Pharmacy Operations>Inventory Management Practice Test

Your community pharmacy is facing a severe shortage of amoxicillin 400 mg/5 mL suspension. A 3-year-old, 14-kg child presents with a new prescription for amoxicillin suspension to treat confirmed strep throat. Your wholesaler shows no supply for at least one week, and nearby pharmacies also report backorder. The child has no drug allergies and cannot swallow tablets. Your health system has a P&T-approved shortage protocol listing guideline-supported alternatives for Group A strep when amoxicillin suspension is unavailable. The caregiver is anxious to start therapy today.

A Class II recall is issued for specific lots of metformin ER 750 mg due to elevated NDMA levels. Your community pharmacy has two opened stock bottles that match the recalled lot numbers, and several patients received refills from these bottles within the last 4 weeks. The recall notice instructs pharmacies to quarantine affected product, stop dispensing, process returns through the wholesaler, and notify patients and prescribers as appropriate. A patient arrives now with a new prescription for metformin ER 750 mg, and the only on-hand metformin ER is the recalled lot.