I've read through the discussions about methotrexate at physician offices which has led to more questions about other HDs. We own about 12 physician practices - these physician practices are not provider based clinics so they don't really fall under my radar of oversight. With USP 800 however, I feel obligated to provide some oversight on how to handle the HDs at the offices. Also, the drugs used at our physician offices are purchased by us, the hospital pharmacy, and we distribute to each practice requesting them.

How are you advising your physician offices to handle BCG, methotrexate, Eligard, Firmagon? Do you prepare the BCG for them in your HD hood? Do they wear PPE? Where to you have them dispose of the PPE?

Have a good weekend :)

Rachel Durham PharmD RPh
Director of Pharmacy
Fulton County Health Center
Wauseon, OH