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The nation’s growing outbreak of meningitis, linked to spinal injections for back pain, was a calamity waiting to happen — the result of a lightly regulated type of drug production that had a troubled past colliding with a popular treatment used by millions of Americans a year.
The steroid solution was not made by a major drug company, but was concocted by a pharmacy in Framingham, Mass., called the New England Compounding Center.
Compounding pharmacies make their own drug products, which are not approved by the Food and Drug Administration.
On Monday, federal inspectors at the New England center found a sealed vial of the steroid afloat with so much foreign matter that it could be seen with the naked eye, Food and Drug Administration officials said...
Pharmacies and regulators have struggled for years over what limits to set on the practice. Compounding has fallen between state and federal authorities, and the legal status of compounded drugs has never been clear.
Compounding is tolerated by the F.D.A., as long as the pharmacy does not ship across state lines, mass produce drugs or use commercial scale equipment, said James H. Ruble, an assistant professor at the University of Utah College of Pharmacy.
But recent court cases, including one in federal court in Florida, have raised questions about the F.D.A.’s authority.
In a case involving a compound-maker called Franck’s that was producing compounds for veterinary use, a judge ruled that the F.D.A. could not assume it had authority to regulate compounding pharmacies....
http://www.nytimes.com/2012/10/05/h...oversight-on-compounding-pharmacies.html?_r=0
The steroid solution was not made by a major drug company, but was concocted by a pharmacy in Framingham, Mass., called the New England Compounding Center.
Compounding pharmacies make their own drug products, which are not approved by the Food and Drug Administration.
On Monday, federal inspectors at the New England center found a sealed vial of the steroid afloat with so much foreign matter that it could be seen with the naked eye, Food and Drug Administration officials said...
Pharmacies and regulators have struggled for years over what limits to set on the practice. Compounding has fallen between state and federal authorities, and the legal status of compounded drugs has never been clear.
Compounding is tolerated by the F.D.A., as long as the pharmacy does not ship across state lines, mass produce drugs or use commercial scale equipment, said James H. Ruble, an assistant professor at the University of Utah College of Pharmacy.
But recent court cases, including one in federal court in Florida, have raised questions about the F.D.A.’s authority.
In a case involving a compound-maker called Franck’s that was producing compounds for veterinary use, a judge ruled that the F.D.A. could not assume it had authority to regulate compounding pharmacies....
http://www.nytimes.com/2012/10/05/h...oversight-on-compounding-pharmacies.html?_r=0