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Bioidentical Hormones - U.S. Senate Special Committee on Aging

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113<br />

* We support the pharmacy's exempti<strong>on</strong> from the rules which govern<br />

manufacturers, while we expect the FDA to enforce standards and principles<br />

relating to labeling, purity, c<strong>on</strong>tent, etc. We believe that the regulati<strong>on</strong> of the<br />

healing professi<strong>on</strong>s is the purview of the States and should remain there as<br />

l<strong>on</strong>g as rigid guidelines for methods and materials are maintained by regular<br />

State Inspecti<strong>on</strong>.<br />

* We support extended educati<strong>on</strong> and training for all pharmacists who<br />

compound and provide specific training in the above requirement methods for<br />

compounding the Wiley Protocol.<br />

The Future of Compounding<br />

While we have a rigorous protocol for the preparati<strong>on</strong>s that comprise the Wiley<br />

Protocol that our pharmacists compound and we are c<strong>on</strong>fident that our preparati<strong>on</strong>s<br />

c<strong>on</strong>tain what they say they c<strong>on</strong>tain due to rigorous and frequent testing (evidence<br />

attached), should the detractors accuse the professi<strong>on</strong> of custom Compounding to fall<br />

short of quality benchmarks in general or in specific cases, more over sit of the<br />

professi<strong>on</strong> by the States, is l<strong>on</strong>g overdue and not an unbearable burden, fiscally. The<br />

c<strong>on</strong>undrum is how to regulate compounding pharmacists and pharmacies.<br />

The logical answer is to look back at history. Pharmacy schools need to <strong>on</strong>ce<br />

again assume the resp<strong>on</strong>sibility of training compounding pharmacists. Academic<br />

accrediting bodies need to be in charge of credentialing compounding pharmacists.<br />

State Boards of Pharmacy need to be in charge of inspecting and m<strong>on</strong>itoring<br />

compounding pharmacies. In most states, the State Board of Pharmacy is resp<strong>on</strong>sible for<br />

licensing sterile compounding; there is no reas<strong>on</strong> why they should not assume to<br />

resp<strong>on</strong>sibility of licensing n<strong>on</strong>-sterile compounding as well.<br />

If the Federal Government stopped the practice of compounding, all it would<br />

achieve is leaving milli<strong>on</strong>s of patients without resources to alleviate various c<strong>on</strong>diti<strong>on</strong>s.<br />

We certainly need the federal government to support Schools of Pharmacy, State Boards<br />

of Pharmacy and accrediting agencies, to ensure that compounding pharmacies are<br />

meeting the required highest of standards.

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