AuBurn Pharmacy Store Checklist


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Reviewer Info:

Requesting Store:
Reviewer:

Store Percentage:


Overall Appearance:

Overall cleanliness:
Signage appropriate:
Trash picked up:
Carpets/rugs vacuumed:
Sidewalks/exterior:

Register Appearance:

Register Area:
Pens Available:
Hand Sanitizer:
AuBurn Advantage Enrollment Forms:
Vaccine/Program Literature:
Promotions Binder Accessible:
Correct Coupon Codes Used:

Workflow Appearance:

Workflow Area:
Cluttered:
Third Panel Labels-Use and pre-label vials in bottle bay:
Fast-Movers:
Printers cleaned and printing clear:

Staff Appearance:

Staff Overall:
Smock:
Name Tags:
Attitude:
Attire:

Programs Ratings:

Advantacare:
Separate Queue:
Nursing Home for Identification:
Communication Process(Dr. Patient RX):
Patient Engagement:
Zostavax:
Zostavax Implementation (RXs on hold):
Utilizing Literature (Bag Stuffer, Infographics, etc.):
AuBurn Advantage (AA):
AA Proper Patient Setup:
Vaccination Station:
Emergency Kit/Tote:
Healthy Kids (HK):
HK Number of Consistent Customers:
Generating New Business:

Operations Rating:

OTC:
Product appropriately placed:
Empty Spaces/Missing Shelve Tags:
Shelves Dusted:
Seasonal End Caps:
RX Inventory:
Invoices Properly Filed:
Procedure for dead stock:
Appropriate Order Points:
Appropriate Price Codes:
Negative Margin Analysis/U&C:
Schedule Drug Protocol followed:
Use of Full-Fill IOUs:
IOU Process:
Medicare/Major Medical:
Refill Request Log:
New Patient Packets:
Procedure for refills:
KMAP Procedure:
Daily Register Audit:

Legal Rating:

Pharmacy License:
DEA License:
Tech License:
Pharmacist License:
Pseudo Self-Cert:
Fire-Extinguisher:
HIPPA:
Diabetic Shoe Certificates:
Tax ID:
State Retail License:
BNDD License (MO Stores):
Medicare Forms Displayed:
Store Hours Posted:
Store Phone #s Posted: