How important is accuracy of the c2 book?

[spoon714]

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I interned at several pharmacies and most of the pharmcies C2 book is 100% accurate but then I interned another store and it was a mess. Many of the less common drug used was accurate but the common c2 drugs, the book was off from the on hands as if either the rph or tech forgot to put it in the book. I heard the PIC said as long as the computer matches the on hands.I thought the c2 book is pretty important to keep accurate, rather than rely on the computer. Is it a federal law to have a log for c2? Can the PIC be cited for it if the book is off? I noticed that sometimes the book, onhands and the computer is off. I mean whats the point of keeping a book, if its inaccurate

 

[genesis09]

Federal law is silent on perpetual inventory.

 

[wagrxm2000]

Wag doesn't do a c2 book

 

[maria1oh]

At cvs you can run a drug usage report to find the missing entries. Likely the fault of floaters so I doubt they would blame it on pic immediately.

 

[Ackj]

I like it because you can track down when something goes missing. If you're just doing "on hands vs. computer inventory" what's stopping somebody from stealing a bottle and updating the computer's inventory? They still match but now you're a bottle short.

 

[BenJammin]

C2 book > computer inventory

 

[Sparda29]

Two independents where I work don't even bother with it, they say that you have the invoices online and the system to track the scripts. Other independents still use a paper book.

 

[Dred Pirate]

I used a paper book - but it is not required - as long as you have a way of accounting for what comes in and what goes out - and inventory every 2 years. At the hospital it is all electronic. The book is simply an old way of making sure noone is stealing, ect.

 

[type b pharmD]

Two independents where I work don't even bother with it, they say that you have the invoices online and the system to track the scripts. Other independents still use a paper book.

Wags doesn't use a book, there are a plethora of tools to detect fraud and theft.. electronic is better , why use a book these days ? it wastes time, wags has proven smart software ("rxintegrity") can do a better job .

All you really need to make the book obsolete is compare qty on hand, qty dispensed, and qty received.

Having a book may make it easier to conduct a diversion investigation but isn't that the DEAs and corporates job ? Falsifying/forging a book is much easier than defrauding a computer.. I can get an email alert whenever someone manually adjusts the count .. a book can't even come close.

Spent a long time reconciling krogers c2 books as a student , which is frankly a bitch job , not worth $1/minute .. not to mention Kroger weekly c2 count ..I count once a year.

 

[type b pharmD]

I like it because you can track down when something goes missing. If you're just doing "on hands vs. computer inventory" what's stopping somebody from stealing a bottle and updating the computer's inventory? They still match but now you're a bottle short.

Um, the fact that you can see who updated the inventory and when and review the camera ?

 

[farmadiazepine]

When I was at CVS working overnights, I was responsible for our C2 book. It was a complete mess. I didn't even follow it. A C2 book is simply quantity ordered minus quantity dispensed should equal quantity on hand. It always worked out. I wouldn't even log in the stickers at CVS for this reason.

Now, at my independent, we don't have a C2 book. What a difference it makes when you don't have a C2 book. The pharmacy is a much better place.

 

[spoon714]

A few questions: who is responsible for the control inventory should it be off? Like on hands differ from the computer (and book). C3-C5 is less regulated than c2, is it ok for rph to adjust the inventory numbers to match the on hands or does it have to be reported? Same as c2? I'm in NY btw.

 

[doublehh03]

A few questions: who is responsible for the control inventory should it be off? Like on hands differ from the computer (and book). C3-C5 is less regulated than c2, is it ok for rph to adjust the inventory numbers to match the on hands or does it have to be reported? Same as c2? I'm in NY btw.

Obviously the PIC. For c3-5s, if there is a discrepancy (a small one you wouldn't worry about unless you find it happen every month), you let it slide. But you usually know if something's off when you get large shipments of xanax when you know you don't dispense that much (hence someone adjusted the balance on hand and ordered more - a sign of diversion).

I do the C2 book and I make sure to keep it accurate. If anything is off, there must be full documentation in the book as to why. Never had a problem before as my team make sure to log it at the end of teh shift.

 

[acg515]

At Wal-Mart it is considered a pretty big deal to make sure the book is right.

 

[owlegrad]

When I was at CVS working overnights, I was responsible for our C2 book. It was a complete mess. I didn't even follow it. A C2 book is simply quantity ordered minus quantity dispensed should equal quantity on hand. It always worked out. I wouldn't even log in the stickers at CVS for this reason.

So your BOH was always wrong? The LP auditors didn't care?

 

[owlegrad]

Also does anyone know if we will still be using the books now that we have a new electronic check in system?

 

[doublehh03]

Also does anyone know if we will still be using the books now that we have a new electronic check in system?

No.

 

[farmadiazepine]

So your BOH was always wrong? The LP auditors didn't care?

You know what, I would fix everything on the first of the month, and when LP came into check the books every first Tuesday of the month, they were on point. They knew not to check Percocet 5/235 and Percocet 10/325 because we dispensed them like water. So no, we never had any issues because it was correct. Then for the rest of the month the books would be a complete mess, until we had to fix them again next month!

 

[kvl1027]

I think this is one of those situations where you are not required to have the book, but if you choose to use a book, then it needs to be correct. Otherwise, why have it?

 

[zelman]

I think this is one of those situations where you are not required to have the book, but if you choose to use a book, then it needs to be correct. Otherwise, why have it?

In which state is this optional?

 

[Ackj]

In which state is this optional?

NY for one. I haven't heard of any state where it is required, but I'm sure it is somewhere. Mostly it's company policy.

 

[doublehh03]

In which state is this optional?

In CA, it's not required either. I had a state board inspector came one time to investigate C2 theft and she said it wasn't mandatory at all. It's CVS policy though.

 

[zelman]

NY for one. I haven't heard of any state where it is required, but I'm sure it is somewhere. Mostly it's company policy.

I know it's required in MA.

 

[sosoo]

cvs is now moving to electronic records, so no more c2 stickering n bookkeeping.

 

[zelman]

I know it's required in MA.

FYI: as of 2 years ago...

States With Laws Requiring Perpetual Inventory Systems for C-IIs
• Georgia*
• Iowa
• Maine
• Maryland*
• Massachusetts
• Minnesota
• Mississippi*
• Montana
• Nevada
• New Mexico*
• Oregon
• Texas*
• Utah*
• Vermont*
• Virginia*
• Washington State*
*Law applicable to specific types of pharmacies such as hospital or institutional pharmacies.

 

[kvl1027]

In which state is this optional?

There are some states that have requirements for a perpetual inventory system, but the method is not necessarily outlined. Most pharmacy software applications have electronic perpetual inventory, which would meet the requirement. The use of a "hand written book" is not mandated as far as I know.

 

[HelpfulPharmer1]

FYI: as of 2 years ago...

States With Laws Requiring Perpetual Inventory Systems for C-IIs
• Georgia*
• Iowa
• Maine
• Maryland*
• Massachusetts
• Minnesota
• Mississippi*
• Montana
• Nevada
• New Mexico*
• Oregon
• Texas*
• Utah*
• Vermont*
• Virginia*
• Washington State*
*Law applicable to specific types of pharmacies such as hospital or institutional pharmacies.

Thank you very much for your research.

Rite Aid California is still using handwritten paper book, and must report real counts monthly to corporate, my guess is because of company policy then.

 

[BenJammin]

Texas only requires a perpetual inventory for C2s at remote or hospital pharmacies. We only use a paper book for C2s at the outpatient pharmacy, electronic record doesn't really matter.