Central Fill

  • Prescriptions are received centrally and batched for fulfillment at local stores or central fill.
  • Those sent to central trigger the release of an empty tote, which is barcoded.
  • The conveyor belt system has barcode readers that look at every tote and route it correctly at various stations.
  • The first routing point is either to the AmerisourceBergen FastFill 220 robotics or manual filling.
  • The technician at the automated counting scans the tote to find out which robot to grab the vial from. There aren’t any labels or paperwork with the tote at this time. It’s all barcodes.
  • The technician then scans the vial back into the tote to make sure it is correct.
  • Anything in the order that can’t be precounted by machine, such as insulin or an inhaler, is added to the tote at a manual station, where technicians use the same barcode-driven process.
  • Once all the orders for a tote are in, it then gets routed to pharmacist verification, which is also barcode drive. 
  • At this point the pharmacist prints off the note that tells the packaging station where the prescription goes (i.e., store, mail, delivery).
  • Packaging bags orders and creates shipping labels and manifests, so that stores have something with which to reconcile prescriptions that come in from central.
  • If the order will be delivered or mailed to the patient, credit-card payment is also processed at this point.