The voice for pharmacy compounding │ 10 November 2023

 

This edition sponsored by

the Pharmacy Compounding Foundation

  • Grants to state pharmacy associations for compounding education.
  • Scholarships for pharmacy students focused on compounding.
  • Seed money for speeding integration of a patient-reported outcomes tool with compounding software.
  • Education grants for pharmacy technicians.


The work PCF does is often behind the scenes, but rest assured: We’re working for you. 



Support PCF here.

 

From our Board Chair

 

Bad journalism, ketamine studies, and scammers

I don’t have a clever theme to unite the three things I want to share this week, so I’ll just dive in...

1. Our CEO ranted in a previous column about the laziness and ignorance of some recent media reporting about pharmacy compounding.


This piece in the New York Post this week is just another example of exactly that. Old data, one-sided, swallowing without question what FDA and drug manufacturers say about compounding. As we look to 2024, APC staff will be recommending to our board of directors tactics for taking on the lopsided way reporters are portraying our profession.


2. Two stories this week offer conflicting views on ketamine therapies for mental health issues. Both are worth your time. This one, in STAT News, focuses on the lack of research on the use of ketamine, and references a Duke study of ketamine IV therapy in which researchers “tracked 300 patients receiving ketamine at Duke, [and] more than a third of them reported significant side effects that required professional attention, such as hallucinations, troubling thoughts and visual disturbances.”


This one, released by Mindbloom, reports on “a landmark peer-reviewed study” of at-home ketamine therapy using a compounded rapid-dissolve tablet. The study, published in the Journal of Affective Disorders, “shows that the therapy drove significant improvements in anxiety and depression,” Mindbloom’s statement said.

3. Take a good look at the flyer inset here. In recent weeks, it’s been faxed to thousands of physician offices. Some of those prescribers have phoned APC to ask if it’s legit. Well it’s not. It’s a scam — but a clever one in the sense that they seem to associate themselves with an alliance that sounds a lot like APC. Oh, and they don’t really have PCAB accreditation. Fact is, we’re not even sure it’s a pharmacy at all. We’ve shared the flyer with FDA in hopes that it might be helpful in shutting down what is in effect a criminal enterprise.


Stuff like this doesn’t help the image of compounding, and it’s important for us to note the distinction between a scam and legitimate compounding when we see it.


—Anthony


Anthony Grzib is VP of quality and compliance, state-regulated pharmacies at Wedgewood Pharmacy in Swedesboro, New Jersey. You can reach him at agrzib@wedgewoodpharmacy.com.

 

ICYMI

 

This week’s news

 

Court publishes dismissal in Novo case against Brooksville

In a ruling published this week, the U.S. District Court for the Middle District of Florida, Tampa Division, granted a motion to dismiss in the case of Novo Nordisk, Inc. v. Brooksville Pharmaceuticals. The court ruled in favor of APC member Brooksville in a suit brought by pharmaceutical giant Novo Nordisk, Inc. 


Novo Nordisk had alleged that Brooksville violated the Florida Deceptive and Unfair Trade Practices Act by manufacturing and selling drugs containing semaglutide without FDA approval. The court, however, found that Novo Nordisk's claim was preempted by the Federal Food, Drug, and Cosmetic Act, which grants the U.S. government sole enforcement authority over such matters.


The court also determined that Novo Nordisk failed to sufficiently plead the elements of a claim under FDUTPA, as they did not demonstrate that Brooksville Pharmaceuticals had violated the Florida Drug and Cosmetic Act. The court granted the motion to dismiss without prejudice, allowing Novo Nordisk the opportunity to amend their claim within twenty-one days.


“This is a victory for shortage-drug compounding, but only an initial victory,” said APC’s Scott Brunner. “The judge rejected Novo’s argument that compounding is ‘unauthorized drug manufacturing’ and affirmed that federal law pre-empts state law on the matter. But he also will allow Novo to amend its claim. One argument Novo is expected to make in that follow-up is that in stating on the record that it compounded semaglutide base, Brooksville has violated Novo’s patent. If that’s their claim, it could be the first case of a court weighing whether FDA’s “essentially a copy’ guidance — which allows pharmacies to prepare copies of FDA-approved drugs when it is “currently in shortage on the FDA shortage list – applies to patented drugs.”


 
 
 

Save these dates

 

December 12: An APC webinar, Quality assurance programs for compounding pharmacies: A medication safety survival guide for the compounding pharmacy.

December 14–16: A4M Longevity Fest 2023 in Las Vegas


2024


January 28: An APC webinar, Survey of State Compounding Law Changes 2024. More details coming soon.

April 4–6: Owner Summit, La Jolla, CA

June 20–21: EduCon Virtual: The Ethical Compounding Conference

September 17–18: Compounders on Capitol Hill (CCH) in Washington, DC


On demand


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

 

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


 
 

Alliance for Pharmacy Compounding | A4PC.org

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.

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