Compounding

14
Oct
Man Serving Ping Pong Ball

After Lawsuit, FDA to Reconsider Tirzepatide Shortage Issue – the Saga Continues

In late September, the FDA announced that Tirzepatide is no longer in shortage.  However, last week, the Outsourcing Facilities Association, an industry compounding group, initiated a lawsuit to challenge the FDA’s decision.  As a result, the FDA has paused any enforcement or regulatory action and will reevaluate whether the drug is actually in shortage based […]

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14
Oct
Paper clipboard with text POLICIES AND PROCEDURES.

More Compounding News – Temporary Policy on Certain Parenteral Products

As of October 10, 2024, pursuant to section 319(a) of the Public Health Service Act (PHS Act), Department of Health and Human Services (DHHS) Secretary Becerra has determined that public health emergencies (PHEs) resulted from the devastation caused by hurricanes Helene and Milton.  Because of the disruption to the availability of certain parenteral products, the […]

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03
Oct

FDA Says the Shortage for GLP-1 Tirzepatide Is Over – Provides Not-So-Subtle Warning to Compounders

Yesterday, the FDA published a “reminder” clarifying the status of compounded Tirzepatide now that the shortage for this GLP-1 product has been resolved. After confirming with the approved manufacturer of Tirzepatide that they now have sufficient supplies to meet current market demand, FDA is “reminding” both 503A and 503B compounders that, since the product is […]

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10
Sep
U.S. and EU Drug Shortages - Lachman Consultants

New Risks Discovered as U.S. and EU Drug Shortage Efforts Start to Merge

U.S. and EU efforts to manage supply chain shortages are slowly converging; however, the political winds in the Rest of World (ROW) may be diluting required oversight.  Both the U.S. (Risk Management Plans to Mitigate the Potential for Drug Shortages | FDA) and EU (Shortage Prevention Plan (SPP) – template (europa.eu)) have published either a […]

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06
Jun
Compounded Drugs and the Potential for Sulfite Allergies - Lachman Blog

Why Didn’t I Think of This? Compounded Drugs and the Potential for Sulfite Allergies

On June 6, 2024, the FDA warned patients and healthcare professionals of the potential danger of sulfites in compounded medications. Remember that prescription products that contain sulfites are required by law to contain a sulfite warning due to the potential for serious adverse events in patients who have sulfite allergies. The warning (here) notes that the […]

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29
Apr
Mortar and Pestle

New ISPE Guide on 503A Compounding

For anyone who wishes to gain a better understanding of all the complexities of running a 503A compounding pharmacy, a new resource is now available.  The International Society of Pharmaceutical Engineering (ISPE) recently published a new Guide titled “Guide: 503A Compounding – Regulatory Basis and Industry Good Practices for Pharmacies” (here). Some of you reading […]

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19
Mar
Displeased Woman Waving Her Finger Against A Pink Background

Demonstrably Difficult to Compound List Proposed Rule Issued by FDA – Will Compounders Balk?

The FDA has been working with the Pharmacy Compounding Advisory Committee (PCAC) since the year 2000 to develop a list of drug products that present demonstrable difficulties for compounding.  Concerns relative to bioavailability, variations in batch-to-batch consistency, and dosage-form release characteristics that could present significant safety (or other) issues are outlined in and provide a […]

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06
Feb
Paper clipboard with text POLICIES AND PROCEDURES.

CARES ACT – 2024 Update – Big News!

Since the implementation of the CARES Act reporting requirement, the question continues to be asked: Is it really a requirement?  The answer is yes, and now it is no longer recommended, but is stated as “should” in the newly published Final version of the Guidance for Industry (GFI) “Reporting Amount of Listed Drugs and Biological […]

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