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They are prepared by a licensed pharmacy at the direction of a licensed provider when a commercial product is unavailable or when a patient requires a tailored formulation

Investigators alleged when they inspected the clinic last year, it lacked, among other things, the necessary hygiene equipment, air filtration system and easily cleanable surface areas to ensure the sterility of compounded drugs. The accusation alleges Cohen allowed Gramlich, who owned and operated Fairbanks Pharmacy in Rancho Santa Fe, to bring an unknown person to his office to help compound the drugs

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J Exp Med 215:2955