Checklist template

Behind-the-counter and schedule product placement for pharmacies

A ready-to-use checklist with 100 items in 6 sections, covering Placement, Access control, Signage, Stock, Pricing, Staff knowledge. Use it as-is in Bindy, or adapt it to your own standards in minutes.

  • 6 Sections
  • 100 Items
  • 84 Yes / No checks
  • 6 Scored ratings
  • 114 Points

Use this template How audits work

1. Placement 19 items

  1. A current list of products that must be kept behind the counter is posted or on file in the dispensary Yes / No 1 pt
  2. Date of the restricted-product list in use Date
  3. Every product on the behind-the-counter list sampled (10 items) was found behind the counter and nowhere else Yes / No 1 pt
  4. Restricted products found on open self-service shelves during the visit Number
  5. Products limited to sale by a pharmacist are kept in the dispensary where customers cannot reach them Yes / No 1 pt
  6. Products that must be sold within sight of the pharmacist are shelved in the zone next to the dispensary, in the pharmacist's line of sight Yes / No 1 pt
  7. No floor display, shipper or endcap blocks the pharmacist's view of the pharmacist-supervised shelves Yes / No 1 pt
  8. Pseudoephedrine and ephedrine products are stored behind the counter or in a locked case, as local regulation requires Yes / No 1 pt
  9. Exempted codeine preparations, where sold, are kept in the dispensary Yes / No 1 pt
  10. Insulin for sale without a prescription is stored in the pharmacy refrigerator Yes / No 1 pt
  11. Syringes and pen needles are in the location that the restricted-product list gives for them Yes / No 1 pt
  12. Emergency contraception is on the open shelf or behind the counter, whichever the restricted-product list specifies for this store Yes / No 1 pt
  13. Cough medicines with dextromethorphan sit where the restricted-product list places them under the local age-restriction rules Yes / No 1 pt
  14. Nicotine replacement products are placed in the location shown on the planogram Yes / No 1 pt
  15. Restricted products are absent from the front registers, the promotional aisle and clearance bins Yes / No 1 pt
  16. Behind-the-counter shelves follow a planogram, with one location per product Yes / No 1 pt
  17. Behind-the-counter products are separated from prescription stock by a divider or a dedicated bay Yes / No 1 pt
  18. Returned or refused restricted products are put back behind the counter, not on the nearest shelf Yes / No 1 pt
  19. Placement of restricted products compared with the list Rating
    • Every product in its required location 5 pts
    • One or two products misplaced 3 pts
    • Restricted products on open sale 1 pt

2. Access control 17 items

  1. The counter gate or half-door to the dispensary is closed and latches Yes / No 1 pt
  2. Customers cannot reach the behind-the-counter shelves from the public side of the counter Yes / No 1 pt
  3. Each locked case that holds a restricted product was found locked at the time of the visit Yes / No 1 pt
  4. Keys to the cases holding restricted products are carried by the staff named in company policy, not left in the lock or at the register Yes / No 1 pt
  5. Position of the employees who hold keys to the cases holding restricted products Short text
  6. A customer who asks for a restricted product at the front register is sent to the pharmacy counter, as tested during the visit Yes / No 1 pt
  7. Self-checkout stops the sale of a restricted item until an employee approves it Yes / No 1 pt
  8. A restricted product taken from a locked case reaches the customer only at the pharmacy counter or the pharmacy register Yes / No 1 pt
  9. The pharmacy register is the only register that sells pharmacist-only products Yes / No 1 pt
  10. Restricted products are secured behind a shutter, a locked cabinet or a barrier when the dispensary is closed and the front store is open Yes / No 1 pt
  11. A sign tells customers that restricted products are unavailable while the pharmacist is absent Yes / No 1 pt
  12. Front store employees do not go behind the pharmacy counter to fetch restricted products when the pharmacist is absent Yes / No 1 pt
  13. Overstock of restricted products is kept in the dispensary or a locked stockroom location Yes / No 1 pt
  14. Deliveries containing restricted products are taken to the dispensary at receiving, not left on the sales floor Yes / No 1 pt
  15. The camera covering the pharmacy counter shows the behind-the-counter shelves Yes / No 1 pt
  16. The register prompts for pharmacist approval or an age check when a restricted item is scanned Yes / No 1 pt
  17. Physical control of access to restricted products Rating
    • Secured at all times 5 pts
    • Secured with lapses seen 3 pts
    • Not secured 1 pt

3. Signage 16 items

  1. A sign at the health aisle tells customers which products are kept at the pharmacy counter Yes / No 1 pt
  2. Shelf placeholders or "Ask the pharmacist" cards mark the spot where a behind-the-counter product would otherwise sit Yes / No 1 pt
  3. Placeholder cards show the product name and are in good condition Yes / No 1 pt
  4. Tear-off or take-to-counter cards are stocked where the company uses them Yes / No 1 pt
  5. Signs stating the minimum age for purchase are posted where local regulation requires them Yes / No 1 pt
  6. Signs stating purchase quantity limits are posted at the pharmacy counter where local regulation requires them Yes / No 1 pt
  7. The "Pharmacist on duty" sign shows the name of the pharmacist present Yes / No 1 pt
  8. Dispensary hours are posted where they differ from store hours Yes / No 1 pt
  9. Signs at the locked cases explain how to get help (button, bell or nearest counter) Yes / No 1 pt
  10. No brand advertising for a restricted product is displayed where local regulation prohibits it Yes / No 1 pt
  11. Signs for restricted products are in the languages required locally Yes / No 1 pt
  12. Old placeholder cards for products that have returned to open sale were removed Yes / No 1 pt
  13. Signage about restricted products uses the company's current printed version, with no handwritten signs Yes / No 1 pt
  14. The zone header above the pharmacist-supervised shelves is installed and lit where the fixture has lighting Yes / No 1 pt
  15. Placeholder cards missing among 10 behind-the-counter products checked in the aisle Number
  16. Customer signage for restricted products Rating
    • Complete and current 5 pts
    • Partly missing or outdated 3 pts
    • Absent 1 pt

4. Stock 16 items

  1. Each behind-the-counter product sampled (10 items) is in stock Yes / No 1 pt
  2. Behind-the-counter products out of stock among the 10 sampled Number
  3. On-hand quantities in the system matched a count for 5 restricted products Yes / No 1 pt
  4. Pseudoephedrine products are counted on the schedule set by company policy Yes / No 1 pt
  5. Date of the last count of pseudoephedrine products Date
  6. Each count discrepancy on a restricted product in the last period has a written explanation Yes / No 1 pt
  7. Behind-the-counter shelves are faced with the product name readable from the dispensing side Yes / No 1 pt
  8. Stock is rotated so the earliest expiry date is at the front Yes / No 1 pt
  9. No out-of-date product was found among 15 behind-the-counter packages checked Yes / No 1 pt
  10. Each of 5 behind-the-counter products checked has a minimum on-hand quantity set in the ordering system Yes / No 1 pt
  11. Damaged restricted products awaiting disposal are held in the dispensary, apart from saleable stock Yes / No 1 pt
  12. Shelf labels behind the counter show the product name and the reorder code Yes / No 1 pt
  13. Fast-moving restricted products (allergy decongestants, emergency contraception) have a second location or overstock within reach Yes / No 1 pt
  14. Empty locked-case hooks are refilled from overstock by a key holder during the daily fill Yes / No 1 pt
  15. The last delivery of behind-the-counter products was put away on the day it arrived Yes / No 1 pt
  16. Stock condition of behind-the-counter products Rating
    • In stock, counted and in date 5 pts
    • Some out-of-stocks or count errors 3 pts
    • Poorly stocked or uncounted 1 pt

5. Pricing 15 items

  1. Each behind-the-counter product has a price label on its shelf location behind the counter Yes / No 1 pt
  2. A price list or price cards let customers see the price of behind-the-counter products before asking for them Yes / No 1 pt
  3. The price on the placeholder card in the aisle matched the register for 5 items scanned Yes / No 1 pt
  4. Behind-the-counter items out of 5 scanned with a price difference Number
  5. Store-brand alternatives kept behind the counter are offered at their posted price next to the national brand Yes / No 1 pt
  6. Restricted products are excluded from promotions where local regulation prohibits discounts or loyalty rewards on them Yes / No 1 pt
  7. Loyalty points are blocked at the register on products excluded by regulation Yes / No 1 pt
  8. Flyer or shelf promotions on behind-the-counter products, where allowed, are shown on the placeholder card Yes / No 1 pt
  9. Price changes on restricted products were applied behind the counter on the effective date Yes / No 1 pt
  10. Unit pricing is shown for behind-the-counter products where it is required for the open shelves Yes / No 1 pt
  11. Pharmacy staff can look up the price at the pharmacy register without leaving the counter Yes / No 1 pt
  12. A customer who asks the price of a behind-the-counter product is told it before being asked to commit to the purchase, as tested during the visit Yes / No 1 pt
  13. Coupons presented for restricted products are accepted or refused according to the list in company policy Yes / No 1 pt
  14. Locked-case products carry a shelf tag visible through the glass Yes / No 1 pt
  15. Price information available to customers for restricted products Rating
    • Visible and accurate 5 pts
    • Visible with errors, or partly missing 3 pts
    • Not visible 1 pt

6. Staff knowledge 17 items

  1. A front store employee asked could name three products kept behind the counter Yes / No 1 pt
  2. A cashier asked knew that pharmacist-only products cannot be sold at the front register Yes / No 1 pt
  3. A pharmacy assistant asked could state the purchase limit that applies to pseudoephedrine locally Yes / No 1 pt
  4. Staff asked knew which identification is accepted for an age-restricted or logged sale Yes / No 1 pt
  5. Staff asked knew how to record a logged sale in the register or the electronic logbook Yes / No 1 pt
  6. Staff asked knew to refer a customer to the pharmacist before handing over a pharmacist-only product Yes / No 1 pt
  7. Staff asked could describe what to do when a customer asks for more than the allowed quantity Yes / No 1 pt
  8. Staff asked knew what to do with a restricted product found abandoned on a front store shelf Yes / No 1 pt
  9. New hires receive the restricted-product briefing in their first week, as shown in training records Yes / No 1 pt
  10. Training on restricted products is recorded for every employee who works a register Yes / No 1 pt
  11. Register employees without a training record on restricted products Number
  12. The pharmacist reviews changes to the restricted-product list with staff when a new list is issued Yes / No 1 pt
  13. Refused sales of restricted products are noted in a log where company policy requires it Yes / No 1 pt
  14. Relief pharmacists are shown the location of behind-the-counter products at the start of their shift Yes / No 1 pt
  15. Name of the pharmacist on duty during the visit Short text
  16. Overall compliance with restricted product placement rules Rating
    • Every restricted product placed, secured and signed as the list requires 5 pts
    • Placement correct, with gaps in signs, prices or training 3 pts
    • A restricted product on open sale or within customer reach 1 pt
  17. Products to move and other corrections required Comments

About this template

This checklist is part of the Bindy template library. Yes / No checks score 1 point when met; ratings score the points shown for each option. The overall score is the percentage of points earned, with N/A answers excluded. In Bindy you can add photos, assign corrective actions, require sign-off and compare results across sites.

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