Most ASCs have pharmacy policies and a consultant pharmacist. Few have a true pharmacy program.

APP helps ASCs manage pharmacy as a true part of the quality program, with a closed-loop system teams can learn, run, and improve over time.

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A dependable pharmacy program needs an operating model.

Like any part of the quality program, pharmacy needs a standard, training, follow-through, and expert support working together. APP provides all four layers.

1 · The ASC pharmacy program standard

A clear, written benchmark for how ASC pharmacy should be run, reviewed, taught, documented, and improved. 75+ inspection points, 30+ training topics, 20+ drills and mock scenarios.

2 · Team training

Shared expectations, competency records, annual refreshers, and one certified Pharmacy Lead who keeps the daily routine moving between pharmacist visits.

3 · A follow-through system

Every finding gets an owner, a due date, evidence, documentation, and quarterly review, so the program does not stop at the report.

4 · Pharmacist expertise

Review, judgment, coaching, and prioritization from a pharmacist who knows surgery centers: yours, an APP virtual pharmacist, or an APP pharmacist partner.

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Our promise
  • Better trained teams
  • Fewer preventable surprises
  • A pharmacy program you can depend on

Watch how the program comes together, slide by slide.

A short interactive walkthrough of how APP helps surgery centers build and maintain a pharmacy program they can depend on.

Interactive walkthrough
Most ASCs have the pieces. APP connects them into a pharmacy program that gets stronger every quarter.
The APP program explainer and pricing Click to explore · ~3 min

Nurses are asked to run pharmacy. We give them the program to run it with.

In most ASCs, daily pharmacy work is handled by nurses without a shared standard, ASC-specific training, or a program built for the job. Routines are learned nurse-to-nurse, new staff inherit habits instead of the standard, and turnover makes the daily work fragile. APP gives your team a program they can actually run: a clear standard, practical education, tracked follow-ups, and support from a pharmacist who understands surgery centers.

Survey readiness

Prepare before the surveyor walks in, with structured visits, staff question readiness, and documentation leadership can actually use.

Controlled substance and DEA audit readiness

Strengthen controlled substance accountability, documentation, diversion awareness, and readiness for deeper DEA questions.

Staff education

Teach the pharmacy topics ASC nurses need to know: medication ordering, labeling and safe injection practices, diversion red flags, and emergency preparedness.

QAPI support and board-ready reports

Turn medication management into a meaningful quality study with board-ready summaries every quarter.

A pharmacist expert, dedicated to your center

A licensed pharmacist who knows your center, your team, your history, and answers when you call between visits.

Drills and mock audits

Malignant hyperthermia drills, drug diversion drills, and DEA mock audits. Rehearse the high-stakes moments before any of it is real.

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Opening a new surgery center? We build the pharmacy program from day one: licensing, policies, DEA registration, and survey readiness before your first case.

Opening a New Center →

A true pharmacy program helps your team build the knowledge, processes, and habits to manage medications with confidence.

The basics matter: narcotic counts, expired medication checks, chart reviews, and inspection forms. But basics are not the whole program. Your pharmacy program should teach the team, surface risk, track follow-through, and make the center stronger.

Structured for the center

A clear process for visits, findings, education, follow-through, and reporting.

Teachable for staff

Nurses know what to do, what to say, and why it matters.

Clear for leadership

Leaders see what was found, what was fixed, what remains open, and where the program is getting stronger.

Ready for deeper questions

Surveyors, DEA investigators, and governing boards expect more than a form in a file.

Built to last

The program does not depend on one person, one visit, or one good quarter.

Followed through to closure

Every finding has an owner, a deadline, and documented evidence of completion.

Pharmacist training a surgery center nurse at the medication cabinet

Everything your pharmacy program needs.

From controlled substance oversight to board-ready quarterly reports, every service is designed around the regulatory, clinical, and operational realities of ambulatory surgery, with follow-through built in.

Regular Audits and Inspections

Structured pharmacy audits with documented findings, corrective actions, and follow-through. Every finding in your dashboard within 4 hours of the visit.

Policy Review and Regulatory Updates

State-specific pharmacy policies reviewed and updated as standards, accreditation requirements, and DEA regulations change.

Controlled Substance Oversight

DEA compliance, two-person witnessed waste, narcotic log cross-referencing, count reconciliation, discrepancy follow-up, and full audit readiness.

Drug Diversion Prevention

Detection protocols, staff accountability structures, and documentation that creates a defensible chain of custody at every step.

Medication Labeling and Pre-Drawn Compliance

Every syringe, cup, and basket verified: drug name, strength, expiration, preparer identity. Observed in the OR, procedure rooms, and prep areas.

Vial Safety and Safe Injection Practice Audits

Stopper disinfection, single-dose vial compliance, multi-dose vial dating and storage, and injection technique observed during procedures.

Emergency Medication and Crash Cart Management

Emergency drug kits verified, sealed, and documented. Crash cart checklists current. MH kits confirmed complete and accessible.

Medication Reconciliation Program

Process verification at every required transition: pre-admission, admission, and discharge. Policy-to-practice alignment confirmed and documented.

Staff Education and New Hire Training

Medication safety, drug diversion awareness, pharmacology, delivered when new staff start, not just once a year.

Drug Cost Management

Formulary review and purchasing optimization for ambulatory care. Real savings without compromising clinical standards.

Survey and Accreditation Readiness

AAAHC, TJC, QUAD A, ACHC, CMS, and state pharmacy board preparation, year-round, not a sprint before notification.

QAPI Program Annual Quality Study

Topic selected, methodology designed, data collected, board-ready summary delivered. Every year.

On-Demand Pharmacist Access

You call, text, message, and we answer. Immediate jeopardy during a survey: we pick up the phone.

Opening a new ASC? Start here →

Would your team be ready for these pharmacy questions?

Download the 20 pharmacy questions every ASC should be able to answer before the surveyor asks. Free resource for ASC leaders and clinical directors.

  1. Can your team explain how you document and resolve controlled substance discrepancies?
  2. If a surveyor asked to see your current policy manual, would it reflect your current state and accreditation body requirements?
  3. Does your staff know the signs of drug diversion and what to do if they suspect it?
  4. When was your last documented DEA audit readiness check, and what did it find?
  5. What would your QAPI report show for medication management over the last quarter?

Plus 15 more. Download the full list.

Download All 20 Questions →