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Reference

Compounding pharmacy glossary

Plain-language definitions of the terms providers and patients run into when working with a compounding pharmacy.

Compounding
Compounding is the practice of preparing a customized medication to fit an individual patient's prescription — adjusting strength, dosage form, or ingredients beyond what commercial products offer.
503A Compounding Pharmacy(503A)
A 503A compounding pharmacy prepares medications for a specific patient based on an individual prescription, regulated primarily by state boards of pharmacy under Section 503A of the Federal Food, Drug, and Cosmetic Act.
503B Outsourcing Facility(503B)
A 503B outsourcing facility compounds medications in larger batches, often without a patient-specific prescription, registers with the FDA, and must follow current Good Manufacturing Practice (cGMP).
Sterile Compounding
Sterile compounding prepares contaminant-free medications — such as injectables and ophthalmics — in ISO-classified cleanrooms under USP <797>.
Non-Sterile Compounding
Non-sterile compounding prepares medications that don't need to be sterile — capsules, creams, oral liquids, troches — under USP <795>.
USP <795>
USP General Chapter <795> is the United States Pharmacopeia standard governing non-sterile compounding, covering ingredients, equipment, documentation, and beyond-use dating.
USP <797>
USP General Chapter <797> is the standard governing sterile compounding, setting requirements for cleanroom environments, aseptic technique, and sterility assurance.
USP <800>
USP General Chapter <800> sets standards for safely handling hazardous drugs in healthcare settings to protect personnel, patients, and the environment.
Bioidentical Hormone Replacement Therapy(BHRT)
BHRT uses hormones that are structurally identical to those the human body produces; compounding pharmacies can prepare them in custom strengths and forms to a prescriber's specification.
Active Pharmaceutical Ingredient(API)
An active pharmaceutical ingredient (API) is the component of a medication that produces its intended therapeutic effect, as distinct from inactive excipients.
Excipient
An excipient is an inactive ingredient — such as a filler, binder, preservative, or flavoring — used to formulate a medication. Compounding can omit specific excipients for patients with sensitivities.
Titration
Titration is the gradual adjustment of a medication's dose — up or down — to reach the level that works best for a patient. Compounding supports titration with custom intermediate strengths.
Troche
A troche is a small, dissolvable lozenge that delivers medication through the tissues of the mouth — a common non-sterile compounded dosage form.
Peptide Therapy
Peptide therapy uses short chains of amino acids, prescribed by a provider, that can be compounded into injectable or other forms for individualized treatment plans.
Current Good Manufacturing Practice(cGMP)
cGMP is the FDA's system of regulations for manufacturing quality; 503B outsourcing facilities must comply with cGMP, while 503A pharmacies follow USP compounding standards.
Beyond-Use Date(BUD)
A beyond-use date (BUD) is the date after which a compounded preparation should not be used, assigned based on USP standards, formulation, and storage conditions.