2008 Catalog - (Page 9) QUESTION Are you committed to compliance with the USP guidelines for sterile compounding? Have you completed a gap analysis? Based on your assessment of , are you compounding preparations at the lowest risk to your prescribers and their patients? How would you know if you are having a problem with your clean-room or aseptic-compounding environment? (A pharmacy with a clean-room should be able to tell you about its environmental monitoring program, which is designed as one means to assure sterility.) If you are compounding sterile preparations, do you conduct weekly independent lab tests of air and surface samples in your clean room and other controlled environments? Is the air quality in your general compounding lab engineered for HEPA filtration to reduce particulates? Do you obtain independent, routine certifications of your clean rooms and laminar airflow hoods? Do you perform daily monitoring and documentation of your clean room temperature and humidity? Is your staff properly trained and evaluated in aseptic manipulation skills, gowning technique and clean room use? Do you filter (0.2 micron) in a Class 100 (ISO 5) laminar airflow-hood contained in a Class 1000 (ISO 6) clean room, or autoclave where appropriate, to achieve sterility? Do you perform sterility testing on every preparation batch? Do you perform sterility testing according to USP — Sterility Tests and USP — Bacterial Endotoxin (Pyrogen) Test? Do you perform post-filtration filter-integrity testing? Do you have systems in place for handling complaints and investigating sterility failures and adverse events? In the event of a sterility failure, complaint or adverse event, do you have a procedure in place for determining and conducting a recall, if necessary? Do you purchase pharmaceutical-grade chemicals (USP, NF equivalent) from FDA-registered suppliers? Do you obtain Certificate of Analyses for all formula ingredients? Do you maintain both master formulas and lot-specific worksheets for all compounds? Can you immediately trace a prescription back to the original formula log sheet and the source of ingredients? Is every step of the compounding process from prescribing to compounding and labeling through dispensing reviewed and verified by a licensed pharmacist? Do you verify the potency of finished compounds through the weight, volume and yield checks? Do you perform pH testing on injections, ophthalmic preparations and other compounds? Do you perform HPLC verification? Are your pharmacists, technical and customer-care staff dedicated exclusively to compounding? Does the pharmacy have adequate liability insurance? Are you active members of the American College of Apothecaries, the American College of Veterinary Pharmacy, and the International Academy of Compounding Pharmacists? Do you belong to any other professional organizations? WEDGEWOOD PHARMACY OTHER COMPOUNDING PHARMACY wedgewoodpharmacy.com 9 800.331.8272 http://www.wedgewoodpharmacy.com
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