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Pharmacy in Action

Different Fields of Pharmaceutical Services

COMMUNITY PHARMACY

Independent/
Chain
Drugstore

Group Practice

Pharmaceutical
Centers

GROUP PRACTICE

ACTIVITIES OF A
COMMUNITY PHARMACIST
1. Professional functions:

Dispensing a prescription
Compounding a prescription
Dispensing OTC drugs
Storage and handling of drugs
Providing professional advice to patient, physicians, nurses,
etc.
Selecting products for inventory
Keeping records (Rx, opium, poison book)

2. Administrative, supervisory and managerial function


3. Entrepreneurial function related to investment of
capital and ownership of pharmacies

PHILIPPINE SITUATION
Chain Drugstores
( 1965)

INDUSTRIAL PHARMACY
Research & Development

Production

Marketing

Quality control

PHILIPPINE DRUG INDUSTRY


1900
1913

1918

Hizon Laboratories
Phil. American Drug Co.
Botica Boie
Tiki-tiki formulation
Arambulo Poductsm, Inc.
Santos Ocampo, Inc
Farmacia de San Fernando
Lexal Laboratories

DRUG ESTABLISHMENT
any organization or company involve in the manufacture,
importation, repacking and/or distribution of drugs or medicine.

Drug Manufacturer
Drug Trader
Drug Distributor/ Importer
Drug Distributor/ Exporter
Drug Distributor/ Wholesaler
Small manufacturer for generic drugs

CLASSIFICATION OF
ESTABLISHMENTS
FDA issues license to drug firms
Regulation Division I
Drug outlets (drugstore, retail outlet, hospital pharmacies, chinese drugstore)
Drug distributor (importer, wholesaler, exporter)
Cosmetic distributor (importer, wholesaler)
Medical device distributor (importer, wholesaler)
Food distributor (importer, exporter)
Household Hazardous Substances (importer, exporter, wholesaler)
Regulation Division II
Drug manufacturer
Cosmetic laboratory
Medical device manufacturer
Drug, cosmetic, medical device trader
Household Hazardous Substances Manufacturer/trader
Food establishment

PRODUCT REGISTRATION

License to
Operate (LTO)

CPR code:
Certification of
Product
Registration
(CPR)

DR drugs
CR/CL cosmetics
FR foods
HSR Household Hazardous substances
DVR medical device

Dangerous Drugs Board


Drug prevention and control
Under the Office of the President
Issues license and prescription forms for
the exempt dangerous drugs and
dangerous drugs

SCHEDULE OF LICENSE
S-1 retail dealer of exempt dangerous drugs
S-2 physician, dentist, veterinarian
S-3 retail dealer of exempt dangerous drugs and
dangerous drugs
S-4 wholesale dealer/distributor
S-5I importer
S-5C compounder, manufacturer, producer
S-5E exporter
S6 research, instruction, or lab analysis
S7 importer, manufacturer, producer or compounder of
dangerous drugs in any form

R.A. 9165
(Comprehensive Dangerous Drug Acts of 2002)

Philippine Drug Enforcement Agency (PDEA)


Implementing arm of the Board
responsible for the efficient and
enforcement of all the provisions on
drugs and/or controlled precursor
chemical as provided in the Act.

and shall be
effective law
any dangerous
and essential

RESEARCH
Development research
Formulation of new drug compounds into dosage
forms
Improvement of existing medicine
Improvement of production process

Basic research
Discovery and search for new knowledge

Applied research
Application of new knowledge

JOB OPPORTUNITIES
Company pharmacist
Regulatory Affairs Officer
Clinical trial/ Bioavailability
Study team
Production
Planning
Inventory control manager
Quality assurance
manager

Research and
Development Head
Operations manager
Analyst
Line inspector
Medical representative

HOSPITAL PHARMACY
Supply medications to nursing units
Filling prescriptions for in-patient, out-patient
and ambulatory patients
Preparation of injectables, sterile products and
IV fluids

A Hospital Pharmacist must be


knowledgeable on:
Drug and their action
Pharmacy manufacturing program
Control procedure regarding:
Quality control
Drug distribution through out the hospital

Research activities (medical and


pharmaceutical)
Teaching techniques
Pharmacy administration in a hospital

Activities of a Hospital Pharmacist


1. Prepare the annual
budget for drugs
2. Initiate drug orders
3. Watch price fluctuations
4. Maintain system of
records
5. Exercise overall
supervision
6. Prepare schedule of staff
duties

7. Coordinate with medical


and nursing staff
8. Represent department in
staff meeting
9. Prepare annual report
10. Serve in vital committees:
Pharmacy and Therapeutics
Committee
Drug Information Service
Policy Committee of the
Administration Staff

Duties of the Pharmaceutical Staff


1. Dispensing
6. Charging patients for
drugs and supplies
2. Filling and labeling of drug
containers
7. Maintaining adequate
control over requisitioning
3. Maintaining approved
and dispensing
stocks of antidote and
emergency drugs
8. Implementing decisions of
PTC
4. Dispensing of narcotics
and alcohols
9. Filing literatures
5. Furnishing drug info to
10. Manning the Drug
doctors, interns and
Information Service
nurses

CLINICAL PHARMACY
Provide patient care that optimizes medication
therapy and promotes health, wellness and
disease prevention
Improvement of quality of life

Activities of a Clinical Pharmacist


1.
2.
3.
4.

Consultation
Drug selection
Drug Information
Formulation and
preparation
5. Drug-use studies and
research
6. Pharmacokinetics/
therapeutic drug
monitoring

7. Clinical trials
8. Pharmacoeconomy
9. Dispensation and
Administration
10. Teaching and Training

Philippine Experience
Hospitals with Clinical pharmacy service:

Makati Medical Center


Philippine General Hospital
St. Lukes Medical Center
The Medical City
Asian Hospital
Ospital ng Makati
Mediatrix Hospital

Pharmaceutical Care
functions performed by a pharmacist in ensuing the
optimal use of medications to achieve specific outcomes
that improves a patients quality of life
responsible provision of drug therapy for the purpose of
achieving definite outcomes that improve a patients
quality of life

Patient Oriented Pharmacist


Knowledge of Drugs
and Drug Therapy

Communication Skills

Drug Information Skills

Goals of Pharmaceutical Care

Care Plan
Effective therapy
Drug therapy
problems

Cost
effective

Assessment
Positive
clinical
outcomes

Optimize
quality of life

Prevent &
Resove therapy
problems
Achive therapy
goals

Reassessment
Therapeutic goal
progress

Evaluation

Government Service
1.
2.
3.
4.
5.
6.
7.
8.

FDA
Bureau of Research and Laboratories, DOH
National Academy of Science and Technology
Commission on Audit
Bureau of Plant Industry
Bureau of Customs
NBI, DDB
Professional Regulation Commission

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