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Get Self Inspection Report For Institutional Pharmacies

WITHIN 20 DAYS PHONE DATE PHARMACY NAME / / PHYSICAL ADDRESS PHCY HOURS MAILING ADDRESS FED # STATE # P. I. C. PERSONNEL TITLE & LIC. OR REG. PERSONNEL LIC.# CITY & ZIP.

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How to fill out the SELF INSPECTION REPORT FOR INSTITUTIONAL PHARMACIES online

This guide provides you with comprehensive instructions on completing the Self Inspection Report for Institutional Pharmacies online. By following these steps, you can ensure accurate and timely submission of the form.

Follow the steps to successfully complete the online form.

  1. Press the ‘Get Form’ button to access the form and open it for completion.
  2. Begin by entering the required contact information, including the name of the pharmacist-in-charge, their phone number, date, and the pharmacy name.
  3. Provide the physical and mailing addresses of the pharmacy, along with the pharmacy hours.
  4. List personnel by entering their titles, licenses, and registration numbers. Include a separate sheet if necessary.
  5. Proceed to the security section. Answer 'Yes' or 'No' for each question regarding alarm systems, controlled substances, documentation, and after-hours entry. Explain any 'Yes' answers where applicable.
  6. Fill out the professional work environment section by indicating whether pharmacists exceed working hours or if documentation is readily available.
  7. In the dispensing systems & labeling section, ensure that labels conform to rules for every system you use.
  8. Complete the drug reliability section by confirming proper storage temperatures, the quarantine of outdated drugs, and any logs required.
  9. Provide information regarding prescription drug orders, ensuring all orders are documented according to regulations.
  10. Document the controlled substance records meticulously, including biennial inventory and any powers of attorney granted.
  11. Answer questions related to the transfer of prescription-only drugs without a prescription.
  12. Confirm that sufficient equipment is available and properly maintained.
  13. Address sanitation regulations by stating that all areas and attire are compliant.
  14. Complete the technician sections, ensuring their compliance with regulations and proper record-keeping.
  15. Lastly, the pharmacist-in-charge must verify that all licensing, complaint records, and continuing education are up to date.
  16. After completing all sections, save your changes, and you can choose to download, print, or share the completed form.

Take action now and complete your Self Inspection Report online.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232