top of page


Your policy manual is a snapshot. The Board inspects a calendar.
"We bought a policy manual last year. Doesn't that cover us?" It covers the policies. It does not keep the quarterly count, the two-year inventory, the 30-day self-assessment, or the corrective action file the inspector reads first. Here is the difference between a manual and a system, with the rules that create it.
1 hour ago6 min read


Ten drugmakers were just approved for the 340B rebate pilot. Here is what January 1 actually looks like at a health center.
HRSA posted the first ten approved manufacturer rebate plans on October 1. Starting January 1, 2027, the 340B price on 21 listed products arrives as a rebate after you submit the claim, not as a discount at purchase. Here is the mechanism, the two clocks, and a 60-day plan.
17 hours ago6 min read


The Board moved self-assessments into statute and started reissuing every form. The one you filed in 2025 is not the one you file next.
A new pharmacist-in-charge signs on in March, nobody mentions a self-assessment because it is not July, and nine months later an inspector asks for the form dated within 30 days of the change. That trigger is now statutory text. Here is what changed, which form is current, and who signs what.
17 hours ago6 min read


Your pharmacy's DSCSA deadline moved again. The headcount that decides whether it applies to you locks on November 27.
FDA gave small pharmacies another year on DSCSA's enhanced tracing requirements. The year hinges on one number counted on one date, November 27, 2026. Here is how the count works, what you are still responsible for, and the letter most pharmacies forget to send.
3 days ago8 min read
What a consultant pharmacist actually does at a surgery center (and why the quarterly visit is the whole ballgame)
Most surgery center administrators meet their consultant pharmacist twice: when the contract is signed and when a surveyor asks who is responsible for pharmaceutical services. The quarterly visit is where the whole thing is decided.
Sep 176 min read
Does your California clinic need its own Board of Pharmacy license? Sections 4180 and 4190, without the legalese.
"We buy from the wholesaler under Dr. Alvarez's license. Are we fine?" The honest answer is usually "so far." Here is what the clinic licensing statute actually says, what the license lets you do, and the obligations that come with it.
Sep 175 min read
Your pharmacy just got a Board of Pharmacy probation order. Here's what the next 30 days actually look like.
The order already contains your calendar. Here is every deadline in a California pharmacy probation order, quoted from the Board's own Disciplinary Guidelines, and what I do in the first month when a pharmacy retains us.
Sep 177 min read


ASC Medication Management Compliance in California: What Surveyors Catch and How to Fix It (2026)
Medication management is one of those areas where ASCs don’t usually have one giant failure. They have a dozen tiny “almost fine” habits tha
Feb 2410 min read


Controlled Substance Reconciliation: A Guide for California Pharmacies
Understanding Controlled Substance Reconciliation Reconciliation is simply being able to answer this question with confidence: Can you account for what you ordered, what you received, what you dispensed/returned/destroyed, and what you have on hand, without gaps? California requires pharmacies to perform inventory activities and prepare inventory reconciliation reports to detect and prevent loss of controlled substances. The Board’s FAQ for the reconciliation rule explains th
Feb 227 min read


Top Pharmacy Deficiencies Driving California Board Citations, Fines, and Discipline in 2025 — Root Causes and How to Prevent Them
Running a Pharmacy in California: Navigating Compliance Challenges Running a pharmacy in California can feel like trying to play a game where the rules change, the stakes are high, and the “referee” can walk in unannounced. If you’ve ever thought: “We’re doing our best… but are we actually compliant?” “What would we do if an inspector walked in tomorrow?” “We’re one staffing issue away from chaos…” You’re not alone. Many owners and pharmacists in charge aren't aware of how to
Feb 217 min read


California Hospice Telephone Orders: Staying Compliant When State and Federal Rules Don’t Match
Hospice Care: Navigating Controlled Substance Rules in California Hospice care is urgent. Controlled substance rules are strict. In California pharmacies, telephone orders for hospice patients are common—but they’re also a high-risk area for audits, diversion concerns, and compliance violations if your workflow isn’t airtight. Understanding Telephone Orders A telephone order is a prescription communicated verbally by a prescriber—or an authorized agent—to a pharmacist. In Ca
Jan 304 min read
bottom of page
