Outpatient Surgery Magazine

Compounding Disaster - July 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 48 of 168

said. "We don't have the kind of authority that we need, and we don't have the kind of clarity of the legislation that we need." NECC joins the fray Into this lightly regulated climate, NECC was born. In its first 4 years, NECC appears to have grown slowly. In 2002, according to an FDA inspection report, Mr. Cadden claimed the firm only dispensed 20,000 Rx's per year. The pharmacy was licensed in just 10 states. But things started heating up in 2002, when the family opened another company in the same Framingham building, called Medical Sales Management. MSM, led by Dr. Douglas Conigliaro, formed to exploit the very advertising and marketing opportunities Congress had tried but failed to prevent. As the sales arm for New England Compounding, Medical Sales Management exhibited at trade shows and cold-called customers. MSM seemed to inject new energy into NECC. The company rented another suite from brother-in-law Greg Conigliaro and doubled its floor space. Within just a couple of years the company was doing business in all 50 states. In the next decade NECC's customer base would grow from 100 to 3,000 hospitals, surgery centers and physician practices. By 2012, annual sales would top $30 million. At about the same time, however, a pattern of serious quality prob- lems was surfacing at NECC. It started in July 2002, when the Massachusetts Board of Pharmacy received complaints about 4 patients falling ill after being injected with NECC compounds: 2 from betamethasone, 2 from methylpred- nisone acetate. The methylprednisone turned out to be both too strong, or "superpotent," and contaminated by Burkholderia cepacia J U L Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 4 9 continued on p. 142

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