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Accreditation and medication management

Compliance.  Collaboration.  Confidence.

Cardinal Health is here to give you confidence to help ensure your compliance with medication management standards in nuclear medicine departments.

Are radiopharmaceuticals medications?

Traditionally, hospital pharmacy and nuclear medicine departments have had minimal interaction. However this changed in 2004 when The Joint Commission defined radiopharmaceuticals as medications. While this expanded definition is not new, institutions have recently begun to focus more on radiopharmaceuticals to adopt processes that help to ensure compliance with applicable medication management standards. In addition, a new role in nuclear medicine is emerging for the director of pharmacy.

Director of Pharmacy


Accreditation agencies consider radiopharmaceuticals to be drugs.

As a result, medication management related standards apply to their use in the hospital. These standards specify that the director of pharmacy and the Pharmacy and Therapeutics (P&T) committee are responsible for the oversight of all aspects of drug use in the hospital, including radiopharmaceuticals.


Historically, management of radiopharmaceuticals has been the responsibility of the nuclear medicine department.

However, this is beginning to shift to include medication oversight by the director of pharmacy. Effective collaboration between the pharmacy and nuclear medicine departments is necessary to ensure department policies and procedures are compliant with all applicable regulations.


With over 40 years of experience in nuclear pharmancy, Cardinal Health can provide the support you need.

We can provide tools and information to help facilitate the collaborative efforts between pharmcy directors, radiology directors, nuclear medicine physicians and technologists to ensure compliance with medication management standards in nuclear medicine departments.

Resources for medication management in nuclear medicine

Insights on the compliance process:

Awareness, understanding and collaboration are critical to ensure compliance with medication management standards in the nuclear medicine department. Understanding the reasons for the changing roles is critical for success.

FAQs – Formulary

FAQs – Medication Use Cycle

A Collaborative Approach to Radiopharmaceutical Management

Published in PP&P magazine, September 2011; Authored by Trent A. Beach, PharmD, MBA, MHA, FASHP

Tips for Managing Radiopharmaceuticals

Published in PP&P magazine, March 2013; Authored by Patricia C. Kienle, RPh, MPA and FASHP and Richard L. Green, RPh BCNP

Ensuring the Safety and Security of Radiopharmaceuticals

Published in: Joint Commission Perspectives®, July 2012, Volume 32, Issue 7 Authored by: George Mills, MBA, FASHE, CEM, CHFM, CHSP, director Department of Engineering, The Joint Commission

Nuclear medicine medication security template

A standard operating procedure (SOP) template for nuclear medicine medication security that you can customize to help ensure the secure delivery of radiopharmaceuticals to your hot lab and comply with TJC requirements