Fourth Question of the Day September 10, 2014 Previously, pharmacists frequently lost money on compound medications because they were only able to charge for the most expensive ingredient, according to A.J. Day, PharmD, the director of pharmacy consulting at Professional Compounding Centers of America (PCCA), a chemical wholesaler to independent compounding pharmacies. If this is true how did so many compounding pharmacists become so wealthy from compounded medications prior to this change? How were so many compounding pharamcies able to stay in business under these conditions if they were losing money? This defies logical sense of how many compounding pharmacies and pharmacists there are, how many became wealthy and how many continued to grow their businesses under the prior billing system.