Let Compounders Help with Drug Shortages: Op-Ed
Alliance for Pharmacy Compounding CEO Scott Brunner says Congress should include in any legislation addressing drug shortages provisions that “will equip state-licensed pharmacy compounders to provide urgent-use medications to hospitals and for in-clinic administration, within tight regulatory guardrails, when those drugs are demonstrably in shortage and unavailable from the manufacturer or a licensed outsourcing facility.” Writing in an online Stat op-ed, Brunner notes that in the early days of Covid-19, when essential treatment medications were in short supply, FDA issued temporary guidance to allow traditional compounding pharmacies to prepare 13 Covid drugs from pure ingredients to meet hospitals’ urgent needs. More than 80 pharmacies participated and FDA has said there were no adverse events reported, he says.
“Amid continuing drug supply chain disruptions, pharmacy compounders can play an essential role in alleviating temporary shortages of urgently needed medications if allowed to do so,” Brunner writes. “The Covid example demonstrates that. When patient health is at stake, we need a more nimble system, one that doesn’t require slow-coming special action by FDA to address it. Changes to federal law are required so that when shortage drugs are urgently needed, compounders may assist immediately, without bureaucratic delays and impediments…. We have a choice here: We can decide to live with drug shortages and the patient suffering that results from them, or we can make modest adjustments to federal law that will create a pathway for compounding pharmacies, on a temporary basis and within tight regulations, to fill the gap during drug shortages, alleviate suffering, and even save lives.”