SlideShare a Scribd company logo
Understanding Beyond-Use Dating
for Sterile Compounding
The beyond-use date (BUD) of a
product is not the same as the
expiration date
A BUD is assigned by the pharmacy for
a compounded sterile product (CSP)
The BUD for a CSP identifies the time by which the
preparation – once mixed – must be used before it
is at risk for chemical degradation, contamination,
and permeability of the packaging.
The BUD date signifies the time after
which a CSP cannot be administered
As described in previous ASHP guidelines and in USP
chapter <797> the BUD is determined from the date or
time the preparation is compounded, its chemical
stability, and the sterility limits described later in these
guidelines. Both the stability of the components and the
sterility limits described must be taken into
consideration when determining BUDs
Am J Health-Syst Pharm. 2014; 71:145-66.
Time and temperature must be
controlled throughout the entire life
cycle of a CSP.
Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville,MD: The United States Pharmacopeial
Convention; 2014:66.
When CSPs are known to have been exposed to
temperatures warmer than the warmest labeled limit or
to temperatures exceeding 40° for more than 4 hours,
such CSPs should be discarded unless direct assay data
or appropriate documentation confirms their continued
stability.
Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial
Convention; 2014:66.
The BUD must appear on the label on
the container or package of a
compounded preparation
General notices and requirements. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial
Convention; 2014:26.
The BUD must be shorter than the
manufacturer’s expiration date. Often
the BUD is much shorter.
The BUD must be the shorter of the
sterility dating or chemical stability
dating.
Am J Health-Syst Pharm. 2014; 71:145-66.
So even if something is stable for 30
days doesn’t mean it’s sterile for 30
days. You must use the shorter of the
two for BUD.
An expiration date is identified by the
product manufacturer
The FDA defines expiration date as: The date
(usually placed on the containers/labels of an API)
designating the time during which the API is
expected to remain within established shelf-life
specifications if stored under defined conditions
and alter which it should not be used
(API) = Active Pharmaceutical Ingredient
A manufacturer’s expiration date is the date
assigned pursuant to manufacturer testing.
The drug product is guaranteed by the
manufacturer to be safe and effective up to
the listed date when products are stored as
described in the product labeling.
Am J Health-Syst Pharm. 2014; 71:145-66.
The expiration date assigned by the
manufacturer no longer applies once the
manufacture's container is opened and the
drug product is transferred to another
container for dispensing or repackaging
As you can see, the BUD of a product
is not the same as the expiration date
Does USP provide recommendations
for BUDs?
Of course!
USP <797> provides recommended
BUD guidelines based on CSP
microbial contamination risk category
For more information on CSP risk category……[link to CSP Risk Category presentation]
Risk Category
Room Temperature
20 to 25°C
Cold Temperature
2 to 8°C
Freezer
-25 to -10°C
Immediate Use 1 hour 1 hour N/A
Low-Risk 48 hours 14 days 45 days
Low-Risk w/12-hour BUD 12 hours or less 12 hours or less N/A
Medium-Risk 30 hours 9 days 45 days
High-Risk 24 hours 3 days 45 days
Can BUDs beyond USP guidelines be
used?
Yes, but with a caveat …
Pharmacies may exceed USP <797>’s
recommended BUDs for CSPs as long
as independent sterility testing is
performed according to USP <71>
JERRY FAHRNI, PHARM.D.

More Related Content

What's hot

PATIENT COUNSELLING_RDP.pdf
PATIENT COUNSELLING_RDP.pdfPATIENT COUNSELLING_RDP.pdf
PATIENT COUNSELLING_RDP.pdf
rishi2789
 
Stability study
Stability studyStability study
Stability study
Parth Chauhan
 
Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)
Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)
Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)
HoldenYoung3
 
sustained release drug delivery system
sustained release drug delivery systemsustained release drug delivery system
sustained release drug delivery system
prashant mane
 
Drug storage and Stability
Drug storage and StabilityDrug storage and Stability
Drug storage and Stability
Mohammad Alauddin
 
Chapter on tablets
Chapter on tablets   Chapter on tablets
Chapter on tablets
Dr. RAJESH L. DUMPALA
 
Repacking and relabelling
Repacking and relabellingRepacking and relabelling
Repacking and relabelling
AjayLohan2
 
Evaluation of capsules
Evaluation of capsules Evaluation of capsules
Evaluation of capsules
SHAHINALAM360
 
TABLET COMPRESSION MACHINE
TABLET COMPRESSION MACHINETABLET COMPRESSION MACHINE
TABLET COMPRESSION MACHINE
Akhilesh Rai
 
Pharmaceutical Packaging Materials
Pharmaceutical Packaging MaterialsPharmaceutical Packaging Materials
Pharmaceutical Packaging Materials
Jony Mallik
 
Methods For Assesment Of Bioavailability
Methods For Assesment Of Bioavailability Methods For Assesment Of Bioavailability
Methods For Assesment Of Bioavailability
Anindya Jana
 
Oral sustained and controlled release dosage forms
Oral sustained and controlled release dosage forms Oral sustained and controlled release dosage forms
Oral sustained and controlled release dosage forms
Dr Gajanan Sanap
 
MODIFIED RELEASE DRUG DELIVERY SYSTEM
MODIFIED RELEASE DRUG DELIVERY SYSTEMMODIFIED RELEASE DRUG DELIVERY SYSTEM
MODIFIED RELEASE DRUG DELIVERY SYSTEM
Shiv kumar
 
In vitro-in-vivo-studies
In vitro-in-vivo-studiesIn vitro-in-vivo-studies
In vitro-in-vivo-studies
Md. Mizanur Rahman
 
study design for bioavailability and bioequivalence
study design for bioavailability and bioequivalencestudy design for bioavailability and bioequivalence
study design for bioavailability and bioequivalence
Priya Rajput
 
Pemantauan dan Evaluasi Penggunaan Obat Rasional
Pemantauan dan Evaluasi Penggunaan Obat RasionalPemantauan dan Evaluasi Penggunaan Obat Rasional
Pemantauan dan Evaluasi Penggunaan Obat Rasional
Erie Gusnellyanti
 
Packaging and Stability Requirements for Pharmaceuticals
Packaging and Stability Requirements for PharmaceuticalsPackaging and Stability Requirements for Pharmaceuticals
Packaging and Stability Requirements for Pharmaceuticals
Prof. Dr. Basavaraj Nanjwade
 

What's hot (20)

PATIENT COUNSELLING_RDP.pdf
PATIENT COUNSELLING_RDP.pdfPATIENT COUNSELLING_RDP.pdf
PATIENT COUNSELLING_RDP.pdf
 
Stability study
Stability studyStability study
Stability study
 
Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)
Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)
Zuranolone Presentation (Holden Young - Roseman University of Health Sciences)
 
Ddd talk
Ddd talkDdd talk
Ddd talk
 
sustained release drug delivery system
sustained release drug delivery systemsustained release drug delivery system
sustained release drug delivery system
 
Drug storage and Stability
Drug storage and StabilityDrug storage and Stability
Drug storage and Stability
 
Chapter on tablets
Chapter on tablets   Chapter on tablets
Chapter on tablets
 
Repacking and relabelling
Repacking and relabellingRepacking and relabelling
Repacking and relabelling
 
Evaluation of capsules
Evaluation of capsules Evaluation of capsules
Evaluation of capsules
 
TABLET COMPRESSION MACHINE
TABLET COMPRESSION MACHINETABLET COMPRESSION MACHINE
TABLET COMPRESSION MACHINE
 
Pharmaceutical Packaging Materials
Pharmaceutical Packaging MaterialsPharmaceutical Packaging Materials
Pharmaceutical Packaging Materials
 
Methods For Assesment Of Bioavailability
Methods For Assesment Of Bioavailability Methods For Assesment Of Bioavailability
Methods For Assesment Of Bioavailability
 
Oral sustained and controlled release dosage forms
Oral sustained and controlled release dosage forms Oral sustained and controlled release dosage forms
Oral sustained and controlled release dosage forms
 
Medication error (7)
Medication error (7)Medication error (7)
Medication error (7)
 
MODIFIED RELEASE DRUG DELIVERY SYSTEM
MODIFIED RELEASE DRUG DELIVERY SYSTEMMODIFIED RELEASE DRUG DELIVERY SYSTEM
MODIFIED RELEASE DRUG DELIVERY SYSTEM
 
Pharmaceutical care
Pharmaceutical carePharmaceutical care
Pharmaceutical care
 
In vitro-in-vivo-studies
In vitro-in-vivo-studiesIn vitro-in-vivo-studies
In vitro-in-vivo-studies
 
study design for bioavailability and bioequivalence
study design for bioavailability and bioequivalencestudy design for bioavailability and bioequivalence
study design for bioavailability and bioequivalence
 
Pemantauan dan Evaluasi Penggunaan Obat Rasional
Pemantauan dan Evaluasi Penggunaan Obat RasionalPemantauan dan Evaluasi Penggunaan Obat Rasional
Pemantauan dan Evaluasi Penggunaan Obat Rasional
 
Packaging and Stability Requirements for Pharmaceuticals
Packaging and Stability Requirements for PharmaceuticalsPackaging and Stability Requirements for Pharmaceuticals
Packaging and Stability Requirements for Pharmaceuticals
 

Viewers also liked

The Basics of Primary Engineering Controls
The Basics of Primary Engineering ControlsThe Basics of Primary Engineering Controls
The Basics of Primary Engineering Controls
Jerry Fahrni
 
Evolution of practice in an age of information
Evolution of practice in an age of informationEvolution of practice in an age of information
Evolution of practice in an age of information
Jerry Fahrni
 
Secondary Engineering Controls
Secondary Engineering ControlsSecondary Engineering Controls
Secondary Engineering Controls
Jerry Fahrni
 
Pharmacy cleanroom terminology
Pharmacy cleanroom terminologyPharmacy cleanroom terminology
Pharmacy cleanroom terminology
Jerry Fahrni
 
The Sterile Compounding Environment
The Sterile Compounding Environment The Sterile Compounding Environment
The Sterile Compounding Environment
Kdurant36
 
The Future of Pharmacy: Using Technology to Drive Practice Change
The Future of Pharmacy: Using Technology to Drive Practice ChangeThe Future of Pharmacy: Using Technology to Drive Practice Change
The Future of Pharmacy: Using Technology to Drive Practice Change
Jerry Fahrni
 
Environmental Monitoring - Glove Fingertip Sampling
Environmental Monitoring - Glove Fingertip SamplingEnvironmental Monitoring - Glove Fingertip Sampling
Environmental Monitoring - Glove Fingertip Sampling
Jerry Fahrni
 
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP)
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP) Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP)
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP)
Jerry Fahrni
 
Environmental monitoring - Introduction
Environmental monitoring - IntroductionEnvironmental monitoring - Introduction
Environmental monitoring - Introduction
Jerry Fahrni
 

Viewers also liked (9)

The Basics of Primary Engineering Controls
The Basics of Primary Engineering ControlsThe Basics of Primary Engineering Controls
The Basics of Primary Engineering Controls
 
Evolution of practice in an age of information
Evolution of practice in an age of informationEvolution of practice in an age of information
Evolution of practice in an age of information
 
Secondary Engineering Controls
Secondary Engineering ControlsSecondary Engineering Controls
Secondary Engineering Controls
 
Pharmacy cleanroom terminology
Pharmacy cleanroom terminologyPharmacy cleanroom terminology
Pharmacy cleanroom terminology
 
The Sterile Compounding Environment
The Sterile Compounding Environment The Sterile Compounding Environment
The Sterile Compounding Environment
 
The Future of Pharmacy: Using Technology to Drive Practice Change
The Future of Pharmacy: Using Technology to Drive Practice ChangeThe Future of Pharmacy: Using Technology to Drive Practice Change
The Future of Pharmacy: Using Technology to Drive Practice Change
 
Environmental Monitoring - Glove Fingertip Sampling
Environmental Monitoring - Glove Fingertip SamplingEnvironmental Monitoring - Glove Fingertip Sampling
Environmental Monitoring - Glove Fingertip Sampling
 
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP)
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP) Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP)
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP)
 
Environmental monitoring - Introduction
Environmental monitoring - IntroductionEnvironmental monitoring - Introduction
Environmental monitoring - Introduction
 

Similar to Understanding Beyond-Use Dating for Sterile Compounds

Abbreviated New Drug Application [ANDA]
Abbreviated New Drug Application [ANDA]Abbreviated New Drug Application [ANDA]
Abbreviated New Drug Application [ANDA]
Sagar Savale
 
ICH QUALITY GUIDLINES
ICH  QUALITY GUIDLINESICH  QUALITY GUIDLINES
ICH QUALITY GUIDLINES
Jagat Pal Yadav
 
IPR NDA and ANDA
IPR NDA and ANDAIPR NDA and ANDA
IPR NDA and ANDA
mahender Kotte
 
ANDA
ANDAANDA
ICH Guidelines for stability testing
ICH Guidelines for stability testingICH Guidelines for stability testing
ICH Guidelines for stability testing
AnkitaKawtikwar
 
Abbreviated new drug application submission
Abbreviated new drug application submissionAbbreviated new drug application submission
Abbreviated new drug application submission
Gaurav Sharma
 
ABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUES
ABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUESABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUES
ABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUES
Michael Swit
 
Comparison of stability testing requirements of ich with other
Comparison of stability testing requirements of ich with otherComparison of stability testing requirements of ich with other
Comparison of stability testing requirements of ich with other
Jun Brown
 
Ich
Ich Ich
Priscription drug user free act......sn
Priscription drug user free act......snPriscription drug user free act......sn
Priscription drug user free act......snbdvfgbdhg
 
INDA- Investigation New Drug Application
INDA- Investigation New Drug ApplicationINDA- Investigation New Drug Application
INDA- Investigation New Drug Application
Dr. Jigar Vyas
 
shelf life and Stability test for Ayurvedic drugs.pptx
shelf life and Stability test for Ayurvedic drugs.pptxshelf life and Stability test for Ayurvedic drugs.pptx
shelf life and Stability test for Ayurvedic drugs.pptx
ANIKETH SURVE
 
FDA container closure system & drug stability saurav anand 23 iip
FDA container closure system & drug stability saurav anand 23 iipFDA container closure system & drug stability saurav anand 23 iip
FDA container closure system & drug stability saurav anand 23 iip
hncsaurav
 
ANDA -Abbreviated NewDrug Application.pptx
ANDA -Abbreviated NewDrug Application.pptxANDA -Abbreviated NewDrug Application.pptx
ANDA -Abbreviated NewDrug Application.pptx
BHAGYASHRI BHANAGE
 
Ind (investigational new drug application) and nda
Ind (investigational new drug application) and ndaInd (investigational new drug application) and nda
Ind (investigational new drug application) and ndaswati2084
 
HATCH -WAXMAN ACT
HATCH -WAXMAN ACTHATCH -WAXMAN ACT
HATCH -WAXMAN ACT
ssuser790063
 
Paper nda
Paper nda Paper nda
Paper nda
Pradeep Gusain
 

Similar to Understanding Beyond-Use Dating for Sterile Compounds (20)

Abbreviated New Drug Application [ANDA]
Abbreviated New Drug Application [ANDA]Abbreviated New Drug Application [ANDA]
Abbreviated New Drug Application [ANDA]
 
ICH QUALITY GUIDLINES
ICH  QUALITY GUIDLINESICH  QUALITY GUIDLINES
ICH QUALITY GUIDLINES
 
IPR NDA and ANDA
IPR NDA and ANDAIPR NDA and ANDA
IPR NDA and ANDA
 
ANDA
ANDAANDA
ANDA
 
ICH Guidelines for stability testing
ICH Guidelines for stability testingICH Guidelines for stability testing
ICH Guidelines for stability testing
 
Naresh... anda ppt
Naresh... anda pptNaresh... anda ppt
Naresh... anda ppt
 
Abbreviated new drug application submission
Abbreviated new drug application submissionAbbreviated new drug application submission
Abbreviated new drug application submission
 
ABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUES
ABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUESABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUES
ABBREVIATED NEW DRUG APPLICATIONS & PATENT/EXCLUSIVITY ISSUES
 
Comparison of stability testing requirements of ich with other
Comparison of stability testing requirements of ich with otherComparison of stability testing requirements of ich with other
Comparison of stability testing requirements of ich with other
 
Achyutha anda
Achyutha andaAchyutha anda
Achyutha anda
 
Ich
Ich Ich
Ich
 
generic drugs
generic drugs generic drugs
generic drugs
 
Priscription drug user free act......sn
Priscription drug user free act......snPriscription drug user free act......sn
Priscription drug user free act......sn
 
INDA- Investigation New Drug Application
INDA- Investigation New Drug ApplicationINDA- Investigation New Drug Application
INDA- Investigation New Drug Application
 
shelf life and Stability test for Ayurvedic drugs.pptx
shelf life and Stability test for Ayurvedic drugs.pptxshelf life and Stability test for Ayurvedic drugs.pptx
shelf life and Stability test for Ayurvedic drugs.pptx
 
FDA container closure system & drug stability saurav anand 23 iip
FDA container closure system & drug stability saurav anand 23 iipFDA container closure system & drug stability saurav anand 23 iip
FDA container closure system & drug stability saurav anand 23 iip
 
ANDA -Abbreviated NewDrug Application.pptx
ANDA -Abbreviated NewDrug Application.pptxANDA -Abbreviated NewDrug Application.pptx
ANDA -Abbreviated NewDrug Application.pptx
 
Ind (investigational new drug application) and nda
Ind (investigational new drug application) and ndaInd (investigational new drug application) and nda
Ind (investigational new drug application) and nda
 
HATCH -WAXMAN ACT
HATCH -WAXMAN ACTHATCH -WAXMAN ACT
HATCH -WAXMAN ACT
 
Paper nda
Paper nda Paper nda
Paper nda
 

More from Jerry Fahrni

Cleaning and Disinfecting iv Hoods and Rooms
Cleaning and Disinfecting iv Hoods and RoomsCleaning and Disinfecting iv Hoods and Rooms
Cleaning and Disinfecting iv Hoods and Rooms
Jerry Fahrni
 
Environmental monitoring - viable particle sampling
Environmental monitoring - viable particle samplingEnvironmental monitoring - viable particle sampling
Environmental monitoring - viable particle sampling
Jerry Fahrni
 
Environmental monitoring - temperature and pressure
Environmental monitoring - temperature and pressureEnvironmental monitoring - temperature and pressure
Environmental monitoring - temperature and pressure
Jerry Fahrni
 
Environmental monitoring - surface sampling
Environmental monitoring - surface samplingEnvironmental monitoring - surface sampling
Environmental monitoring - surface sampling
Jerry Fahrni
 
Environmental monitoring - nonviable particle testing
Environmental monitoring - nonviable particle testingEnvironmental monitoring - nonviable particle testing
Environmental monitoring - nonviable particle testing
Jerry Fahrni
 
Pharmacy Cleanroom Basics
Pharmacy Cleanroom BasicsPharmacy Cleanroom Basics
Pharmacy Cleanroom Basics
Jerry Fahrni
 
Pharmacy CSP Preparation: Personnel Garbing and Gloving
Pharmacy CSP Preparation: Personnel Garbing and GlovingPharmacy CSP Preparation: Personnel Garbing and Gloving
Pharmacy CSP Preparation: Personnel Garbing and GlovingJerry Fahrni
 
Minimizing IV Admixture Errors
Minimizing IV Admixture ErrorsMinimizing IV Admixture Errors
Minimizing IV Admixture Errors
Jerry Fahrni
 
USP 797 CSP Risk Categories
USP 797 CSP Risk CategoriesUSP 797 CSP Risk Categories
USP 797 CSP Risk Categories
Jerry Fahrni
 
Compounding personnel
Compounding personnelCompounding personnel
Compounding personnel
Jerry Fahrni
 
The real work starts after implementation
The real work starts after implementationThe real work starts after implementation
The real work starts after implementationJerry Fahrni
 
How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...
How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...
How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...
Jerry Fahrni
 
KDHCD Pharmacy Automation
KDHCD Pharmacy AutomationKDHCD Pharmacy Automation
KDHCD Pharmacy AutomationJerry Fahrni
 
Cloud computing and health care - Facing the Future
Cloud computing and health care - Facing the FutureCloud computing and health care - Facing the Future
Cloud computing and health care - Facing the Future
Jerry Fahrni
 
Barcoding Solution In Pharmacy June2009
Barcoding Solution In Pharmacy June2009Barcoding Solution In Pharmacy June2009
Barcoding Solution In Pharmacy June2009Jerry Fahrni
 

More from Jerry Fahrni (15)

Cleaning and Disinfecting iv Hoods and Rooms
Cleaning and Disinfecting iv Hoods and RoomsCleaning and Disinfecting iv Hoods and Rooms
Cleaning and Disinfecting iv Hoods and Rooms
 
Environmental monitoring - viable particle sampling
Environmental monitoring - viable particle samplingEnvironmental monitoring - viable particle sampling
Environmental monitoring - viable particle sampling
 
Environmental monitoring - temperature and pressure
Environmental monitoring - temperature and pressureEnvironmental monitoring - temperature and pressure
Environmental monitoring - temperature and pressure
 
Environmental monitoring - surface sampling
Environmental monitoring - surface samplingEnvironmental monitoring - surface sampling
Environmental monitoring - surface sampling
 
Environmental monitoring - nonviable particle testing
Environmental monitoring - nonviable particle testingEnvironmental monitoring - nonviable particle testing
Environmental monitoring - nonviable particle testing
 
Pharmacy Cleanroom Basics
Pharmacy Cleanroom BasicsPharmacy Cleanroom Basics
Pharmacy Cleanroom Basics
 
Pharmacy CSP Preparation: Personnel Garbing and Gloving
Pharmacy CSP Preparation: Personnel Garbing and GlovingPharmacy CSP Preparation: Personnel Garbing and Gloving
Pharmacy CSP Preparation: Personnel Garbing and Gloving
 
Minimizing IV Admixture Errors
Minimizing IV Admixture ErrorsMinimizing IV Admixture Errors
Minimizing IV Admixture Errors
 
USP 797 CSP Risk Categories
USP 797 CSP Risk CategoriesUSP 797 CSP Risk Categories
USP 797 CSP Risk Categories
 
Compounding personnel
Compounding personnelCompounding personnel
Compounding personnel
 
The real work starts after implementation
The real work starts after implementationThe real work starts after implementation
The real work starts after implementation
 
How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...
How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...
How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...
 
KDHCD Pharmacy Automation
KDHCD Pharmacy AutomationKDHCD Pharmacy Automation
KDHCD Pharmacy Automation
 
Cloud computing and health care - Facing the Future
Cloud computing and health care - Facing the FutureCloud computing and health care - Facing the Future
Cloud computing and health care - Facing the Future
 
Barcoding Solution In Pharmacy June2009
Barcoding Solution In Pharmacy June2009Barcoding Solution In Pharmacy June2009
Barcoding Solution In Pharmacy June2009
 

Recently uploaded

CMHPSM Regional Compliance Training 2024
CMHPSM Regional Compliance Training 2024CMHPSM Regional Compliance Training 2024
CMHPSM Regional Compliance Training 2024
JColaianne
 
The Importance of COVID-19 PCR Tests for Travel in 2024.pptx
The Importance of COVID-19 PCR Tests for Travel in 2024.pptxThe Importance of COVID-19 PCR Tests for Travel in 2024.pptx
The Importance of COVID-19 PCR Tests for Travel in 2024.pptx
Global Travel Clinics
 
PrudentRx's Function in the Management of Chronic Illnesses
PrudentRx's Function in the Management of Chronic IllnessesPrudentRx's Function in the Management of Chronic Illnesses
PrudentRx's Function in the Management of Chronic Illnesses
PrudentRx Program
 
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
blessyjannu21
 
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfCHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
Sachin Sharma
 
Letter to MREC - application to conduct study
Letter to MREC - application to conduct studyLetter to MREC - application to conduct study
Letter to MREC - application to conduct study
Azreen Aj
 
Feeding plate for a newborn with Cleft Palate.pptx
Feeding plate for a newborn with Cleft Palate.pptxFeeding plate for a newborn with Cleft Palate.pptx
Feeding plate for a newborn with Cleft Palate.pptx
SatvikaPrasad
 
Tips for Pet Care in winters How to take care of pets.
Tips for Pet Care in winters How to take care of pets.Tips for Pet Care in winters How to take care of pets.
Tips for Pet Care in winters How to take care of pets.
Dinesh Chauhan
 
Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...
Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...
Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...
salisonsalim1
 
ABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROMEABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROME
Rommel Luis III Israel
 
The positive impact of SGRT – The Berkshire Cancer Centre experience
The positive impact of SGRT – The Berkshire Cancer Centre experienceThe positive impact of SGRT – The Berkshire Cancer Centre experience
The positive impact of SGRT – The Berkshire Cancer Centre experience
SGRT Community
 
Bringing AI into a Mid-Sized Company: A structured Approach
Bringing AI into a Mid-Sized Company: A structured ApproachBringing AI into a Mid-Sized Company: A structured Approach
Bringing AI into a Mid-Sized Company: A structured Approach
Brian Frerichs
 
Rate Controlled Drug Delivery Systems.pdf
Rate Controlled Drug Delivery Systems.pdfRate Controlled Drug Delivery Systems.pdf
Rate Controlled Drug Delivery Systems.pdf
Rajarambapu College of Pharmacy Kasegaon Dist Sangli
 
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
o6ov5dqmf
 
Cardiac Arrhythmias (2).pdf for nursing student
Cardiac Arrhythmias (2).pdf for nursing studentCardiac Arrhythmias (2).pdf for nursing student
Cardiac Arrhythmias (2).pdf for nursing student
fahmyahmed789
 
One Gene One Enzyme Theory.pptxvhvhfhfhfhf
One Gene One Enzyme Theory.pptxvhvhfhfhfhfOne Gene One Enzyme Theory.pptxvhvhfhfhfhf
One Gene One Enzyme Theory.pptxvhvhfhfhfhf
AbdulMunim54
 
Health Education on prevention of hypertension
Health Education on prevention of hypertensionHealth Education on prevention of hypertension
Health Education on prevention of hypertension
Radhika kulvi
 
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.pptNursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
Rommel Luis III Israel
 
POLYCYSTIC OVARIAN SYNDROME (PCOS)......
POLYCYSTIC OVARIAN SYNDROME (PCOS)......POLYCYSTIC OVARIAN SYNDROME (PCOS)......
POLYCYSTIC OVARIAN SYNDROME (PCOS)......
Ameena Kadar
 
Dimensions of Healthcare Quality
Dimensions of Healthcare QualityDimensions of Healthcare Quality
Dimensions of Healthcare Quality
Naeemshahzad51
 

Recently uploaded (20)

CMHPSM Regional Compliance Training 2024
CMHPSM Regional Compliance Training 2024CMHPSM Regional Compliance Training 2024
CMHPSM Regional Compliance Training 2024
 
The Importance of COVID-19 PCR Tests for Travel in 2024.pptx
The Importance of COVID-19 PCR Tests for Travel in 2024.pptxThe Importance of COVID-19 PCR Tests for Travel in 2024.pptx
The Importance of COVID-19 PCR Tests for Travel in 2024.pptx
 
PrudentRx's Function in the Management of Chronic Illnesses
PrudentRx's Function in the Management of Chronic IllnessesPrudentRx's Function in the Management of Chronic Illnesses
PrudentRx's Function in the Management of Chronic Illnesses
 
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
 
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfCHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
 
Letter to MREC - application to conduct study
Letter to MREC - application to conduct studyLetter to MREC - application to conduct study
Letter to MREC - application to conduct study
 
Feeding plate for a newborn with Cleft Palate.pptx
Feeding plate for a newborn with Cleft Palate.pptxFeeding plate for a newborn with Cleft Palate.pptx
Feeding plate for a newborn with Cleft Palate.pptx
 
Tips for Pet Care in winters How to take care of pets.
Tips for Pet Care in winters How to take care of pets.Tips for Pet Care in winters How to take care of pets.
Tips for Pet Care in winters How to take care of pets.
 
Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...
Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...
Mastoid cavity problem and obilteration presentation by Dr Salison Salim Pani...
 
ABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROMEABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROME
 
The positive impact of SGRT – The Berkshire Cancer Centre experience
The positive impact of SGRT – The Berkshire Cancer Centre experienceThe positive impact of SGRT – The Berkshire Cancer Centre experience
The positive impact of SGRT – The Berkshire Cancer Centre experience
 
Bringing AI into a Mid-Sized Company: A structured Approach
Bringing AI into a Mid-Sized Company: A structured ApproachBringing AI into a Mid-Sized Company: A structured Approach
Bringing AI into a Mid-Sized Company: A structured Approach
 
Rate Controlled Drug Delivery Systems.pdf
Rate Controlled Drug Delivery Systems.pdfRate Controlled Drug Delivery Systems.pdf
Rate Controlled Drug Delivery Systems.pdf
 
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
 
Cardiac Arrhythmias (2).pdf for nursing student
Cardiac Arrhythmias (2).pdf for nursing studentCardiac Arrhythmias (2).pdf for nursing student
Cardiac Arrhythmias (2).pdf for nursing student
 
One Gene One Enzyme Theory.pptxvhvhfhfhfhf
One Gene One Enzyme Theory.pptxvhvhfhfhfhfOne Gene One Enzyme Theory.pptxvhvhfhfhfhf
One Gene One Enzyme Theory.pptxvhvhfhfhfhf
 
Health Education on prevention of hypertension
Health Education on prevention of hypertensionHealth Education on prevention of hypertension
Health Education on prevention of hypertension
 
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.pptNursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
 
POLYCYSTIC OVARIAN SYNDROME (PCOS)......
POLYCYSTIC OVARIAN SYNDROME (PCOS)......POLYCYSTIC OVARIAN SYNDROME (PCOS)......
POLYCYSTIC OVARIAN SYNDROME (PCOS)......
 
Dimensions of Healthcare Quality
Dimensions of Healthcare QualityDimensions of Healthcare Quality
Dimensions of Healthcare Quality
 

Understanding Beyond-Use Dating for Sterile Compounds

  • 2. The beyond-use date (BUD) of a product is not the same as the expiration date
  • 3. A BUD is assigned by the pharmacy for a compounded sterile product (CSP)
  • 4. The BUD for a CSP identifies the time by which the preparation – once mixed – must be used before it is at risk for chemical degradation, contamination, and permeability of the packaging.
  • 5. The BUD date signifies the time after which a CSP cannot be administered
  • 6. As described in previous ASHP guidelines and in USP chapter <797> the BUD is determined from the date or time the preparation is compounded, its chemical stability, and the sterility limits described later in these guidelines. Both the stability of the components and the sterility limits described must be taken into consideration when determining BUDs Am J Health-Syst Pharm. 2014; 71:145-66.
  • 7. Time and temperature must be controlled throughout the entire life cycle of a CSP. Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville,MD: The United States Pharmacopeial Convention; 2014:66.
  • 8. When CSPs are known to have been exposed to temperatures warmer than the warmest labeled limit or to temperatures exceeding 40° for more than 4 hours, such CSPs should be discarded unless direct assay data or appropriate documentation confirms their continued stability. Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:66.
  • 9. The BUD must appear on the label on the container or package of a compounded preparation General notices and requirements. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:26.
  • 10. The BUD must be shorter than the manufacturer’s expiration date. Often the BUD is much shorter.
  • 11. The BUD must be the shorter of the sterility dating or chemical stability dating. Am J Health-Syst Pharm. 2014; 71:145-66.
  • 12. So even if something is stable for 30 days doesn’t mean it’s sterile for 30 days. You must use the shorter of the two for BUD.
  • 13. An expiration date is identified by the product manufacturer
  • 14. The FDA defines expiration date as: The date (usually placed on the containers/labels of an API) designating the time during which the API is expected to remain within established shelf-life specifications if stored under defined conditions and alter which it should not be used (API) = Active Pharmaceutical Ingredient
  • 15. A manufacturer’s expiration date is the date assigned pursuant to manufacturer testing. The drug product is guaranteed by the manufacturer to be safe and effective up to the listed date when products are stored as described in the product labeling. Am J Health-Syst Pharm. 2014; 71:145-66.
  • 16. The expiration date assigned by the manufacturer no longer applies once the manufacture's container is opened and the drug product is transferred to another container for dispensing or repackaging
  • 17. As you can see, the BUD of a product is not the same as the expiration date
  • 18. Does USP provide recommendations for BUDs?
  • 20. USP <797> provides recommended BUD guidelines based on CSP microbial contamination risk category For more information on CSP risk category……[link to CSP Risk Category presentation]
  • 21. Risk Category Room Temperature 20 to 25°C Cold Temperature 2 to 8°C Freezer -25 to -10°C Immediate Use 1 hour 1 hour N/A Low-Risk 48 hours 14 days 45 days Low-Risk w/12-hour BUD 12 hours or less 12 hours or less N/A Medium-Risk 30 hours 9 days 45 days High-Risk 24 hours 3 days 45 days
  • 22. Can BUDs beyond USP guidelines be used?
  • 23. Yes, but with a caveat …
  • 24. Pharmacies may exceed USP <797>’s recommended BUDs for CSPs as long as independent sterility testing is performed according to USP <71>

Editor's Notes

  1. American Society of Health-System Pharmacists. ASHP Guidelines on Compounding Sterile Preparations. Am J Health-Syst Pharm. 2014; 71:145-66.
  2. ** Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:66.
  3. ** Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:66.
  4. American Society of Health-System Pharmacists. ASHP Guidelines on Compounding Sterile Preparations. Am J Health-Syst Pharm. 2014; 71:145-66.
  5. (API) Active Pharmaceutical Ingredient
  6. American Society of Health-System Pharmacists. ASHP Guidelines on Compounding Sterile Preparations. Am J Health-Syst Pharm. 2014; 71:145-66.
  7. Temperature ranges: General notices and requirements. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:66.