Register July 2022 No. 799
Chapter Phar 15
Subchapter I — General
Equipment and Drug Preparation Containers.
Records of compounding.
Training, Policies, and Procedures.
Non-patient specific compounding.
Subchapter II — Non-sterile Compounding
Subchapter III — Sterile Compounding
Facility design and environmental controls.
Personnel hygiene, garbing and protective gear.
Cleaning and Disinfecting the Compounding Area and Supplies.
Immediate-use compounded sterile preparations.
Inspection, sterility testing and antimicrobial effectiveness.
Beyond use dating.
Training and evaluation.
Phar 15.01 Intent.
The intent of this chapter is to create a state regulatory standard that aligns with compounding standards found in the United States Pharmaceopeia (USP) general chapters lower than the number 1000.
Phar 15.01 History
History: CR 16-085
: cr. Register April 2018 No. 748
“Active pharmaceutical ingredient” or “API” means any substance or mixture of substances intended to be used in the compounding of a drug preparation and that, when used in the compounding of a drug preparation, becomes an active ingredient in the preparation intended to furnish pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease in humans and animals or affecting the structure and function of the body.
“Added substances” means ingredients that are necessary to compound a drug preparation that are not intended or expected to cause a pharmacologic response if administered alone in the amount or concentration contained in a single dose of the compounded preparation.
“Adverse drug event” means an injury resulting from the use of a drug.
“Beyond use date” or “BUD” means one of the following:
The date after which a non-sterile compounded preparation shall not be used.
The date and time after which a sterile compounded preparation shall not be used.
“Certificate of analysis” means a report from the supplier of a component, container, or closure that accompanies the component, container, or closure and contains the specifications and results of all analyses and a description.
“Chemical stability” means each active pharmaceutical ingredient retains its chemical integrity and labeled potency, within specified limits.
“Classified area” means a space that maintains an air cleanliness classification based on the International Organization for Standardization (ISO).
“Component” means any active pharmaceutical ingredient, or added substances used in the compounding of a drug preparation.
“Compounding” means the preparation, mixing, assembling, altering, packaging, and labeling of a drug, drug delivery device, or a device in accordance with a prescription, or medication order. Compounding does not include repackaging. Compounding includes any of the following:
Preparation of drug dosage forms for both human and animal patients.
Preparation of drugs or devices in anticipation of prescription drug orders based on routine, regularly observed prescribing patterns.
Reconstitution or manipulation of commercial products that may require the addition of one or more ingredients. Notwithstanding this paragraph, the reconstituting, mixing, or storage and beyond use dating that is performed for non-sterile preparations in accordance with the directions contained in approved labeling provided by the manufacturer is not compounding.
Preparation of drugs or devices for the purposes of, or as an incident to, research, teaching, or chemical analysis.
“Container-closure system” means the sum of packaging components that together contain and protect a dosage form, including primary packaging components and secondary packaging components.
“Controlled room temperature” means a temperature maintained thermostatically that encompasses the usual and customary working environment of 68 degrees to 77 degrees Fahrenheit or 20 degrees to 25 degrees Celsius.
“FDA” means the United States food and drug administration.
“Freezer” means a place in which the temperature is maintained between -13 degrees and 14 degrees Fahrenheit or -25 degrees and -10 degrees Celsius.
“Microbiological stability” means sterility or resistance to microbial growth is retained according to specified requirements and antimicrobial agents that are present retain effectiveness within specified limits.
“Physical stability” means the original physical properties, including appearance, palatability, uniformity, dissolution, and suspendability, are retained.
“Refrigerator” means a cold place in which the temperature is maintained between 36 degrees and 46 degrees Fahrenheit or 2 degrees and 8 degrees Celsius.
“Stability” means the extent to which a compounded preparation retains, within specified limits and through its beyond use date, the same properties and characteristics that it possessed at the time of compounding.
“Therapeutic stability” means the therapeutic effect remains unchanged.
“Toxicological stability” means no significant increase in toxicity occurs.