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ForumsCompounding & FormulationFDA June 2026 enforcement update — compounding pharmacies Page 7

FDA June 2026 enforcement update — compounding pharmacies

RegAffairsDC Mon, Feb 26, 2024 at 4:00 PM 366 replies 55,812 viewsPage 7 of 20
andrew_nyc
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Jun 6, 2024 at 9:31 PM#31

A narrower follow-up, since the general answer is now clear:

What actually distinguishes 503A from 503B, in terms of what each may make and from what starting material?

34 9Dr.KarenChen, Dr.NateNeph, PharmD_Rodriguez and 31 others
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TirzTom
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Jun 14, 2024 at 8:37 PM#32
RegAffairsDC said:
GMP compliance checklist relevant to compounded supply compounding quality: Clean room environment with HEPA filtration Environmental monitoring…

Beyond-use dating (BUD) for compounded supply compounded products:

Lyophilized (unreconstituted): typically 9 months from compounding date
Reconstituted with BAC water: typically 28-30 days refrigerated
Reconstituted with sterile water: typically 7 days (no preservative!)

Always use BAC water for multi-dose vials. Sterile water has no preservative and supports bacterial growth after first puncture. This is a common and potentially dangerous mistake.

Last edited: Jun 15, 2024 at 12:37 AM
33 8tom_AK, josh_phd_bmore, roxy_nash and 30 others
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jim_asheville
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Asheville, NC
Jun 22, 2024 at 7:38 PM#33
RegAffairsDC said:
GMP compliance checklist relevant to compounded supply compounding quality: Clean room environment with HEPA filtration Environmental monitoring…

Compounding pharmacy response time test for compounded supply: I email customer service at odd hours to test responsiveness. A pharmacy that can't answer questions promptly is a red flag.

My current pharmacy: average response time same day. They answered my questions about sterility testing thoroughly and professionally.

Communication quality is a proxy for operational quality. A pharmacy that communicates well is likely manufacturing well too.

32 7NurseAsh_DET, BenResearch_OR, MikeKY_noInsulin and 29 others
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josh_phd_bmore
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Jun 30, 2024 at 6:34 PM#34
RegAffairsDC said:
GMP compliance checklist relevant to compounded supply compounding quality: Clean room environment with HEPA filtration Environmental monitoring…

Bookmarking. The distinction being drawn above is the one nobody else makes.

31 6KarenAZ_mom, zoe_NC, Dr.ObesityLA and 28 others
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NurseLeah_Nash
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Jul 8, 2024 at 5:26 PM#35

Clinical perspective, offered as context rather than as advice.

Compounding pharmacy customer here with experience relevant to compounded supply.

I've ordered from 3 different compounding pharmacies over the past year. The quality variation is real — purity ranged from 94% to 101% of label claim based on independent Janoshik testing.

My current compounder (a 503B facility) has been consistently 98-101% purity across 6 orders. I pay $142/month vs $1,252 for brand. The savings are substantial and the product is equivalent in my experience.

Re: compounded supply — this applies whether you're using brand or compounded. The clinical principles are the same.

30 5Dr.NateNeph, PharmD_Rodriguez, julia.endo and 27 others
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