Not-for-profit Pharmacy Case Study

Pharmacy Reaches 503B Milestone With Long-Term Sustainability Plan

Compounding Pharmacy Secures FDA Registration

Share this case study!

Life Sciences

Industry

Pharma Manufacturing

Location

United States

The project’s key achievement was helping the client meet complex FDA and USP standards, positioning their pharmacy to safely expand services and reduce outsourcing costs.

Challenge

This client is a large not-for-profit health system operating its own central compounding pharmacy to serve patients across multiple hospitals and clinics. Facing heightened regulatory scrutiny, they needed to secure FDA 503B outsourcing facility registration and align operations with strict USP 797 and USP 800 standards for sterile and hazardous drug compounding. Without expert guidance, they risked compliance gaps, operational delays, and higher third-party outsourcing costs. Trinity’s regulatory and technical specialists were brought in to navigate the complex registration process and create a clear, achievable action plan.

Solutions

Trinity’s team worked closely with the client to develop a comprehensive strategy for FDA registration and compliance readiness. We assessed existing operations, identified gaps, and guided facility upgrades and process improvements to meet federal requirements. By coordinating directly with regulators and the client’s internal teams, we ensured a smooth path to registration and long-term operational sustainability.

Services Performed

The team developed a regulatory strategy and provided FDA 503B registration support to ensure the client’s outsourcing facility met stringent compliance requirements. They conducted gap assessments for USP 797 and USP 800, identifying areas for improvement and guiding corrective actions. Facility design and operational processes were optimized to align with best practices, while staff training and quality system enhancements strengthened overall compliance and operational efficiency.

Healthcare Facility Design & Commissioning

Compounding Pharmacy Program Support

Design Intent Evaluation & Review

Results

Trinity’s targeted approach enabled the health system’s pharmacy to achieve FDA outsourcing facility registration on schedule, maintain full compliance with USP standards, and significantly reduce reliance on external compounding vendors. This expanded safe prescription access for patients, lowered overall costs, and strengthened the client’s commitment to high-quality in-house care.