Recommended Items
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Resume and Cover Letter Template
These templates are just what you need to get past the Applicant Tracking Systems and land a new job! Both are optimized to be read by both machines and humans, so you have the best chance possible of being seen.
$10.00 -
Filing Cabinet Label Template
Labeling your filing cabinet drawers so that records are easy to find is important to be sure that everyone, even float pharmacists, can easily find required records in the case of an inspection.
This template makes it easy. Simply drag and drop each record type into the box for each drawer. Then, print off the sheet, cut out the box, and tape it to those drawers!
Check out this post: https://www.pharmcompliance.com/post/does-your-staff-know-how-to-find-the-pharmacy-records
$10.00 -
Controlled Substance Waste Log
Use this form to log your controlled substance waste (expired medications, dropped tablets, broken tablets, etc). It is designed to print front and back to give you more room for logging and comes with one form for C2’s and one form for C3-5’s. There is also a place to sign them in the waste and a place to sign them out after destruction or transfer to a reverse distributor.
$20.00 -
Pharmacy Promotional Flyer Template
Create a beautiful flyer to promote your pharmacy in minutes! Just plug in your information and save as a .pdf and it’s ready to go.
$20.00 -
Compounding Record Template
This compounding record will ensure that you document all required information for both sterile and non-sterile products according to both USP as well as numerous boards of pharmacy. This includes Kentucky and North Carolina.
$25.00Compounding Record Template
$25.00 -
The Ultimate Pharmacy Starter Package
A full compliance and operations starter package!Â
A $231 Value!
This package contains many of the most important compliance tools for daily operations. It also contains many of our most popular tools for helping you get your pharmacy organized and running efficiently.
It’s a perfect package for new pharmacies or for any pharmacy working on revamping their compliance and operations programs.
$150.00
Best Seller Items
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Daily Signature Log
This signature log will make it easy and efficient for you to comply with the Controlled Substance Act’s signature log requirement for the refilling of Schedule III-V substances [§1306.22(f)(3)].
The log is easily printable and will hold one year’s worth of pharmacist signatures, with up to 6 pharmacists per day.
50 pages total.
$45.00Daily Signature Log
$45.00 -
FLORIDA – Continuous Quality Improvement Template
Use this template to lead your quarterly CQI meetings, as required by Florida state law. This template is also great for other states to cover recent errors, methods to prevent those errors, and record attendance.
$15.00 -
Prescription Transfer Form
Use this form to efficiently document all the information needed to transfer prescriptions. Each copy will hold up to four prescriptions. It has space for everything you might need! Patient info, insurance info, all pharmacy info (including DEA For controls), and prescriber info.
Prescriber info is separated for each prescription – there’s nothing worse than writing all the drug info for a second transfer down only to find out the doctor is different and then having to try to make the second doctor’s info fit.
$20.00Prescription Transfer Form
$20.00 -
Compounding Record Template
This compounding record will ensure that you document all required information for both sterile and non-sterile products according to both USP as well as numerous boards of pharmacy. This includes Kentucky and North Carolina.
$25.00Compounding Record Template
$25.00 -
Verbal Prescription Pad Template
This template for verbal prescriptions contains the most pertinent information you need for documenting Rx’s.
Page 1 contains an actual size (4 to a page) so you can make copies and cut them up.
Page 2 contains a full size template that you can send to a print shop so they can make Rx pads.$15.00 -
Prescription Drug Pedigree Form
Use this form anytime you sell medications to physician offices or other licensed healthcare entities and you need to comply with the Drug Supply Chain Security Act (DSCSA).
Many states also regulate wholesale distribution, and this form was intended to include information most commonly required by state law.
$20.00
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Pharmacy Promotional Flyer Template
Create a beautiful flyer to promote your pharmacy in minutes! Just plug in your information and save as a .pdf and it’s ready to go.
$20.00 -
Pharmacy Records Storage Log (for off-site records)
This log is a great way to be sure you can keep track of all your records stored off-site, whether that is with a vendor or in a storage unit you own.
$15.00 -
Prescription Drug Pedigree Form
Use this form anytime you sell medications to physician offices or other licensed healthcare entities and you need to comply with the Drug Supply Chain Security Act (DSCSA).
Many states also regulate wholesale distribution, and this form was intended to include information most commonly required by state law.
$20.00 -
Prescription Transfer Form
Use this form to efficiently document all the information needed to transfer prescriptions. Each copy will hold up to four prescriptions. It has space for everything you might need! Patient info, insurance info, all pharmacy info (including DEA For controls), and prescriber info.
Prescriber info is separated for each prescription – there’s nothing worse than writing all the drug info for a second transfer down only to find out the doctor is different and then having to try to make the second doctor’s info fit.
$20.00Prescription Transfer Form
$20.00 -
Refrigerator/Freezer Excursion Toolkit
This toolkit is the ultimate guide to handling a storage unit excursion. Page 1 is a step-by-step guide you can tape on the refrigerator/freezer. The rest of the pages contain everything you need to take an inventory of items in your storage unit, get a description of what happened, and be able to call and document your conversation with the manufacturers.
9 pages in total.
$20.00 -
Required Records Location Template
Use this template as a starting point when creating your list of required records and their associated locations.
This Excel file contains a total of three tabs:
1. Compliance Binder documents
2. Documents required under the Controlled Substance Act
3. Filing cabinet documents$25.00 -
Resume and Cover Letter Template
These templates are just what you need to get past the Applicant Tracking Systems and land a new job! Both are optimized to be read by both machines and humans, so you have the best chance possible of being seen.
$10.00 -
Signature Identification Log
It can be helpful to have a log of whose signature and initials are whose, and I’ve actually had an inspector ask if we had one once.
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This is a good one to keep in the front of your compliance binder, near the table of contents.
1 page total.
$10.00Signature Identification Log
$10.00 -
Staff Acknowledgement of Policies and Procedures
Use this form to document that staff have received, reviewed, and agree to abide by the pharmacy policies and procedures. This is a requirement in many states, including Florida.
Each download allows for the copy and use of the form for one pharmacy permit.
NOTE: This form is intended as an aid only and Pharmacy Compliance Specialists, LLC, shall not be held liable for damages resulting from the use or misuse of this product.
$10.00 -
The Ultimate Pharmacy Starter Package
A full compliance and operations starter package!Â
A $231 Value!
This package contains many of the most important compliance tools for daily operations. It also contains many of our most popular tools for helping you get your pharmacy organized and running efficiently.
It’s a perfect package for new pharmacies or for any pharmacy working on revamping their compliance and operations programs.
$150.00 -
Vaccine Protocol Template
This template is all you need to create a collaborative practice agreement with a physician so you can begin giving vaccines. A protocol of this nature is required in many states.
Comes as a Word file so you can edit it for your site. 5 pages total.
Sections include:
Eligible patients
Pharmacist requirements
Patient monitoring
Reporting
Physician review of administration
Appendix A: Pharmacists authorized under the protocol
Appendix B: Pharmacists with authorization revoked under the protocol$40.00Vaccine Protocol Template
$40.00 -
Verbal Prescription Pad Template
This template for verbal prescriptions contains the most pertinent information you need for documenting Rx’s.
Page 1 contains an actual size (4 to a page) so you can make copies and cut them up.
Page 2 contains a full size template that you can send to a print shop so they can make Rx pads.$15.00