When it comes to enforcement, agencies could be different in each state. It could be:
• Federal Government for federally owned facilities;
• State Board of Pharmacy;
• State Board of Medicine;
• State Public Health Department;
• OSHA (Occupational Safety and Health Administration) (because it relates to employee health);
Creating the very tight tolerance for negative pressure & dedicated exhausting 100% of the HD Buffer Room air outdoors is typically very difficult because many Compounding Pharmacies are built in the basement or lower floors of multi-story hospitals with no way to direct vent the air outside. Odulair could not find even one “off-the-shelf” HVAC system that would meet the required specifications. The company had to design their own HVAC system and find a company to build it for them.