Receiving and Storing Medications — Practice Checklist

Step-by-Step Procedure (7 steps)

1. 1.

   Compare the delivery invoice/packing slip against what was actually received — quantities, strengths, and NDCs.

2. 2.

   Immediately identify any refrigerated or frozen items in the shipment (insulin, many vaccines, some reconstituted antibiotics, biologics) and move them to proper cold storage before processing the rest of the order.

3. 3.

   Check that refrigerator and freezer temperatures are within the required range (commonly 36-46°F / 2-8°C for refrigerated items) and log the check per pharmacy SOP.

4. 4.

   Inspect for shipping damage — crushed packaging, broken vials, signs a cold-chain product was left unrefrigerated too long in transit.

5. 5.

   Rotate new stock behind existing stock (first-expired, first-out) rather than simply placing new stock in front.

6. 6.

   Shelve light-sensitive medications in their original, opaque or amber packaging rather than a clear substitute container.

7. 7.

   Report any discrepancy between the invoice and what arrived, and any damaged or compromised product, per your pharmacy's return/reporting procedure.

Quality Checkpoints (4)

Confirm each of these before considering the task complete.

• Temperature-sensitive items are moved to proper storage before anything else in the shipment is processed.

• Refrigerator/freezer temperatures are checked and logged, not assumed to be within range.

• Stock rotation follows first-expired, first-out, not simply newest-in-front.

• Discrepancies and damage are reported, not silently absorbed into inventory.

Avoid These Mistakes

• ⚠

  Leaving a cold-chain delivery sitting at room temperature while finishing other tasks first.

• ⚠

  Placing new stock in front of older stock out of habit, which lets older product expire unused behind it.

• ⚠

  Not checking or logging fridge/freezer temperatures on a busy day, missing an equipment failure until product has already been compromised.

• ⚠

  Storing a light-sensitive medication in a clear secondary container "to see it better," which degrades the product.