In addition follows corporate policies and procedures related to the dispensing and moni toring of controlled substances Ensures safe, appropriate, evidence-based, and cost-effective medication therapies for patients according to established policies, procedures, and protocols Monitors medication therapy regimens for contraindications, drug-drug interactions, drug-food interactions, drug-laboratory test interactions, allergies, appropriateness of drug and dose, indications and therapeutic duplications Based on knowledge & expertise, develop s, assist s, implement s, and execute s all drug therapy management protocols including, but not limited to; pharmacokinetics, renal dose adjustments, anticoagulation dosing, IV to PO, pain management, antimicrobial stewardship, and pharmacy-directed dosing Reviews/interprets culture and susceptibility data for antibiotic appropriateness and recommends changes, as needed for drug-bug mismatch, de-escalation and dura tion of therapy Reads, extracts, and interprets information in patient charts accurately Detects and reports suspected adverse drug reactions and medication errors ac curately and in a timely manner. What qualifications you will need: Prepares and dispenses medication orders per physician request according to established polic ies, procedures, and protocols Verifies Computerized Physician Order Entry (CPOE) orders for accuracy and appropriateness.