Bula's pre-written policies & procedures templates help clients quickly develop their manuals by selecting from over 300 pages of comprehensive pharmacy policies, procedures and forms created by the Bula team. These are complete templates, not just outlines of what a manual should contain, and they are based upon federal law. Clients can download the manual template in its entirety with the click of a button, or download specific chapters as needed. These templates are downloaded as Word documents, so that revisions and updates are simple.

Bula's template subscriptions are active for 12 months, so you can access the documents and any updates during that time.

Index Sections

(click section name to jump to its list of specific templates)

P&P Manual Template Index

     1.01    “Example” of a Mission Statement Policy    
     1.02    Whistleblower Policy    
     1.03    Safety Program    
     1.04    Training Program    
     1.05    Compliance Program    
     1.06    Family and Medical Leave Act - Applicable only to employers with 50 or more employees within a 75 mile radius    
     1.07    Substance Abuse    
     1.08    Patient Bill of Rights    
     1.09    Mandatory Reporting Policy    
     1.10    HIPAA Privacy & Patient Confidentiality    
     1.11    Patient Confidentiality    
     1.12    Security of Health Information    
     1.13    Anti-Harassment    
     1.14    Reporting Discrimination and Harassment    
     1.15    Policy Against Retaliation    
     1.16    Quality Program    
     1.17    Federal Anti-Kickback Policy (“Stark Law”)    

     2.01    Policy and Procedures    
     2.02    Document Control and Change Control    
     2.03    Records Management    

     3.01    Disabilities and Reasonable Accommodation    
     3.02    ADA Access    
     3.03    At Will Employment    
     3.04    Equal Employment Opportunity    
     3.05    Job Classifications    
     3.06    Reviewing Licensed Personnel Credentials    
     3.07    Maintenance of Personal Licenses/OIG Compliance    
     3.08    Director of Pharmacy Job Description    
     3.09    Pharmacist-in-Charge (PIC) Job Description    
     3.10    Store Manager Job Description    
     3.11    Staff Pharmacist Job Description    
     3.12    Pharmacy Technician Job Description    
     3.13    Pharmacy Clerk Job Description    
     3.14    Delivery Driver Job Description    
     3.15    Store Maintenance Personnel Job Description    
     3.16    Compensation for Work Related Injuries    
     3.17    Paid Time Off (PTO)    
     3.18    Code of Conduct    
     3.19    Attendance and Punctuality    
     3.20    Dispute Resolution/Employee Complaint Procedure    
     3.21    Disciplinary and Corrective Action    
     3.22    Hours of Work/Breaks    
     3.23    Employee Resignation    
     3.24    Performance Appraisals    
     3.25    Merit Increases    
     3.26    Conflict of Interest    
     3.27    Personal Injury    
     3.28    Work Related Injury/Illness    
     3.29    Exit Interview    
     3.30    Pharmacist/Staff Lunch Breaks    
     3.31    Sick Leave    
     3.32    Lactation Breaks    
     3.33    Overtime    
     3.34    Jury Duty    
     3.35    Military Leave    
     3.36    Medicare Part D Training    
     3.37    Medicaid Training    

       4.01    Customer Service    
       4.02    Pharmacy Telephone Etiquette    
       4.03    Returned Products    
       4.04    Patient Medication Pick Up    
       4.05    Diversity and Pharmacy Communications    
       4.06    Patient Counseling    
       4.07    Pharmacy Based CLIA-Waived Tests    
       4.08    Clinical Reference Library    
       4.09    Drug Interaction Prevention    
       4.10    Selling Durable Medical Equipment (DME)    
       4.11    Selling Methamphetamine Precursor Products    
       4.12    Pharmacy OTC Sales of Syringes    
       4.13    HIPAA Policy    
       4.14    Security of Health Information    
       4.15    Communication with Persons with Limited English Proficiency (LEP)    

     5.01    Non-Sterile Compounding Practices    
     5.02    Sterile Compounding Practices    
     5.03    Controlled Substance Prescription Monitoring Program    
     5.04    DEA Form 222 Ordering/Processing/Receiving    
     5.05    Theft of Controlled Substances    
     5.06    Dispensing CII Controlled Substances    
     5.07    Dispensing CIII - V Controlled Substances    
     5.08    Controlled Substance Inventory    
     5.09    Disposing of Controlled Substances    
     5.10    Purchasing, Receiving, and Storage of Controlled Substances    
     5.11    Prescription Management System    
     5.12    Disposing of Biohazard Waste    
     5.13    Expired Inventory or Returned Products    
     5.14    Biennial and Quarterly Inventory    
     5.15    Ordering and Receiving    
     5.16    Shelving Medications/Sticker and Medication Storage    
     5.17    Refrigerator and Freezer Temperature Maintenance    
     5.18    Receiving Prescription Orders    
     5.19    Clerk Responsibilities    
     5.20    Pharmacist-in-Charge Responsibilities    
     5.21    Store Manager Responsibilities    
     5.22    Pharmacy Technician Responsibilities    
     5.23    Pharmacy Staff Ratios    
     5.24    Temporary Absence of a Pharmacist    
     5.25    End of Day    
     5.26    Transferring Prescriptions    
     5.27    Pharmacy Maintenance    
     5.28    Manual Operations    
     5.29    Daily Closing Procedures    
     5.30    Emergency Preparedness and Disaster Recovery    
     5.31    Mail Order Services    
     5.32    Nondiscrimination and Grievance Procedure    
     5.33    Pharmacist administered vaccination
     5.34    Opioid Antagonist Protocol

     6.01    Managed Care Policy    
     6.02    Medicare Part D Policy    
     6.03    Medicaid - Pharmacy Requirements    
     6.04    Health Plan Compliance Program    
     6.05    Usual and Customary Charges    

     7.01    Adverse Drug Events    
     7.02    Customer Complaints and Quality Related Events    
     7.03    Error Reports    
     7.04    Managed Care - Medicaid, Medicare Audits    
     7.05    Product Recall    

     8.01    Records and Retention    
     8.02    Record Retention - Error Reports    
     8.03    Electronic Record Retention    
     8.04    Controlled Substance - Records Retention    
     8.05    Record Retention - Invoices and Wholesale Receipts    
     8.06    Retaining Patient Medication History    

     9.01    Bloodborne Pathogen Exposure Control Plan    
     9.02    Cleaning Chemical Spills    
     9.03    Patient Injury    
     9.04    Safe Handling and Lifting
     9.05    Hazardous Waste Disposal
     9.06    Biohazardous Waste Disposal

     10.01    Authorized Entry    
     10.02    Burglary Procedure    
     10.03    Key Control Procedure    
     10.04    Parking Lot Security    
     10.05    Robbery Procedure    
     10.06    Employee and Facility Security    

     11.01    Alarm-Security Requirement    
     11.02    Displaying Licenses    
     11.03    Pharmacy Facilities    
     11.04    General Housekeeping    
     11.05    Required Equipment    
     11.06    Personnel Parking    
     11.07    Holiday Party and Gift Giving    
     11.08    Lost and Found Procedure    
     11.09    Solicitation Procedure    
     11.10    Store Appearance    
     11.11    Staff Meetings    
     11.12    Pharmacy Work Environment    

     12.01    Purchasing Bags, Vials, Labels    
     12.02    Pedigrees    
     12.03    Drug Supply Chain Security Act (DSCSA)    

     FM-01    Acknowledgement of Policies & Procedures    
     FM-02    Pharmacy Change Form    
     FM-03    Adverse Event Report - ADE Form    
     FM-04    Complaint/Quality Related Event (QRE) Report    
     FM-05    Inadvertent Disclosure Letter    
     FM-06    HIPAA Notice of Privacy Practices and Acknowledgement    
     FM-07    Business Associate Agreement (BAA)    
     FM-08    Power of Attorney - DEA Form 222/EOS and Revocation of POA    
     FM-09    Family and Medical Leave Act (FMLA) Request Form    
     FM-10    Sample Nondiscrimination and Language Assistance Services Notification    

     0.00    Blank Template for pharmacy to add specialized P&Ps