FDA Challenges in Implementing Compounding Law: GAO
The Government Accountability Office (GAO) says that FDA has taken steps to implement its regulatory responsibilities to oversee drug compounding, but states and stakeholder organizations have said there are some challenges. A GAO report says FDA has issued numerous draft and final guidances related to drug compounding and has conducted more than 300 inspections of drug compounders, resulting in actions such as Warning Letters and voluntary recalls of potentially contaminated compounded drugs.
“Some stakeholder organizations said the amount of time it takes FDA to finalize the guidance and other documents, including those required by the 2013 law, is challenging,” GAO says. “FDA officials noted that reviewing the large number of comments received has contributed to the time the agency has taken to finalize them. States and stakeholder organizations also cited concerns related to access to compounded drugs and differences between states and FDA on the appropriate inspection protocols to use when inspecting drug compounders. In August, FDA changed its procedures to address concerns about the appropriate protocols to use for these inspections.”