I'm sharing this since the topic of dealing with compounding pharmacies as well as compounding pharmacology has popped on eTalk fairly frequently; there is even a CME lecture on here on the topic ( http://click.mail.presentelearning.com/?ju=fe261578706c027d721072&ls=fdf013727c63047873107476&m=fefb117077610c&l=fe9b16747762007d77&s=fe2010727d670d79701078&jb=ffcf14&t= ).

It's interesting to note that the FDA is now providing guidance to prescribers regarding this issue.

Healthcare Business News

By, Virgil Dixon

December 2, 2013

"FDA says providers should avoid compounders that don't register with feds"

The Food and Drug Administration is encouraging health-care providers to make sure the compounded drugs they buy are mixed in facilities that are registered with the federal agency and are subject to inspections.

A new law that gives the agency more authority over large compounding pharmacies allows the companies to choose whether to register as “outsourcers.” Those that do must provide information about their products, submit to federal inspections and comply with quality standards similar to the ones that apply to drug manufacturers.

To implement the Drug Quality and Security Act, which President Barack Obama signed last week, the FDA released three draft guidance documents on Monday that outline the process for registering outsourcing facilities and for listing the drugs they produce.

The need for the legislation came after 64 people died and hundreds became seriously ill across 20 states last year from tainted steroid injections produced by the New England Compounding Center, a now-closed compounding pharmacy in Framingham, Mass.

The agency remains concerned that the law does not make it mandatory that large compounding pharmacies register, which means the government still may not be able to address life-threatening quality problems before it's too late.

“There does remain some uncertainty that if a company doesn't choose to register with us, how will we be aware of them if there are problems?” FDA Commissioner Margaret Hamburg said.

Without a registration mandate, the federal agency will have to rely on state officials to provide information on facilities in their region.

As Congress moved toward voting on the legislation, Hamburg voiced concerns that it wasn't “going to be as comprehensive as we initially had hoped.”

  • Comments (2)
  • Quote:

    Alex - this is actually interesting. I had recently learned that many companies actually are not compounding labs. they subcontract out their work, so in essence they are "fronts", or good sales people.

    The issue that I have with compounding labs is the exorbitant fees they collect. They get paid more for filling a tube with medication from a recipe than you do for some complex surguries. I don't mean to belittle the work they do, only to state the reimbursement you receive for your work compared to theirs seems unjust to me.

    disclosure: I am a podiatrist and might be non-objective when it comes to podiatric reimbursement. 

    Consensus

    Dennis

  • Alex - this is actually interesting. I had recently learned that many companies actually are not compounding labs. they subcontract out their work, so in essence they are "fronts", or good sales people.

    The issue that I have with compounding labs is the exorbitant fees they collect. They get paid more for filling a tube with medication from a recipe than you do for some complex surguries. I don't mean to belittle the work they do, only to state the reimbursement you receive for your work compared to theirs seems unjust to me.

    disclosure: I am a podiatrist and might be non-objective when it comes to podiatric reimbursement.