PROCUREMENT & WAREHOUSING OF DRUGS AND PHARMACEUTICALS PROCUREMENT OF DRUGS AND PHARMACEUTICALS: * Procurement is defined as a process of acquiring supplies through purchases from the manufacturers, their agents like distributors or from private or public suppliers. © Purchasing of medicines starts with the framing of buying policies and ends with receiving, stocking and payment. © It involves the application of special skills and knowledge from both the professional and legal viewpoints. ._ <> 1. Procurement of cost effective medicines in the right quantities. 2. Indenting of items and quantity: © Annual indents. © Supplementary indents. © Emergent indents.3. Selection of reliable suppliers of quality items. 4. Ensuring timely delivery of the ordered items. 5. Fixing lowest possible total cost: © Unit cost. © Visible cost. © Hidden costs. ¢ Inventory holding costs. © Operating costs. © Capital loss. 1. Direct purchase from the manufacturer or their regional centers. 2. Direct purchase from wholesalers and stockiest. 3. Purchase from rack jobbers. 4. Purchase through bids: i. Open tenders. ii, Restricted tenders. iii. Quotation invitation. 5. Purchase through competitive negotiation. 6. Purchase through a contract: i. Fixed quantity contract. ii, Running contract. iii, Rate contract. 7. Local purchase.8. In house manufacture of medicines in the hospitals. IDR Mente © Selection of medicines & fixing order quantity. © Identifying the financial position. ¢ Identification of procurement method. ¢ Identification of dependable sources of supply. © Negotiating & finalizing suitable purchase terms. © Transferring the title of the items (merchandise) from the supplier to the pharmacy. © Monitoring order status & consumption trend. #4 information flow —* Material flowROLE OF PHARMACIST IN DRUG PROCUREMENT: * By direct purchase from manufacturer and/or wholesaler. © By bid from either manufacturers or wholesalers. © By purchase from a local retail pharmacy. * By a contract purchase arrangement with manufacturer. ¢ Byacontract purchase through a hospital purchase bureau /corporation. HOSPITAL PHARMACIST IN COLLABORATION WITH PURCHASING AGENT ASSUME FOLLOWING DUTIES: © Maintain a list of names, address & telephone numbers of drug manufacturers, wholesalers & their representatives. © Prepare detailed specifications of drugs, chemicals & biological. © Prepare request for purchase forms. © Prepare receiving memo if drugs are received directly by the pharmacy. © Prepare retum memo, whenever applicable.AND PHARMAC ‘A warehouse is a commercial building for storage of goods. Warehouses are used by manufacturers, importers, exporters, wholesalers, transport businesses, customs, etc. They are usually large plain buildings in industrial areas of cities, towns and villages. FACTORS AFFECTING THE POTENCY OF DRUG DURING STORAGE © Temperature. © Humidity. © Light © Pest control. STORAGE CONDITIONS: STORAGE CONDITIONS TEMPERATURE IN DEGREES Cold temperature 2-8 Warm temperature 8-25 Freezer 25-30 Extreme heat 30-40 ACTIVITIES PERFORMED IN WAREHOUSE: « Receive goods. © Identify the goods. Dispatch goods to storage. ¢ Hold goods. * Pick goods. « Transportation. © Product mixing * Docking. © Service.LAYOUT OF THE PHARMACEUTICAL WAREHOUSE AREA FOR PREPARATION OF CeCe Ae aU TOY feels STORE REFRIGERATORS PERFUSION SOLUTIONS w FLAMMABLE PRODUCTS DEV Ee QUARANTINE AREA cseyanwo GURU EXTERNAL USE RODUCTS NTO o tng Pega RAYS iy MEDICAL EQUIPMENT NARCOTICS & CONTROLLED Tiers 1) General Storage Requirement: a) The area shall have 24 hours air-conditioning facilities. b) It shall have effective temperature control (between 160C to 250C) and racks shall be provided. 2) Drug Store: a) Adjustable, modular, heavy duty open racks shalll be provided for storage of packages of different sizes. b) Adequate, designated storage area for bulk items shall be provided, ©) Designated area for Cytotoxic Drugs shall be equipped with cautionary signage and Chemo-Spill Kit3) Dangerous Drugs / Psychotropic Substances Store: Dangerous Drugs / Psychotropic Substances shall be kept under lock and key in special room / cabinet with alarm system 4) Cold Room / Pharmaceutical Refrigerator / Freezer Bay: This room / bay shall be provided within the drug store for storage of drugs requiring low storage temperature, which includes vaccines, antisera and other biological products. 5) Intravenous (IV) Fluid Store: a) Sufficient space shall be made available to accommodate all hemodialysis, peritoneal dialysis solution and intravenous solutions. b) The space shall be sufficient for the utilization of forklift. 6) Surgical Store: Adequate, designated storage area for bulk surgical / consumable / disposable items/ x-ray films shall be provided. 7) Non-Drug Bulk Store: Dispensing bottles, containers, labels and envelopes shall be kept in a designated area