Compounding Pharmacies / FWA
- Compound Requirements
- Must be for medications for specific patients, for a specific condition, for a specific prescription
- Compounding in bulk for multiple patients before prescriptions are received is manufacturing!
- Limits
- Patients will probably not know
- Prescriber will not know unless they have a commercial arrangement with the pharmacy
- Health Plans will only know when doing analysis of medication utilization
- PBMs will only know when doing analysis of medication utilization
- What are compounds?
- Injectables with custom ingredients and dosing
- Oral tabs/caps with non-manufactured ingredients
- Oral liquids for custom dosing
- Topical medications in different bases for better absorption or non-allergic
- What are compounding pharmacies?
- Regulated by State laws
- Rationale:
- Children’s medications
- Allergic modifications
- Dosing modifications
- Mixing injectables
- Animal treatments
- Misc.
- Limits on compounding
- PBM restrictions on medications currently manufactured
- State oversight
- Lack of absorption or effectiveness
- FWA
- Small % of total dispensing
- Physician prescribing for custom medications with a commercial motive
- Pharmacists dispensing/manufacturing for multiple patients for custom medications with a commercial motive
- Sterility problems
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