House Passes Alexander Compounding Agreement

Sunday, September 29, 2013

The  House of Representatives has passed a legislative agreement Senator Lamar Alexanderreached with House and Senate health committee leaders to clarify oversight of the nation’s compounding facilities.

 

Senator Alexander said: “This is a big step toward preventing another nightmare for Tennesseans like last year’s tragic meningitis outbreak, which the FDA commissioner tells us will happen again if we don’t fix the uncertainty over who’s in charge of compounding facilities. The House has passed our agreement to make it clear exactly who is in charge of overseeing each compounding facility, so there will be no questions about who’s on the flagpole. I urge the Senate to act swiftly and send this bill to the president to sign.”

 

Today’s bill represented an agreement by Alexander and Senate Health, Education, Labor and Pensions (HELP) Committee Chairman Tom Harkin (D-Iowa), House Energy and Commerce Chairman Fred Upton (R-Mich.) and Ranking Member Henry Waxman (D-Calif.). The bill clarifies current federal law regarding pharmacy compounding and resolves the patchwork of current federal regulation by applying a uniform standard nationwide.

 

Last November, when the Senate HELP Committee held its first hearing on the deadly meningitis outbreak, Alexander called for a new model of oversight of sterile compounding pharmacies.

One year ago, the meningitis outbreak caused by contaminated compounded drugs from the New England Compounding Center alerted the nation that providers and patients need sources of safe compounded drugs.  Following the outbreak, a bipartisan group of HELP Committee Senators— led by Chairman Harkin, Ranking Member Alexander, Sen. Pat Roberts (R-Kan.), and Sen. Al Franken (D-Minn.)—developed legislation to help ensure that quality compounded drugs are available to patients who need them.

Among other highlights, the legislation:

  • Distinguishes compounders engaged in traditional pharmacy practice from those making large volumes of compounded drugs without individual prescriptions. Compounders who wish to practice outside the scope of traditional pharmacy practice can register as outsourcing facilities, but those who choose to remain traditional pharmacies will continue to be primarily regulated by State Boards of Pharmacy as they are in current law.
  • Defines the Food and Drug Administration’s (FDA’s) role in oversight of outsourcing facilities.  Outsourcing facilities would be subject to FDA oversight in much the same way as traditional manufacturers.  FDA will know who these outsourcers are and what they are making, receive adverse event reports about compounded drugs, and have the authority and resources to conduct risk-based inspections.  The legislation will give providers and patients the option of purchasing products from outsourcing facilities that comply with FDA quality standards.
  • Offers providers and patients better information about compounded drugs.  The legislation directs FDA to make a list of FDA-regulated outsourcing facilities available on FDA’s website, requires detailed labeling on compounded drugs, and prohibits false and misleading advertising.
  • Clarifies current federal law regarding pharmacy compounding.  The legislation strikes unconstitutional provisions in current law, resolving the patchwork of current federal regulation and applying a uniform standard nationwide.

 

The bill is supported by the Tennessee Pharmacists Association, who stated: "We believe this compromise proposal offers an effective approach to address complex issues surrounding compounded medications by having the Food and Drug Administration (FDA) focus on entities that are compounding outside the scope of traditional pharmacy compounding while leaving traditional pharmacy compounding under the oversight of state boards of pharmacy."

The bill also includes legislation based upon a bill passed unanimously by the Senate health committee that improves patient safety by replacing today’s patchwork of state pharmaceutical drug tracing laws with a strong, uniform standard that would ultimately result in electronic, interoperable unit level drug tracing for the entire country.  The last comprehensive effort to establish safeguards for the drug distribution supply chain was twenty-five years ago.  This bipartisan, bicameral draft is the result of several years of work to address the growing problem of pharmaceutical theft, counterfeiting, and diversion.  

Among other highlights, the legislation:

  • Develops a workable pathway to unit-level tracing in a decade. Over the course of seven years, the major sectors of the pharmaceutical supply chain, such as manufacturers, repackagers, wholesale distributors, and dispensers will all be passing and holding onto key information about each drug’s distribution history.  Within ten years, supply chain stakeholders will participate in electronic, interoperable drug tracing.
  • Strengthens licensure requirements for wholesale distributors and third-party logistics providers.  Wholesale distributors will have higher standards for their licenses nationwide, and third-party logistics providers will be recognized for the first time as a part of the drug supply chain. FDA will also keep a database of wholesalers that will be available to the public through the FDA’s website, allowing consumers and members of the drug supply chain to identify appropriately licensed wholesalers.
  • Establishes nationwide drug serial numbers.  Four years after the date of enactment, manufacturers will serialize drugs in a consistent way across the industry.  This will allow for efficient tracing to respond to recalls and notices of theft and counterfeiting.   

Erlanger Offers Classes And Events For July 6-9

Erlanger offers online childbirth education class.  The online class is an easy-to-understand interactive program that includes more than 70 videos, animated illustrations, downloadable PDF files, review quizzes and information specific to Erlanger East and Erlanger Baroness birthing services.  By choosing the online childbirth program, participants will have access to ... (click for more)

Blood Assurance Reminds Community To Donate Blood Before July 4th Holiday

With the July 4 holiday weekend approaching, Blood Assurance is reminding the community to donate blood before their holiday travels. With unexpected traumas and unpredictable accidents, it is important to have a strong universal blood supply that can be readily available to patients experiencing critical needs for blood. A trauma can demand 20 pints of blood or more. ... (click for more)

Judge Wants Proof That Signal Mountain Man Made "True Threat" Against Muslim Town; Robert Doggart Allowed Home Confinement

Federal Judge Curtis Collier has directed attorneys who worked out a plea deal for a Signal Mountain man who admitted plotting to kill Muslims in a town in Upstate New York to show that it was "a true threat." And, Federal Magistrate Susan K. Lee has reversed her earlier ruling and allowed 63-year-old Robert Rankin Doggart to go free pending disposition of the case. Prosecutor ... (click for more)

Smith Says He Was Involved In Robbery Of Man Killed In North Chattanooga, But Another Youth Did The Shooting

A police interview was played in General Sessions Court on Tuesday in which 18-year-old Briston J. Smith Jr. admitted taking part in a drug deal, but he said it was another youth who shot and killed Charles Holsey, 19. Smith said he turned and left when Abram Young allegedly fired shots after Holsey refused to turn over marijuana he was demanding. He said he stated at the time, ... (click for more)

On The News Tonight: A Reflection On A Horrifying Crash And Its Aftermath

On the news tonight,  on the news tonight. The unobtrusive tones on the news tonight. It's just make-believe You can't believe everything you see So baby, close your eyes to the lullabies On the news tonight.   "The News" by Jack Johnson On Journalism On Thursday I was in Jackson, Tennessee playing music. I was a minimum of four hours away ... (click for more)

Roy Exum: Tonight, Take A Second

Peter Whibberley, known globally as “The Time Lord,” will freely tell anyone, “There are consequences of tinkering with time,” but tinker we must because the world – planet Earth -- is spinning slower. So tonight at 7:59:60 p.m. EDT, the Senior Research Scientist at Britain’s National Physical Laboratory will add an extra second to the hour – and our day -- before it becomes 8:00 ... (click for more)