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Compounding Pharmacy Services

Compounding pharmacies have seen a great deal of regulatory attention lately with FDA embarking on an aggressive inspection schedule is producing multiple 483 findings. Review of these shows several common findings within the following topics:
  • Procedures to prevent microbial contamination
  • The Environmental Monitoring program
  • Validation of the sterilization method
  • Media Fill Simulations
  • Control/cleaning/qualification of critical equipment used in manufacture
  • Personnel gowning
  • BUD not supported by stability data
  • Laboratory procedures - especially USP <71> Sterility Tests
  • Control of outsourcing services including contract lab services
  • Issues with investigations of failures or complaints
  • Batch release
  • Control of incoming raw materials and components

Although USP <795>, <797>, and <1163> address these issues, the complex nature of the GMP requirements makes a compliant compounding pharmacy operation difficult to achieve.  Let the GMP experts at Microbiology Network help navigate these issues.

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Microbiology Network, Inc. can provide a variety of services to help the Pharmacist-in-Charge to maintain a productive, compliant and profitable pharmacy for the compounding of both sterile and non-sterile preparations.   Take advantage of our Subject Matter Experts (SME) in a range of topics:
  • Training
    The experienced trainers at Microbiology Network can provide GMP or basic training in a variety of topics. With years of experience to share, let your employees learn from our staff.
    Training can be either on-site at your facility, or via web-based training. All training programs are accompanied by documentation for your records.    Select from training including focus on <795>, <797>, <1163> and specific test methodologies such as <71> Sterility Tests, <61> and <62> Microbial Limits Tests and <51> Antimicrobial Effectiveness Testing
    Check out the 2014 Webinar Series - all free webinars
  • Review of Procedures
    Having a fresh set of eyes review existing procedures can often help identify areas for improvement in a written procedure, or identify gaps in existing coverage. Once these opportunities are identified, the Microbiology Network SME can assist in addressing these needs in an efficient and economical manner.    Particular areas of concern in today’s environment include procedures governing microbiological contamination control and microbiological laboratory testing (esp. <71> Sterility Testing).
  • Review of Critical Controls
    The safe and compliant preparation of compounded medications requires control of a variety of components.   The Microbiology Network SME can help the PIC in this regard, both in reviewing existing measures for effectiveness and in recommending and implementing enhancements to critical compounding controls. Some of these critical controls recently highlighted by FDA review include:
    • Facility Design and Air Handling (including requisite smoke studies)
      • Utilities Control (water, compressed gases)
      • Cleaning and Sanitization (equipment and facility)
    • Environmental Monitoring and Data Trending
    • Equipment Control
      • Equipment Qualification – I/O/PQ
      • Validation of Sterilization Process (or Media Fill for Aseptic Compounding)
    • Personnel
      • Hygiene
      • Gowning
      • Training
  • Audits of Contract Laboratory Services
    The pharmacy is frequently at the mercy of contract laboratory services for technically demanding testing such as Sterility Tests (USP <71>), Bacterial Endotoxin Testing (USP <85>) Microbial Limits Testing (USP <61>, <62> and <1111>) and Antimicrobial Effectiveness Testing (USP <51>).   Unfortunately this trust has not been rewarded in recent events.   Let the SME at Microbiology Network assist your audit team in qualifying contract lab services and recommending improvements in existing services.
  • Audits of Contract Compounding Services
    Many pharmacies are not able to provide a full range of services and so are dependent on outsourcing for specific classes of pharmaceutical preparations.    Recent events have shown that this practice carries a significant level of risk.   Let the SME at Microbiology Network assist your audit team in qualifying compounding services and recommending improvements in existing services.
  • BUD and Stability Studies
    Determination of the appropriate design and extent of stability studies to meet the changing definitions of stability studies is confusing. The Microbiology Network has SME with years of experience in designing and coordinating these studies.
  • Assistance with Regulatory Responses
    Responding to FDA during the audit and after will have a significant impact on future relations with the Agency and can directly affect the bottom-line. Avoid adding unnecessary cost to regulatory compliance by involving Microbiology Network GMP experts early in the process to assist in effective regulatory strategies. 
 
Let Microbiology Network, Inc. help prepare your pharmacy for the new regulatory realities and maintain a state of compliance in a fiscally responsible manner.
 

 

Join the RxList Email Discussion Group for Compounding Pharmacists

 Join your colleagues in the only discussion forum for the pharmacist that deals specifically with your colleagues' experiences with compounding, compliance (including USP<795> and USP<797>) and the peculiarities of operating in this profession.    Benchmark your practices and learn new techniques - in a discussion forum that is delivered to your Email inbox.

Join the RxList Email Discussion Group for Compounding Pharmacists

 

Recent Articles of Interest

 

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2014 Webinar Series
RXList - Email Discussion Group
Articles of Interest

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