Approximately 7,500 pharmacies, out of the 56,000 total pharmacies currently operating in the United States, are specifically devoted to drug compounding. This disparity places a high demand on compounding pharmacies, and that means pharmacists in these establishments work primarily on compounding specific drugs that cannot be obtained elsewhere. Items produced in these facilities have a higher probability of incorporating sterile and nonsterile dosage forms. It should also be noted that compounding can be completed in hospital pharmaceutical settings and alternate health care establishments.
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Although many pharmacies are qualified to carry out some degree of non sterile drug compounding, the majority of compounding takes place in pharmacies equipped with specific instruments and professionals who have been trained in the practice. Drug compounding procedures can be utilized for products that do not require sterile compounding (such as liquids, ointments, creams, or capsules), or they can be utilized for items where sterile compounding is critical (medications injected into bodily tissue, blood, or applied in the eyes).
All licensed pharmacists are taught the fundamental concepts necessary to carry out simple compounding procedures. Furthermore, the majority of pharmacies possess basic drug compounding instruments such as graduated cylinders, balances, mortars and pestles, spatulas, and ointment slabs. These items can be used, respectively, to measure liquids, weigh solids, grind items, combine substances, and manipulate products. This assortment of basic pharmaceutical resources allow compounding pharmacists to routinely produce non sterile compounded medications for prescribers.