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Compounding is often said to be the “birth-right” of any
licensed pharmacist, and in the eyes of most states’ Boards of
Pharmacy, that is true. Any pharmacist may legally compound a
prescription for a patient pursuant to a valid prescription from
a prescriber. However, compounding skills are not equal among
pharmacists. Like in any field, pharmacists develop their skills
and specialize practices, so you should be sure that your
pharmacist is focused on compounding.
Here are some important considerations when choosing a
compounding pharmacist
Training: pharmacy
schools place very different emphasis on teaching their Future
Pharmacists how to compound. In fact, a number of pharmacy
schools do not even have a laboratory facility, so their
students never practice this artful science before they
graduate.
Licensure exams: vary
by state, and all but a handful of states have eliminated the
compounding portion of their licensure exams. This explain the
decrease in teaching compounding in pharmacy schools, but also
eliminates any standards of basic competence in compounding for
state licensure.
Equipment: since
not every pharmacy performs compounding, state pharmacy laws
only require any pharmacy to keep the most basic (and often
outdated) equipment on-hand. Having such antiquated equipment in
the pharmacy simply meets the legal requirement, but does not
imply that it can be used appropriately and accurately, nor that
it is the best equipment for the task.
Quality Control and Assurance: most
state pharmacy laws do not require pharmacies to test their
non-sterile compounded preparations for potency to determine how
accurately the dose of the compounded medication matches the
prescribed dose. The facility should have rigorous quality
assurance (QA) and quality control (QC) programs that include
such potency tests, as well as procedures to identify and remedy
any errors. |