Covid-19 Emergency Compounding Guidance
FDA has issued an immediately-in-effect guidance describing its intention to exercise enforcement discretion regarding outsourcing facilities compounding some drugs on the agency drug shortage list for use by hospitalized patients. The document says that while the agency generally tries to address potential and actual drug shortages by working through the global pharmaceutical supply chain rather than relying on compounded drugs and focuses on restoring supplies of FDA-approved drugs, additional flexibility is temporarily needed to ensure that treatment options are available when hospitals are unable to obtain FDA-approved drugs used for Covid-19 inpatients.
The guidance says FDA will not take action against an outsourcing facility for compounding a drug product that is essentially a copy of an approved drug, for using a bulk drug substance that is not on the agency’s 503B bulks list, or for not meeting CGMP requirements concerning product stability testing and the establishment of an expiration date when all circumstances specified in the document are met.