Wednesday, December 5, 2012

Bill Would End Current State-by-State, Patchwork System--DeLauro, Lowey Introduce Legislation Strengthening Oversight Of Compounding Pharmacies

December 05, 2012

WASHINGTON, DC—Representatives Rosa DeLauro (D-CT) and Nita Lowey (D-NY) introduced legislation today to improve the failed regulatory framework currently governing compounding pharmacies and clarify the Food and Drug Administration (FDA)’s ability to oversee such pharmacies. A compounding pharmacy in Massachusetts was responsible for the meningitis outbreak that sickened over 500 people and caused at least 36 deaths.

“I wish this legislation were not necessary, but  tragic events have proven that it is,” DeLauro said. “The actions of the New England Compounding Center have made clear that strong Federal authority is necessary to ensure patients know they are receiving safe compounded drugs. It has also become clear that federal and state regulators must better communicate to identify trouble facilities and leverage their resources to protect patients. 

“Yesterday’s announcement that multiple NECC products were contaminated simply underscore that this was not an isolated incident. We must end the current regulatory morass so that no more lives are placed at risk.”

Lowey said: “As recent events have made clear, it is critical to ensure compounding pharmacies are operating safely and the products consumers receive will improve - not jeopardize - their health. Federal oversight is critical to identify and correct potential problems and keep consumers safe.”

The Supporting Access to Formulated and Effective (S.A.F.E.) Compounded Drugs Act would:
Require compounding pharmacies to register their facility with the FDA
Ensure patients know they are receiving a compounded drug
Require compounded drugs to be labeled appropriately
Establish a FDA database of information on compounding pharmacies to inform oversight by the FDA and appropriate state regulators
Ask the FDA to set minimum production standards
Direct the FDA to offer training opportunities for state regulators
Seek additional information on third party accreditation and the various models used by state regulators
Improve communication between federal and state regulators to facilitate more comprehensive inspections
DeLauro, a senior member of the committee responsible for funding the FDA, announced she would introduce the legislation on October 9, the same day she wrote to Health and Human Services Secretary Sebelius on the issue. On October 19 she and Representative Sanford Bishop wrote to Sebelius and Veterans Affairs Secretary Shinseki to ensure the safety of pharmaceuticals given to participants in Medicare, Medicaid, and the Veterans Health Administration.

Source found here


Rosa DeLauro introduces S.A.F.E. legislation- The New Haven Register - Serving New Haven, Connecticut

Rosa DeLauro introduces S.A.F.E. legislation- The New Haven Register - Serving New Haven, Connecticut

Bill would make drug compounders register with FDA:Supporting Access to Formulated and Effective Compounded Drugs Act, or SAFE Compounded Drugs Act

By Paul Barr
Posted: December 5, 2012 - 5:15 pm ET

A bill that would require compounding pharmacies to register with the Food and Drug Administration was introduced in the House, according to a news release from the two sponsors of the bill, Reps. Rosa DeLauro (D-Conn.) and Nita Lowey (D-N.Y.).

The bill, called the Supporting Access to Formulated and Effective Compounded Drugs Act, or SAFE Compounded Drugs Act, would establish an FDA database on the pharmacies for use by the FDA and states in oversight of drug compounders, according to the news release. In addition, it would require the FDA to set minimum production standards and direct the FDA to offer training to state regulators. 

A compounding pharmacy in Massachusetts is blamed for a meningitis outbreak that sickened more than 500 people and caused at least 36 deaths.

Read more: Bill would make mixing pharmacies register with FDA | Modern Healthcare http://www.modernhealthcare.com/article/20121205/NEWS/312059954#ixzz2EFMwRWEs 
?trk=tynt 

FDA Fights Web Pharmacies Selling Unapproved Drugs

posted: Oct 05, 2012 3:55 PM CDTUpdated: Oct 05, 2012 3:55 PM CDT
WASHINGTON (AP) -- The Food and Drug Administration is stepping up its fight against counterfeit and other potentially harmful medicine sold over the Internet.
The agency is ordering operators of about 4,100 websites to immediately stop selling unapproved medications to U.S. consumers.
The FDA has sent warning letters to three companies behind most of the websites. It's also seized some illegal medicines, filed civil and criminal charges against companies and people, and contacted Internet registrars and service providers, asking them to suspend the 4,100 websites.
Those efforts are part of a global crackdown on online sellers of counterfeit and illegal medical products. Interpol, the international police agency, says about $10.5 million worth of medicines were seized worldwide last week and more than 18,000 illegal pharmacy websites were shuttered.
Source found here
 


Rhode Island spa kept recalled drugs, state officials say

Rhode Island spa kept recalled drugs, state officials say

Pols back new rules in wake of NECC flap

Pols back new rules in wake of NECC flap

It’s Time for FDA, States to Step Forward for Public Health


Patrick Stone, President, TradeStone QA
It’s clear that the FDA should have more compounding pharmacy oversight but how long will it take them to make other important decisions on public health?
The recent news is troubling.
Example: According to state and federal records, it took FDA approximately 684 days to issue a warning letter that may have saved lives and time. Usually it should only take 90 days for compliance branch a local district directors to decide on a firm’s regulatory outcome. The FDA mandates strict 483 fifteen day response letter times and should also be held to a 60 or 90 day turnaround.
As a former FDA inspector, I’ve been there. Some of the cases I was involved with took 24 months to get a final warning letter decision. This is unacceptable because there is a 6 month follow up that should be conducted.
But if regulators give the regulated industry time to make more  lethal products who is to blame? Usually FDA gets local state authorities involved for immediate detention and embargo of harmful products. Each state has unique authority over products made within it’s borders if they are held for interstate trade. The New England region was also involved with the FDA inspections. The state could have stopped many products from interstate trade before the situation escalated.
PharmaceuticalsThe FDA’s initial inspection on this product began in September 2004 and ended on January 19, 2005. In the Dallas district an Investigator would be reprimanded for taking five months on an inspection. It does not take that long to conduct a compound pharmacy inspection or to collect product samples. It usually takes two or maybe three weeks for this type of inspection. Each district has time limits that can be spent on any one assignment. There seems to be a pattern of errors here that could have prevented lives from being lost with much time wasted.
Continue reading here

Reform is Coming::The Blog Has Accomplished One of It's Purpose

When I began this blog in March 2012, I was stunned at the lack of education and knowledge about compounding in the veterinary and medical world.  I have learned so much since beginning this blog. I hope you have to.  In the beginning of this blog, I could foresee a tragic event such as the NECC meningitis outbreak happening.  I hoped it wouldn't.  I hoped the worst of tragedies had already been seen in cases such as Franck's, and Apothecure and similar cases, but I knew the odds were great that something bad would happen based on the way things were done or not done in the compounding world and when it did happen it would be big.  The one good thing that can possibly come out of that big bad thing is reform of the compounding world--better knowledge, better education, better procedures, better practices, better communication, better enforcement, better everything.  It is not enough for organizations to point their finger at the federal government.  All share in the blame. All must take responsibility and all must work together to improve the situation to make sure nothing like the NECC meningitis outbreak happens again.  Whether the federal government passes some sort of legislation and takes over most of the jurisdiction of compounding or the states keep the jurisdiction and strengthen the teeth of the rules and regulations they have, reform is needed and I have no doubt reform is headed our way.  There is much left for many to do.  There is much knowledge to be gained.  There is much education that still  must be accomplish.      

FDA Significant Compliance Actions: 2012 Warning Letters

Tuesday, December 4, 2012

Michigan News Briefs: Hune renews call to suspend pharmacy's license

1:36 AM, Dec. 4, 2012'

State Sen. Joe Hune, R-Hamburg Township, on Monday renewed his call for suspending the Michigan license of a Massachusetts compounding pharmacy linked to a national fungal meningitis outbreak.
Hune, for a second time, called on the Michigan Department of Community Health to suspend New England Compounding Center's Michigan license following news of 10 more Michigan cases of meningitis-related infections linked to contaminated steroids produced at the facility.
"I once again demand
the license be revoked. I would like to see the de-partment investigate this wrongdoing so we can prosecute to the fullest extent of the law," Hune said in a statement.
The department on Monday announced that there are 201 cases and 13 deaths in Michigan tied to the infections, The Associated Press reported.
Additional cases of infection were announced Monday afternoon, bringing the state total up from 188 infections in a count last week.
Four of the deaths were of Livingston County residents, the state reported. Three of the Michigan deaths are being counted
as Indiana cases because that is where treatment occurred in those cases.
Hune in recent weeks first called for suspending the Massachusetts company's Michigan license. An October order of summary suspension filed by Gov. Rick Snyder and Attorney General Bill Schuette awaits the signature of the state Bureau of Health Professions director.
If signed, the order will suspend the New England Compounding Center's Michigan license and force the company to cease its operations in Michigan, Hune said.
Continue reading here