 10/18/23 Administration of an Antineoplastic
1.100 1/15/09 10/18/23 Documentation Do's and Don'ts
1.101 5/14/12 10/18/23 Product Procurement, Receipt and Inspection
1.102 10/18/23 Response in Case of Power Outage
1.103 10/18/23 Response in Case of Refrigerator/Freezer Failure
1.104 10/18/23 Response in Case of HVAC Failure
1.105 10/18/23 Response in Case of Non-Secured Pharmacy
1.106 10/18/23 Response in Case of Temperature-Humidity Excursions
1.108 10/18/23 Severe Weather Conditions
1.109 7/17/14 10/18/23 Response to Equipment Failures
1.110 7/17/14 10/18/23 Corrective Action Procedures
1.111 6/16/16 10/18/23 Usual and Customary Price Determination
1.112 3/10/15 10/18/23 PI Program General
1.112.01 3/11/15 10/18/23 PI Program - Personnel Involvement
1.112.02 3/11/15 10/18/23 PI Program - PI Activities
1.112.03 3/11/15 10/18/23 PI Program - Monitoring of Nonsterile Process
1.112.04 3/11/15 10/18/23 PI Program - Monitoring of Sterile Process
1.112.05 3/11/15 10/18/23 PI Program - Plans of Correction
1.112.06 3/11/15 10/18/23 PI Program - Annual Report
1.119 3/11/15 10/18/23 Infection Control Monitoring
1.120 3/11/15 10/18/23 Investigational Drugs
1.121 3/11/15 10/18/23 Nonsterile Ongoing Compliance Program
1.122 3/11/15 10/18/23 Sterile Ongoing Compliance Program
1.20 8/26/16 10/18/23 Impaired Licensed Employee Responses
1.21 8/26/16 10/18/23 Theft or diversion or self-use of stolen prescription drugs by a licensed employee
1.22 7/5/18 10/18/23 Accounts Receivable – Default Accounts