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Did Skin Prep Fuel This Fire? - February 2017 - 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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production outsourcing pharmacies that distribute a high volume of compounded drugs, without prescription, based on anticipatory requests from physicians (503B). Under DQSA, 503B compounders have the option of signing up for direct surveillance from the FDA via routine inspections. A current list of registered operations is available at fda.gov. NECC often sent facilities compounded medications in bulk, not in response to patient-specific prescriptions. A growing number of states restrict compounding only to patient-specific prescriptions. The U.S. Pharmacopeial Convention (USP) sets standards for the identity, strength, quality and purity of medicines compounded at tradi- tional 503A facilities. Some state boards of pharmacy, largely responsi- ble for enforcement, have adopted USP standards fully; others, not so much, which is why it's important to ask 503A compounders how they plan to com- ply with the relevant chapter. You can also check out the yearly surveys conducted by Pharmacy Purchasing and Products magazine (pppmag.com), in which compounders report how well — or poorly — they've fol- lowed USP standards. "There's a lot of 9 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 7

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