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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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not a [manufacturer]. They can follow up each month with a roster of actual patients and we can backfill. If we just sell drugs we are a [manu- facturer]." According to the indictment, NECC's solution was to fill in phony names. For patients in a facility in San Marcos, Texas, NECC used "Big Baby Jesus, Hugh Jass, Freddie Mac and Fannie Mae." For a facility in Lincoln, Neb.: "Lisa Kudrow, David Spade, Matthew Perry, Roy Rogers, Alec Baldwin, Diana Ross, Michael Jackson, Robert Redford and Freddie Mercury." For one in Elkhart, Indiana: "L.L. Bean, Filet-O-Fish, Rug Doctor and Squeaky Wheel." In 2011, an MSM sales representative e-mailed Mr. Cadden: "Current customer since 05' [sic] ordering $7,200 a month in methylpred- nisolone. They refuse to provide names and have not since they began ordering with us. ... Is it ok to process without names?" Mr. Cadden's reply: "Yes. ... OK." According to the indictment, the company found it could use expired raw compounds and just falsify the expiration dates for the log. In December 2011, Mr. Cadden e-mailed supervisory pharmacist Glenn Chin to find out how much methotrexate was on hand. The answer: 1.25 kilograms, but it had expired 4 years ago. No problem. Mr. Chin explained that he would add less fluid to the powder to make up for the lack of potency. The required autoclaving time for each batch of drugs was a mini- 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 • 1 5 7 • ARRESTED Glenn Chin, former supervisory pharmacist at the New England Compounding Center, departs federal court in Boston. He was among 14 people from the pharmaceutical company who were arrested. AP Photo/Steven Senne

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