Patricea Angelle, a compounding pharmacist in Baton Rouge, said the rule changes would impose an enormous cost burden on some compounding pharmacies and create serious problems for patients who depend on the medicines they provide.
Some of those special medicines may be needed by patients for whom other medications simply don’t work. Compounding pharmacists also prepare medicines that some
Malcolm J. Broussard, executive director of the Louisiana Board of Pharmacy, said he hasn’t “heard from any pharmacies telling us the proposed rule would force them to close.”
If so, others will fill those gaps, Broussard said.
A public hearing on the pharmacy board’s proposals is scheduled for 1 p.m. Thursday at the board office, 3388 Brentwood Drive.
The proposed rule changes in Louisiana follow an incident late last year in which dozens of recipients of medicines from a
The Louisiana Board of Pharmacy declared an emergency in January, and members announced they planned to adopt a rule that would bar the state’s compounding pharmacists from deriving more than 10 percent of their business from the sale of medicines by purchase order to physicians for use at their offices.
“The quality and safety standards for products made pursuant to a purchase order are ordinarily more stringent than the quality and safety standards for preparations made pursuant to a patient-specific prescription,” Broussard, said in an email exchange this week.
“When pharmacies make products pursuant to purchase orders in compliance with the less stringent standards applicable to patient-specific prescriptions, there is a potential risk,” Broussard added. “The proposed rule is an attempt to mitigate that risk by limiting such activity to no more than 10 percent of a pharmacy’s activity.”
In Washington, D.C., Sarah Dodge, the International Association of Compounding Pharmacists’ vice president for government affairs, said such rules seem arbitrary.“That concerns us,” Dodge added.
Dodge explained that one proposed federal law calls for greater controls on compounding pharmacies that send sterile compounds across state lines to recipients who are not patients.
Inside one state’s boundaries, Dodge said, “What we prefer is that the state allow what has been usual for (physicians’) office use.” She said her organization does not support an arbitrary cap.
“The federal proposal is far more palatable than the Louisiana proposal,” Dodge said.
Broussard said, “In the event a pharmacy is currently preparing more than 10 percent of itsactivity pursuant to (physicians’) purchase orders, that pharmacy will need to make a business decision.”
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