The voice for pharmacy compounding │ 28 July 2023             

This issue is sponsored by PCCA

Congrats to PCCA's Base Jam Video Challenge winners! PCCA asked its members to submit rockin’ videos showing how they are #CompoundingRockstars. Peoples Rx in Austin, Texas, and Belew Drugs in Knoxville, Tenn. were selected to win a Rockstar Party Pack, including a karaoke machine, free lunch, and Rockstar Base T-shirts! Peoples Rx also received a free registration to PCCA's October 23-26 International Seminar 2023, in Houston.

From our CEO

Is there “there” there?

I continue to wonder about (”fixate on” might be more accurate) those NovoNordisk lawsuits against four pharmacy compounders – three in Florida and one in Tennessee. I’ve spoken with three of the four owners, and none of them has a clue about why they were singled out for legal action for doing what is explicitly allowed in federal law and FDA guidance. 

Interestingly, federal law and FDA guidance are not mentioned in Novo’s legal briefs filed with the courts. Neither is the word “compounding.” Instead, the suits are filed under state deceptive practices laws for “manufacturing and selling unapproved new drugs.” (Interesting, that word choice “selling” – since what pharmacies do is “dispense” pursuant to a prescription.)


Reading the briefs, it’s as if Novo’s attorneys have no clue the Food, Drug & Cosmetic Act even exists. And therein may be their strategy: Basing the lawsuits on state law and – I presume? – hoping the court shares the plaintiff’s same amnesia about the FD&C Act. 


If so, it’s a gamble on Novo’s part, especially in light of a Ninth Circuit Federal Court of Appeals case, Hope Medical Enterprises, Inc. v. Fagron Compounding Services, decided just this week. That case, in which on appeal the court ruled definitively in Fagron’s favor that the FD&C preempts state law, may provide some clues (and maybe some hope, no pun intended?) in how courts might view Novo’s case against the compounding pharmacies in the semaglutide cases.


As Novo’s arguments go, maybe there’s no “there” there?


We’ll see. For now, though, you may enjoy watching the attorneys’ arguments before a three-judge appeals panel in that Hope case. 


Read on for more news.


– Scott


Scott Brunner, CAE, is APC’s chief executive officer. Email him at scott@a4pc.org.

ICYMI

This week's news

E&C member DeGette to speak at CCH

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House Energy & Commerce Committee member Congresswoman Diana DeGette (D-CO) will be a featured speaker at this year's Compounders on Capitol Hill.


This is an excellent opportunity to hear from the congresswoman and impress upon her the need to slow FDA down on anticipated restrictions on compounded hormones, among other issues.

It’s just another reason that you’ll want to attend APC's annual DC fly-in for pharmacy compounders, September 19-20 at Hilton National Mall The Wharf. And lest you’ve forgotten, here are a few reminders of what you can accomplish in those two short days:


  • Meet with your members of Congress. Show 'em you care enough about your patients and practice to fly to DC to brief them.
  • Brief your members of Congress. Help ensure continued patient access to compounded medications. 
  • Spend time with our sponsors. Learn about the latest products and technologies (your patients and business will appreciate it).
  • Network with your fellow compounders. You are never alone when advocating for compounding.


In addition to Congresswoman DeGette, FDA’s OCQC Director Bormel and Angels for Change's Laura Bray are also scheduled to speak during the two-day event.


To learn more about CCH and to register, please click here.

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Live from your TV, it’s APC!

Last night, Fox Business Network aired an APC-produced commercial on the threat to compounded hormones.


The commercial and this long-form version of it are part of a comprehensive media campaign made possible by your generous investments in our "Save cBHT" campaign. In addition to the commercial and long-form video being televised over the next year, we have developed a series of emails that will be sent to PBS' over 1 million subscribers.


But that's not all. As the saying goes, "It takes a village..." Your support for this campaign doesn't stop at watching the spots: We've developed a special marketing toolkit that you can use to:


  • Air the video in a loop in your waiting area of your pharmacy.
  • Share the video with the prescribers you work with (and ask them to invest in the "Compounding the Joy" campaign).
  • Show the video in your exhibit booth at any prescriber- or patient-focused trade shows you participate in.


Here's that toolkit. Thank you in advance for your support.


Together we can build greater support for our campaign to protect access to compounded hormones.


*Note: When they become available, we will provide updates on future broadcasts of the full-length video.

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Short takes

Sterile-safety failures are compounding Novo’s problems. Novo Nordisk’s Wegovy manufacturing facility in Brussels has been under fire regarding repeated sterile-safety concerns that began in October 2021 and has not yet resolved them. Not coincidentally, Novo announced in December that same year that it was experiencing shortage issues of the weight loss drug and has struggled to recover from them ever since.


All hail the neighborhood drug store. A recent article touts what local pharmacies have known all along: the personal touch matters.


FTC shifts stance on PBMs. (It’s about time!) In nine letters written between 2004 and 2014, the Federal Trade Commission advocated in favor of PBMs by opposing mandatory transparency and disclosure requirements. However, the agency has since shifted its stance and has advised PBMs not to rely on these assertions while FTC conducts its current study of PBMs. Yay!


Menopause podcast offers facts, solutions. Today's episode of The Daily podcast debunks the faulty 2002 Women's Health Initiative study and explores what treatment options are available to women.

Save these dates

Now available on-demand: The FDA Compounding Quality Center of Excellence is announcing the availability of these self-guided, online courses:


Now until September 1: Discounted webinars via Restore Health. Available topics include quality control, quality assurance, and regulatory compliance. Bonus: APC's OneFund receives 50 percent of proceeds.


August 17-18: Informa Connect's Compounding Pharmacy Compliance, The Westin Copley Place, Boston, MA


August 29: An APC webinar, Business Valuations - Myths, Methodologies, and Planning Ahead


September 7: OutcomeMD Express Lunch & Learn for existing users. Free but registration is required.


September 11-13: FDA's Compounding Quality Center of Excellence Annual Conference (free, virtual)


September 14: An APC webinar, Best Practices in Safety & Quality for USP 797 – it’s not just SOPs. More details coming soon.


September 19-20: APC's Compounders on Capitol Hill 2023; Hilton National Mall; Washington, DC


November 2: OutcomeMD Express Lunch & Learn for existing users. Free but registration is required.


2024

April 4-6: Owner Summit, La Jolla, CA

Quick links

APC Career Center

• Job seekers

• Employers


APC's Code of Ethics


Compounding Connections archive


Compounders on Capitol Hill


Continuing education

• Live webinars

• On-demand webinars


Current issues:

GFI #256 on animal compounding

Urgent-use compounding (HR 167)

Adverse events reporting framework 

Saving compounded hormones


EduCon


Owner Summit


Prescriber Briefing Resources


Invest in APC efforts

• CompPAC

• Campaign to save cBHT

• OneFund


Membership

• Renew

• Pharmacy/Facility Membership (PFM)

• APC Logo agreement for PFMs

• APC Logo agreement for individual members


Affinity service providers

Accounting & Tax Services: Rx Advisors

Audible Sunshine

Office Equipment: TUI Solutions

Online Payments Platform: HealNow

Patient-Reported Outcomes: OutcomeMD

Pharmacy Technician Certification Board

• Shipment Trackers, a shipping costs auditor 

• TUI Total Solutions

• TxtSquad


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APC is committed to addressing any concerns or complaints within one business day. Please send them — and, of course, any compliments — to info@a4pc.org.