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“A Conversation About Compounding Pharmacies”




Healthcare
Medical
Pharmaceutical
Directory

.COM                               www.HealthcareMedicalPharmaceuticalDirectory.com
“A Conversation About Compounding Pharmacies”


  www.healthcaremedicalpharmaceuticaldirectory.com

Healthcare
Medical
Pharmaceutical
Directory

.COM                  www.HealthcareMedicalPharmaceuticalDirectory.com
What is “Compounding”?


• Compounding is part of standard pharmacy practice

   – Compounding is the preparation / formulation of medication not
     available from a manufacturer
   – Pharmacists combine different prescription / non-prescription
     ingredients to formulate a therapy which better suits a patient’s
     needs

                                                        Healthcare
                                                        Medical
                                                        Pharmaceutical
                                                        Directory

                                                        .COM
Why is compounding necessary?
• Existing product from manufacturers is not available in preferred
  dosage / administration form

   – Pre-filled syringes, single-dose vials, pre-mixed IV bags are favored
   – Dosing strength needs to be less or more
   – An additional ingredient needs to be added

• Not all therapies are stable, they are formulated as needed

• Some patients require “non-standard” therapies

   – Available product formulations do not suit a patient and / or
     needs to be administered differently
What types of compounded products are common?
• Medication that is compounded and dispensed via:

   – IV bag
   – Syringe
   – Single-dose vial

• Creams, ointments, solutions

• Suppositories
                                                     Healthcare
                                                     Medical
• Capsules                                           Pharmaceutical
                                                     Directory

                                                     .COM
Don’t all pharmacies compound drugs?
• Most chain/grocery retail pharmacies perform basic compounding
  with a very narrow selection of drugs (no IM/IV medications are
  prepared)

   – Flavoring is added to liquid medications
   – Oral therapies are prepared by adding sterile water to the drug

• Some independent retail pharmacies promote themselves as
  “compounding pharmacies”

   – They actively practice compounding as a way to differentiate
     themselves from chain/grocery drugstores
   – They typically produce topical creams, ointments and solutions
What other pharmacies compound drugs?
• Hospitals, specialty pharmacies and home infusion facilities are
  capable of advanced compounding

   – This typically involves formulating IM/IV drug therapy
   – It requires specific pharmacy training, proper equipment, a sterile
     pharmacy workspace and specialized handling / storage of
     medications before, during and after preparation

• There are also larger, “institutional” or “closed door” compounding
  pharmacies
How are larger “institutional” compounding
pharmacies different?
• Their customers may not have the equipment, sterile workspaces or
  enough pharmacy staff to produce compounded medication

• They do not provide walk-in, retail pharmacy service

• The product they produce is shipped to various entities including:

   –   Home Infusion Companies
   –   Long Term Care Facilities
   –   Physician Offices / Clinics / Surgical Centers
   –   Psychiatric Care Facilities
   –   Prison Infirmaries
Who are some of the better known
compounding pharmacies?
• There are many national, regional and locally-based institutional
  compounding pharmacies, some of the larger ones are:

   –   Ameridose
   –   Cantrell Drug Company
   –   Central Admixture Pharmacy Service Inc./CAPS
   –   CuraScript
   –   Omnicare
                                                        Healthcare
   –   PharMedium
                                                        Medical
   –   Wedgewood Pharmacy                               Pharmaceutical
                                                        Directory

                                                        .COM
Why are compounding pharmacies in the
news?
• Some government and industry stakeholders think the FDA should
  more assertively regulate compounding pharmacies

• There is debate as to whether they should be classified as
  pharmacies or manufacturers

• There are significant issues when they do not:

   – Closely follow safe, sterile pharmacy practice which impacts
     quality and patient care
   – Abide by local, state or federal clinical and commerce regulations
What is the outlook?
• Compounding is an ongoing part of standard pharmacy practice and
  plays an important role in the healthcare industry

• Individualized patient care and a wider array of treatment options
  continues to drive demand for compounded medications

• Health and safety are integral to quality patient care; clinician and
  regulatory involvement will continue to assess and improve the
  performance of compounding pharmacies
For ongoing clinical and healthcare business industry resources, please go to:
        www.HealthcareMedicalPharmaceuticalDirectory.com
Review Our Latest Clinical And Healthcare Business Presentations

•A United Strategy For Social Media Marketing In Healthcare Brand Management

•Comparative Effectiveness Research: A New Current In Pharmaceutical Brand Management

•Global Healthcare Issues-Managing Drug Shortages

•Healthcare Brand Management: A Conversation About Accountable Care

•Healthcare Brand Management: Market Access Concepts

•Health Economics Outcomes Research: Managed Care Applications In Pharmaceutical Brand
Management

•New Global Healthcare: Another Chapter In Healthcare Marketing Brand Management

•Pharmaceutical Brand Management: Achieving Managed Care Pull-Through Performance

                                                                               Healthcare
                                                                               Medical
                                                                               Pharmaceutical
                                                                               Directory
                                                                               .COM
For ongoing business and clinical healthcare industry resources, please go to:

 www.HealthcareMedicalPharmaceuticalDirectory.com
Fifteen Metropolitan Healthcare Markets Are Profiled:

•Atlanta
                       Each Healthcare Market Is Defined By:
•Cambridge
•Chicago
                       •Hospitals
•Denver
                       •Pharmacy, Clinical Services
•Indianapolis
                       •Pharmaceutical, Device, Diagnostic, Technology
•Minneapolis
                       Companies
•Nashville
                       •Advertising, Marketing, Public Relations
•Philadelphia
                       •Administration, Practice Management
•Pittsburgh
                       •Managed Care, Healthcare Benefits, Consulting
•Princeton
•Raleigh-Durham
•Seattle                                                        Healthcare
•Salt Lake City                                                 Medical
•San Diego                                                      Pharmaceutical
•San Francisco                                                  Directory

                                                                .COM

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A Conversation About Compounding Pharmacies - What is "Compounding" and why is it in the news? - John Baresky, #baresky

  • 1. Please take this moment to convert the display to “Full Screen” “A Conversation About Compounding Pharmacies” Healthcare Medical Pharmaceutical Directory .COM www.HealthcareMedicalPharmaceuticalDirectory.com
  • 2. “A Conversation About Compounding Pharmacies” www.healthcaremedicalpharmaceuticaldirectory.com Healthcare Medical Pharmaceutical Directory .COM www.HealthcareMedicalPharmaceuticalDirectory.com
  • 3. What is “Compounding”? • Compounding is part of standard pharmacy practice – Compounding is the preparation / formulation of medication not available from a manufacturer – Pharmacists combine different prescription / non-prescription ingredients to formulate a therapy which better suits a patient’s needs Healthcare Medical Pharmaceutical Directory .COM
  • 4. Why is compounding necessary? • Existing product from manufacturers is not available in preferred dosage / administration form – Pre-filled syringes, single-dose vials, pre-mixed IV bags are favored – Dosing strength needs to be less or more – An additional ingredient needs to be added • Not all therapies are stable, they are formulated as needed • Some patients require “non-standard” therapies – Available product formulations do not suit a patient and / or needs to be administered differently
  • 5. What types of compounded products are common? • Medication that is compounded and dispensed via: – IV bag – Syringe – Single-dose vial • Creams, ointments, solutions • Suppositories Healthcare Medical • Capsules Pharmaceutical Directory .COM
  • 6. Don’t all pharmacies compound drugs? • Most chain/grocery retail pharmacies perform basic compounding with a very narrow selection of drugs (no IM/IV medications are prepared) – Flavoring is added to liquid medications – Oral therapies are prepared by adding sterile water to the drug • Some independent retail pharmacies promote themselves as “compounding pharmacies” – They actively practice compounding as a way to differentiate themselves from chain/grocery drugstores – They typically produce topical creams, ointments and solutions
  • 7. What other pharmacies compound drugs? • Hospitals, specialty pharmacies and home infusion facilities are capable of advanced compounding – This typically involves formulating IM/IV drug therapy – It requires specific pharmacy training, proper equipment, a sterile pharmacy workspace and specialized handling / storage of medications before, during and after preparation • There are also larger, “institutional” or “closed door” compounding pharmacies
  • 8. How are larger “institutional” compounding pharmacies different? • Their customers may not have the equipment, sterile workspaces or enough pharmacy staff to produce compounded medication • They do not provide walk-in, retail pharmacy service • The product they produce is shipped to various entities including: – Home Infusion Companies – Long Term Care Facilities – Physician Offices / Clinics / Surgical Centers – Psychiatric Care Facilities – Prison Infirmaries
  • 9. Who are some of the better known compounding pharmacies? • There are many national, regional and locally-based institutional compounding pharmacies, some of the larger ones are: – Ameridose – Cantrell Drug Company – Central Admixture Pharmacy Service Inc./CAPS – CuraScript – Omnicare Healthcare – PharMedium Medical – Wedgewood Pharmacy Pharmaceutical Directory .COM
  • 10. Why are compounding pharmacies in the news? • Some government and industry stakeholders think the FDA should more assertively regulate compounding pharmacies • There is debate as to whether they should be classified as pharmacies or manufacturers • There are significant issues when they do not: – Closely follow safe, sterile pharmacy practice which impacts quality and patient care – Abide by local, state or federal clinical and commerce regulations
  • 11. What is the outlook? • Compounding is an ongoing part of standard pharmacy practice and plays an important role in the healthcare industry • Individualized patient care and a wider array of treatment options continues to drive demand for compounded medications • Health and safety are integral to quality patient care; clinician and regulatory involvement will continue to assess and improve the performance of compounding pharmacies
  • 12. For ongoing clinical and healthcare business industry resources, please go to: www.HealthcareMedicalPharmaceuticalDirectory.com Review Our Latest Clinical And Healthcare Business Presentations •A United Strategy For Social Media Marketing In Healthcare Brand Management •Comparative Effectiveness Research: A New Current In Pharmaceutical Brand Management •Global Healthcare Issues-Managing Drug Shortages •Healthcare Brand Management: A Conversation About Accountable Care •Healthcare Brand Management: Market Access Concepts •Health Economics Outcomes Research: Managed Care Applications In Pharmaceutical Brand Management •New Global Healthcare: Another Chapter In Healthcare Marketing Brand Management •Pharmaceutical Brand Management: Achieving Managed Care Pull-Through Performance Healthcare Medical Pharmaceutical Directory .COM
  • 13. For ongoing business and clinical healthcare industry resources, please go to: www.HealthcareMedicalPharmaceuticalDirectory.com Fifteen Metropolitan Healthcare Markets Are Profiled: •Atlanta Each Healthcare Market Is Defined By: •Cambridge •Chicago •Hospitals •Denver •Pharmacy, Clinical Services •Indianapolis •Pharmaceutical, Device, Diagnostic, Technology •Minneapolis Companies •Nashville •Advertising, Marketing, Public Relations •Philadelphia •Administration, Practice Management •Pittsburgh •Managed Care, Healthcare Benefits, Consulting •Princeton •Raleigh-Durham •Seattle Healthcare •Salt Lake City Medical •San Diego Pharmaceutical •San Francisco Directory .COM