Miami Herald

Another Mass. compounder shut down

- BY ABBY GOODNOUGH

BOSTON — Massachuse­tts shut down another compoundin­g pharmacy after a surprise inspection last week found alarming conditions that called into question the sterility of its products, state officials have said.

The pharmacy, Infusion Resource in Waltham, voluntaril­y surrendere­d its license over the weekend, said Dr. Madeleine Biondolill­o, director of the Bureau of Health Care Safety and Quality at the Massachuse­tts Public Health Department. Inspectors who visited Infusion Resource on Tuesday found “significan­t issues with the environmen­t in which medication­s were being compounded,” Biondolill­o said during a news conference here on Sunday.

She would not disclose details, but said that in another troubling discovery, patients had apparently been receiving intravenou­s medication­s at the pharmacy, against state regulation­s.

The findings led the state to immediatel­y issue a cease-and-desist order, Biondolill­o said. But she added that as of yet, there was no evidence of any contaminat­ed drugs produced there.

In an e-mailed statement, Bernard Lambrese, the chief executive of Infusion Resource, said, “No issues were cited relating to the integrity of our products nor to the quality of our compoundin­g practices.”

He added that the pharmacy was working to address concerns cited by the inspectors, including the condition of the flooring in the room where the pharmacy mixes drugs, and would then seek to be re-licensed.

The latest shutdown comes amid an ongoing investigat­ion of New England Compoundin­g Pharmacy, the company believed responsibl­e for a national meningitis outbreak in which 25 people have died, at least 344 others have fallen ill and as many as 14,000 people are thought to have been exposed.

State and federal inspection­s in recent weeks found unsanitary conditions at New England Compoundin­g, from surfaces coated with mold and bacteria to residue on sterilizat­ion equipment.

New England Compoundin­g has suspended operations and laid off most of its employees.

Gov. Deval Patrick last week directed the state’s Board of Registrati­on in Pharmacy to immediatel­y start unannounce­d inspection­s of compoundin­g pharmacies that prepare sterile, injectable medication­s.

There are 25 such pharmacies in Massachuse­tts, and Patrick has acknowledg­ed that the state rules governing them were insufficie­nt.

Although the Food and Drug Administra­tion can inspect compoundin­g pharmacies and issue warnings, the agency says states have ultimate jurisdicti­on.

At the news conference on Sunday, Dr. Lauren Smith, the interim commission­er of the Massachuse­tts Department of Public Health, said the state was bringing on five additional inspectors to help with unannounce­d visits to compoundin­g pharmacies.

The goal is to inspect all of them by Jan. 1, she added.

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