What is the most efficient and cost-effective way to manage inventory and ordering of an expensive specialty drug only used by one patient at your pharmacy?

• A. Set a just-in-time order so the medication will be ordered about 10 days before the next refill is due
• B. Keep a large on-hand stock to avoid any delays
• C. Order quarterly regardless of refill dates
• D. Never stock the drug to avoid waste

Answer: (A)

Just-in-time inventory focuses on ordering only when needed and in the right window to meet demand without keeping excess stock. For an expensive specialty drug used by a single patient, keeping large quantities ties up capital and increases the risk of the medication expiring before it’s used. Ordering about 10 days before the next refill is due provides enough time for processing the prescription, any necessary insurance authorization, potential special handling, and delivery, while keeping inventory lean and reducing waste and carrying costs.

If you tried to stock large quantities, you’d incur higher carrying costs and risk of expiration; ordering far in advance could lead to waste if the patient’s needs change or if the medication’s status or coverage shifts; and never stocking would cause delays and potential gaps in patient care. Relying on a timely, near-due-date order balances cost efficiency with reliable patient access, assuming dependable supplier lead times and clear communication about the refill schedule.