Long term care pharmacy software built around the facility, not the walk in counter
A long term care pharmacy is a closed door pharmacy serving residents of skilled nursing and assisted living facilities rather than walk in patients. It runs on cycle fills, unit dose packaging, emergency kits and a consultant pharmacist relationship. Federal rules shape it directly: 42 CFR 483.45 requires a monthly drug regimen review for every resident, and 42 CFR 423.154 requires brand solid oral doses to be dispensed in quantities of 14 days or less. Neurobird organises the work by facility.
Neurobird Long Term Care Pharmacy in short
- Run cycle fill by facility and hall without losing STAT orders and new admissions in the same queue
- Capture monthly drug regimen review findings so irregularities reach the attending physician and the director of nursing
- Track controlled substance dispensing, partial fills and emergency kit access against the facility they serve
- 483.45 42 CFR 483.45 requires long term care facilities to obtain pharmacist services and to have each resident's drug regimen reviewed at least monthly, with irregularities reported to the physician and facility leadership. eCFR, 42 CFR 483.45
- 14 days Under 42 CFR 423.154, Part D sponsors must require dispensing of brand name solid oral doses to long term care residents in quantities of 14 days or less to reduce waste. eCFR, 42 CFR 423.154
- Pricing runs 110 to 480 US dollars per month across 3 tiers. Early access is free.
What long term care pharmacies actually deal with
Why it stays broken
Retail pharmacy software is built around a patient walking up to a counter. Long term care is built around a facility, a hall and a cycle date, so operations get run in spreadsheets beside a dispensing system that cannot see any of it.
A 120 bed facility can generate over 1,200 doses in a single cycle fill afternoon.
Financing IN GENERAL- Each eligible individual obtaining long-term care insurance coverage under this chapter shall be responsible for 100 percent of the premiums for such coverage.
Neurobird Long Term Care Pharmacy Operations Platform
Organise around the facility and the cycle, then let orders, reviews, controlled substances and deliveries hang off it. The dispensing system keeps doing what it is good at.
- 1Run cycle fill by facility and hall without losing STAT orders and new admissions in the same queue
- 2Capture monthly drug regimen review findings so irregularities reach the attending physician and the director of nursing
- 3Track controlled substance dispensing, partial fills and emergency kit access against the facility they serve
- 4Prove delivery with a signature tied to the resident, the drug and the cycle
What changes with Neurobird Long Term Care Pharmacy?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Long Term Care Pharmacy |
|---|---|
| Cycle fill, STAT orders, new admissions and returns all hit the same 4 technicians on the same afternoon | Run cycle fill by facility and hall without losing STAT orders and new admissions in the same queue |
| The consultant pharmacist does drug regimen reviews on paper at the facility and the irregularities never come back into the pharmacy system | Capture monthly drug regimen review findings so irregularities reach the attending physician and the director of nursing |
| A Schedule II partial fill in a long term care facility has its own rules and the record lives in a bound book nobody can query | Track controlled substance dispensing, partial fills and emergency kit access against the facility they serve |
Who is this for?
Same cycle, three different operators.
You serve 6 facilities
You compete on service, and service means the STAT order at 4pm. You need the queue to separate cycle from urgent without a whiteboard.
You do the reviews
Your findings only count if they reach the physician and get resolved. You need review capture that closes the loop rather than a stack of paper left at the nursing station.
You serve 40 facilities
Survey exposure is per facility and your record keeping has to be consistent across all of them, not per pharmacist habit.
What long term care pharmacy is actually governed by
Useful if you are opening a closed door pharmacy or preparing for survey. Each source links out.
42 CFR 483.45 requires long term care facilities to obtain pharmacist services and to have each resident's drug regimen reviewed at least monthly, with irregularities reported to the physician and facility leadership.
eCFR, 42 CFR 483.45Under 42 CFR 423.154, Part D sponsors must require dispensing of brand name solid oral doses to long term care residents in quantities of 14 days or less to reduce waste.
eCFR, 42 CFR 423.15442 CFR 483.60 sets the food and nutrition requirements that sit alongside pharmacy services in the same federal participation rules, which is why survey findings often cross both.
eCFR, 42 CFR 483.60Approximate number of nursing homes in the United States, each of which needs a pharmacy relationship, an emergency kit arrangement and a consultant pharmacist.
CDC National Center for Health StatisticsControlled substance handling in long term care involves both the pharmacy and the facility as separate parties under DEA rules, which is why kit access has to be documented on both sides.
DEA Diversion Control DivisionHow does Neurobird Long Term Care Pharmacy work?
Structure by facility and hall
Residents, cycles, delivery routes and emergency kits all live under the facility they belong to, so a STAT order never gets lost inside a cycle queue.
Close the consultant loop
Monthly drug regimen review findings under 42 CFR 483.45 are recorded, routed to the attending physician and the director of nursing, and tracked to resolution.
Keep the controlled record
Schedule II partial fills, emergency kit access and returns are logged against the facility and the resident, so an audit is a query rather than a search through a bound book.
The cycle, as your pharmacy would run it
A working preview. Tick an item to move the order through.
| Requirement | Status | Next due | |
|---|---|---|---|
| Schedule II partial fill, 14 day | current | in 42d | |
| Drug regimen review, 3 irregularities | due soon | in 9d | |
| New admission, 11 medications | current | in 120d | |
| Cycle fill, hall B, 42 residents | overdue | 3d late | |
| Emergency kit restock, sealed | current | in 64d |
Tick a requirement to file evidence against it.
Long term care pharmacy software questions, answered
Key terms
- What is a long term care pharmacy?
- A long term care pharmacy is a closed door pharmacy that serves residents of skilled nursing facilities, assisted living and similar settings rather than walk in patients. It runs on cycle fills, unit dose or blister packaging, emergency kits held at the facility, and a consultant pharmacist relationship, and it is governed by both state pharmacy law and federal nursing home rules.
- What does 42 CFR 483.45 require?
- It requires a long term care facility to provide routine and emergency drugs, employ or obtain the services of a licensed pharmacist, and have a licensed pharmacist review each resident's drug regimen at least once a month, reporting any irregularities to the attending physician and the medical director and director of nursing.
- What is short cycle dispensing?
- Under 42 CFR 423.154, Part D sponsors must require network pharmacies serving long term care residents to dispense brand name solid oral doses in quantities of 14 days or less, in order to cut waste when a therapy changes or a resident is discharged. It changes the whole rhythm of the fill.
How are controlled substances handled in a nursing home?
Under DEA rules a Schedule II prescription for a long term care facility resident may be partially filled, with the total quantity dispensed over an extended period. Emergency kits held at the facility have their own registration, access and accountability requirements, and every access has to be documented.
Does this replace our pharmacy dispensing system?
No. Adjudication and label printing stay where they are. This is the operations layer: facility and hall structure, cycle scheduling, consultant review findings, controlled substance records and delivery proof.
Why we are building this
Long term care pharmacy runs on a rhythm retail software has never heard of: cycle dates, halls, emergency kits, consultant reviews and short cycle rules. So the operations layer gets built in spreadsheets next to a dispensing system that cannot see any of it.
The consultant review is the clearest example. 42 CFR 483.45 requires it monthly for every resident, and in most operations the findings are handwritten at the facility and never come back into the pharmacy record.
We would rather build this with pharmacists in charge than guess at it. Tell us how your operation actually runs, and where we have got it wrong.
Where the requirement comes from
The federal rules that shape closed door long term care pharmacy.
- 42 CFR 483.45, pharmacy services Pharmacist services, monthly drug regimen review, unnecessary drugs and medication error requirements.
- 42 CFR 423.154, dispensing in LTC facilities The short cycle rule requiring brand solid oral doses in quantities of 14 days or less.
- DEA Diversion Control Division Controlled substance rules covering partial fills, emergency kits and facility registration.
- CDC NCHS, nursing home care Federal statistics on nursing home counts, beds and residents.
How much does Neurobird Long Term Care Pharmacy cost?
Priced per served facility because that is the unit of work. Residents, technicians and users are unlimited on every tier.
- Facility and hall structure
- Cycle fill scheduling
- Order queue with STAT separation
- Delivery proof
- Email support
- Everything in Single facility
- Drug regimen review capture
- Irregularity routing and follow up
- Controlled substance log
- Named contact
- Everything in Closed door pharmacy
- Multi facility roll up
- Emergency kit accountability
- Survey readiness reporting
- Onboarding included
Get free early access
If you run a long term care pharmacy, tell us how cycle fill and consultant review are tracked today.
Straight answer on where this is: In development. Early access gets the working preview, a say in what ships first, and early access pricing. It does not get you a login today.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.