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Compounded Pharmacy Services July 20, 2005 Stan Wojta National Director 800-994-6322 x668 New England Compounding Center EXECUTIVE SUMMARY NECC has been a leading compounding pharmacy in the New England region and has earned a national reputation as a provider of high quality compounded medications and excellent service to patients and prescribers. These are the points that differentiate us from other compounders: All of NECC’s compounding activities are performed in our State-ofthe–art laboratory. This laboratory contains the latest equipment, including Class 10 Microsphere Environments, Electronic Analytical Balances, and other equipment designed for our specialized compounding practice. NECC observes all aspects of USP Chapter 797 Guidelines for Aseptic Compounding and specializes in compounding only. NECC compounds each and every day. Our four registered pharmacists are trained in the art of compounding. All sterile compounding activities are performed by a Registered Pharmacist, not a technician. NECC is state licensed as a pharmacy nationwide, registered with the DEA, and provides service to 49 out of 50 states. NECC tests sterile compounded medications using an Independent Laboratory, operated under the direction of a team of chemists and microbiologists. This independent laboratory tests for Potency, Sterility and Pyrogenicity. Our professional team of Pharmacists and Technicians are a resource to our customers. The proper care and nurturing of the Patient, Physician, Pharmacist relationship is paramount and one of our greatest strengths New England Compounding Center Company Confidential 06/28/2017 Page 1 SECTION II – FREQUENTLY ASKED QUESTIONS 1. Identify any accreditation your pharmacy has received or any certification of your facilities. A. 1. We are licensed, regulated and inspected by the Massachusetts Board of Pharmacy. www.state.ma.us/reg/boards/ph. They regulate us as a “pharmacy with a central intravenous admixture service” This is the strictest criteria for pharmacies in place today. Additionally, Massachusetts Board of Pharmacy inspections are the basis for our being licensed in other states. Currently we are state licensed as a pharmacy nationwide, registered with the DEA, and provide service to 49 out of 50 states. 2. Provide the ratio of pharmacist to technicians in your compounding areas. A. 2. Four Licensed Pharmacists, Five Certified Technicians, One Registered Technician. 3. Give a brief description of the safety measures in place to ensure accuracy of the product. Including results of any laboratory confirmations. A. 3. New England Compounding Center maintains an organizationwide Continuous Quality Improvement Program, including ongoing Quality Assurance Meetings. Samples from final product batch lots are sent to an independent lab (Analytical Research Laboratories in Oklahoma City, OK. Tel: 405-271-1144) for sterility, endotoxin (pyrogenicity), and potency testing. Tested medication is quarantined and dispensed only after sample has tested negative for endotoxin and microbial contamination. Test results are provided with each order if requested. New England Compounding Center Company Confidential 06/28/2017 Page 2 4. Describe the process to ensure the sterility of the products produced as well as any testing processes you follow. A. 4. Formulations are sterilized by either filtration through a 0.22 micron filter or by autoclaving. Sterile fluids and injectables are prepared in a Class 10 Microenvironment (barrier isolator), and our electronic analytical balances ensure accurate weighing. All sterile compounding activities are performed by a Registered Pharmacist, not a technician. 5. Please indicate sources of bulk ingredients. Do they comply with USP or NF specifications? A. 5. USP chemicals are obtained only from FDA registered Chemical Distribution facilities. 6. Please describe methods, other than what is listed above, that are used to enable compliance with USP 797 regulations. A. 6. An independent 3rd party pharmacy consultant inspects our facility periodically to ensure we are observing all USP 797 requirements. Class 10 microenvironments are validated every 6 months by Scientific Air Analysis, Inc of Ashland, MA. Tel: 508-881-7100 All personnel are trained/validated by an outside agency, Professional Compounding Centers of America (PCCA). Each vial is labeled with a use-by-date appropriate to the formulation. Compounded preparations are packaged in containers meeting USP standards. Container used depends on the physical and chemical properties of the compounded preparation. Product is dispensed by prescription only, for specific patients. New England Compounding Center Company Confidential 06/28/2017 Page 3 7. Describe the process in place to ensure compliance with HIPAA regulations. A. 7. Only Authorized pharmacy staff members have access to patient names to process the prescription. Faxed prescription orders go directly into our secured pharmacy area. Prescription processing is done using software accessible only to authorized pharmacy staff. This software is completely separate from our billing and customer service software programs. All staff go through a rigorous HIPAA training program. All staff members sign a contract promising to respect and protect patient confidentiality. Patient information is never transmitted over the internet. Patient information is used only for treatment, payment, or health care operations. See Attachment B for supporting documentation. 8. State whether site-visits can be provided. A. 8. Site visits can be provided at your convenience. New England Compounding Center Company Confidential 06/28/2017 Page 4 SECTION III – SERVICES PROVIDED BY NECC 1. Detailed listing of how product can be obtained, prescription requirements etc. A. 1. Following completion of an Account Information Form (NECC does not require a term contract) orders may be placed via our dedicated, secure fax portal. NECC compounds medications as a result of a practitioner’s patient specific prescription drug order. All prescriptions go directly to our Pharmacy. A registered Pharmacist validates the prescription, performs calculations, checks for drug compatibility and possible interactions and signs off on the prescription. Registered Pharmacists and/or certified pharmacy technicians compound the medication. A second Registered Pharmacist re-verifies all information and prescriptions. 2. Description of method of how product will be delivered. Including steps taken to prevent exposure to storage conditions outside of USP recommendations. A. 2. Medications are packaged in a taper/light resistant Mylar bag and then packaged for overnight or second day delivery. Medications are typically shipped overnight delivery via Federal Express and are tracked door to door. Temperature sensitive medications are shipped in approved environmentally controlled packaging. Each physician’s office is called by a New England Compounding Center Customer Service Representative on the scheduled delivery date to insure the medications arrived on-time and intact. 3. Acceptable methods of payment A. 3. Acceptable methods of payment are Credit Card or Purchase Order, net 30 days with approved credit application. New England Compounding Center Company Confidential 06/28/2017 Page 5