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Pharmacy Services42 CFR §483.45(d)

F0757Drug Regimen is Free from Unnecessary Drugs

F0757 requires that each resident's drug regimen be free from unnecessary drugs — medications used in excessive dose, duration, or without adequate indication, monitoring, or justification. This is a core pharmacy consultant review area.

Common Deficiency Examples

  • Medication continued past its clinically indicated duration without documented review
  • No documented indication for a medication in the clinical record
  • Dose not adjusted despite lack of therapeutic effect or adverse reaction
  • Pharmacist-identified irregularity not addressed by the attending physician within required timeframe

What Your Plan of Correction Needs

F0757 PoCs should tie back to your monthly pharmacist consultant review process:

Medication factswhich medication, what the specific gap was
Immediate actionphysician review of the medication in question
Systemic fixtypically the process for acting on pharmacist consultant recommendations within required timeframes
Monitoring plantracking of pharmacist irregularity reports through to physician resolution
See the four required elements of every Plan of Correction →

Frequently Asked Questions

How is F0757 different from F0758?+

F0757 covers unnecessary drugs generally across all medication classes; F0758 is specific to psychotropic medications, which carry additional requirements around gradual dose reduction and behavioral interventions.

Cited on F0757? PoC360 generates your Plan of Correction instantly.

Import your CMS-2567 and get a complete PoC draft for every F-tag — corrective action, systemic fix, monitoring plan, and completion date.