Nevada Administrative Code
Chapter 639 - Pharmacists and Pharmacy
COMPOUNDING AND DISPENSING DRUG PRODUCTS
Standards for Compounding and Dispensing Sterile Products
Section 639.67065 - Medium-risk sterile compounding: Process and storage
Universal Citation: NV Admin Code 639.67065
Current through September 16, 2024
1. A compounded drug product is a medium-risk sterile compounded drug product if:
(a) The
compounded drug product is required to be sterile for its effective
administration;
(b) The sterile
compounded drug product is compounded using aseptic techniques pursuant to one
of the conditions listed in NAC 639.67061 as a condition for a low-risk sterile
compounded drug product; and
(c)
One or more of the following conditions are present:
(1) Individual or small doses of sterile drug
products are combined or pooled to prepare the final compounded drug product
that will be administered to multiple patients or to one patient multiple
times;
(2) The compounding process
includes complex aseptic manipulations other than a single-volume
transfer;
(3) The compounding
process uses more than three commercially manufactured sterile drug products or
other entries of a sterile drug product into one container, including, without
limitation, a bag or vial, to make the final compounded drug product;
(4) The final compounded drug product does
not contain broad-spectrum bacteriostatic substances and will be administered
over a period which exceeds 24 hours; or
(5) The compounding process requires an
unusually long duration, as determined by the managing pharmacist, including,
without limitation, the period required to complete dissolution or homogeneous
mixing.
2. Unless sterility testing or potency limitations allow for a different period, the period of storage before administration of a medium-risk sterile compounded drug product must not exceed:
(a) Thirty
hours at a controlled room temperature that is at least 20 degrees Celsius (68
degrees Fahrenheit) but not more than 25 degrees Celsius (77 degrees
Fahrenheit);
(b) Nine days at a
temperature that is at least 2 degrees Celsius (36 degrees Fahrenheit) but not
more than 8 degrees Celsius (46 degrees Fahrenheit); or
(c) Forty-five days in a solid frozen state
that is -10 degrees Celsius (14 degrees Fahrenheit) or colder.
Added to NAC by Bd. of Pharmacy by R035-06, eff. 9-18-2008
NRS 639.070
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