To ensure proper control and security of ARVs and other drugs, the following procedures should be used at the facility pharmacy:
Stock must be kept in high security storage area with a single pharmacist/pharmaceutical technician (at any one time) responsible for receipts and issues.
Normal stock records must be kept for all receipts and issues. Ledgers must be maintained for each item. A running balance must be kept.
At the end of each month, the pharmacist in charge must check the physical stock against the stock records.
ARVs must be stored at the appropriate temperature. Drugs like Kaletra (Lopinavir/ritonavir) require refrigeration..
The pharmacist should at all times maintain adequate stocks of ARVs for all required medications (first line, second line, adults, paediatrics)