Form 08-4150 - Pharmacy Self-Inspection Report - Alaska State Board Of Pharmacy Page 3

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ALASKA STATE BOARD OF PHARMACY
PAGE 3 OF 8
PHARMACY SELF-INSPECTION REPORT
AUTHORITY
ITEM
YES
NO
COMMENTS
AS 08.80.157
The pharmacy has the equipment, supplies, and reference materials
12 AAC 52.400
necessary to compound, dispense, label, administer, and distribute drugs
and devices.
AS 08.80.157
All drugs and devices that have exceeded their expiration date are
12 AAC 52.410
removed from stock, and quarantined until properly disposed of.
AS 08.80.157
All drug, devices, and poisons restricted to sale by a pharmacist are kept in
12 AAC 52.420
the prescription department.
AS 08.80.157
The pharmacy department is always locked when the pharmacist is not on
12 AAC 52.420
site.
12 08.80.157
The pharmacy has a separate telephone number if its hours differ from the
12 AAC 52.420
remainder of the store.
AS 08.80.157
Filled prescriptions are stored in the prescription department only, and may
12 AAC 52.420
not be removed unless a pharmacist is present.
PRACTICE STANDARDS
AS 08.80.030
The pharmacy maintains original drug orders in numerical order.
12 AAC 52.450
AS 08.80.030
The pharmacy maintains its prescriptions in legible form for the required
12 AAC 52.450
two year period.
AS 08.80.030
Prescriptions are not refilled after one year from the date of issue.
12 AAC 52.470
AS 08.80.030
All refills are recorded electronically or on the back of the prescription drug
12 AAC 52.470
order.
AS 08.80.030
All schedule II - V controlled substances dispensed have the label
12 AAC 52.480
"Caution: Federal Law prohibits the transfer of this drug to any person
other than the patient for whom it was prescribed."
NOTE* Keep a copy of this report on file.
08-4150 (Rev. 5/98)

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