Available Until 11/15/2022

Compounded Sterile Preparations Specialty Selected Readings: Insanitary Conditions, Implementation of Compliance Teams, and Environmental Monitoring (Cert # L219366)

ACPE Numbers: 0204-0000-21-639-H07-P
Pre-Sale Date: 10/27/2021
Content Release Date: 11/17/2021
Expiration Dates: 11/15/2022
Activity Type: Application-based
CE Credits: 3 contact hours (BPS and ACPE)
Activity Fee: $100 (ASHP member); $150 (non-member)

Activity Overview

The purpose of this activity is to offer participants recertification credits for the Board of Pharmacy Specialty (BPS) certification for compounded sterile preparations practitioners (BCSCP) by providing a review of pertinent topics. 

This module focuses on insanitary conditions, implementation of compliance teams, and environmental monitoring. By reading the selected chapters and answering the post-activity assessment, the clinician will enhance their understanding and application of these criteria and approaches. 

This activity is approved for 3.0 contact hours of continuing pharmacy education credit. Successful completion of the learning module will provide 3.0 contact hours of continuing pharmacy education credit.  

The American Society of Health-System Pharmacists are accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This activity is intended for Board Certified Sterile Compounding Pharmacist in need of recertification credit. 

Board certified pharmacists are eligible to receive up to 3 contact hours of recertification credit for completing this course. To earn recertification credit, learners must review the course content and successfully complete the online assessments by the deadline. Only completed assessments will be eligible for credit; no partial or incomplete assessments will be processed.  You are allowed only one attempt to successfully complete this assessment. 

This course is not intended for those preparing to take the BPS Compounded Sterile Preparations Pharmacy Specialty Examination for Certification. 

This activity is part of the ASHP professional development program for BCSCP recertification approved by the BPS.

Learning Activity

ACPE Number

Contact Hours

Compounded Sterile Preparations Specialty Selected Readings: Insanitary Conditions, Implementation of Compliance Teams, and Environmental Monitoring (Cert # L219366)


3.0 ACPE

  →   Recertification Assessment (70% passing score required)

3.0 BPS


  1. Chaffee BW, Tharp JC, Clark JS et al. A compounding compliance team at an academic medical center. Am J Health-Syst Pharm. 2020; 77:882-91.
  2. Tharp JC, Kullar RK, Tupps MA. Designing a microbiological monitoring program for compounding facilities. Am J Health-Syst Pharm. 2021; 78:158-67.
  3. U.S. Food and Drug Administration. Insanitary Conditions at Compounding Facilities Guidance for Industry. November 2020. 

Learning Objectives 

After participating in this CPE activity, learners should be able to:

  • Apply strategies to identify and manage insanitary conditions in the cleanroom.
  • Explain the place in practice for a compounding compliance team.
  • Develop a microbiological monitoring program for a compounding facility.

Faculty bios

Michael Freudiger, Pharm.D., APh, BCPS, BCGP, BCSCP
Clinical Pharmacist & Sterile Compounding Specialist
Valley Children's Healthcare
Saint Agnes Medical Center
Fresno, California

Kevin N. Hansen, Pharm.D., M.S., BCPS*
Assistant Director of Pharmacy (Sterile Products, Special Formulations, Perioperative Services)
Moses H. Cone Memorial Hospital
Greensboro, North Carolina

*Content matter expert

Angela Cassano, Pharm.D., BCPS, FASHP
President, Pharmfusion Consulting, LLC
Midlothian, Virginia

Ghassan Agha, M.A.T., Pharm.D., R.Ph., BCNP, BCSCP
David Braverman, Pharm.D., BCSCP
Tara Breuer, R.Ph., BCPS, BCSCP
Bassem Fahmi Armanious, BCPS, BCSCP
Alesia Hanson, R.Ph., BCSCP
Allison Hopkins, Pharm.D., BCSCP, BCNSP, CNSC
Justin Hoppes, Pharm.D., BCSCP
Conner Mansfield, Pharm.D., M.B.A., BCSCP
James Mason, Pharm.D., BCSCP, RAC, CPH, CPGP
Linda McKee, Pharm.D., BCPS, BCSCP
James Morgan, Pharm.D., BCSCP
Binh Nguyen, Pharm.D., M.S., BCSCP
Thu-Trang "Lucy" Nguyen, Pharm.D.
Jagwant Rai, R.Ph..,BCSCP
Catherine Richwine, B.S., BCSCP
Charisse So, Pharm.D., APh, BCSCP
Susan Tetzlaff, R.Ph., BCSCP
Shunsuke Toyoda, Pharm.D. BCPS, BCSPS, BCNSP
Tyler Vest, Pharm.D., M.S., BCPS, BCSCP

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support and the Accreditation Council for Pharmacy Education’s Standards for Commercial Support, ASHP requires that all individuals involved in the development of activity content disclose their relevant financial relationships. A person has a relevant financial relationship if the individual of his or her spouse/partner has a financial relationship (e.g. employee, consultant, research grant recipient, speakers bureau, or stockholder) in any amount occurring the in the last 12 months with a commercial interest whose products or series may be discussed in the educational activity content over which the individual has control. The existence of these relationships is provided for the information of participants and should not be assumed to have an adverse impact on the content. 

All faculty and planners for ASHP education activities are qualified and selected by ASHP and required to disclose any relevant financial relationships with commercial interests. ASHP identifies and resolves conflicts of interest prior to an individual’s participation in development of content for an educational activity. Anyone who refuses to disclose relevant financial relationships must be disqualified from any involvement with a continuing pharmacy education activity. 

All other planners, presenters, reviewers, ASHP staff and others with an opportunity to control content report no financial relationships relevant to this activity. 

Activities consist of educational materials, assessments, and activity evaluations. In order to receive continuing pharmacy education credit, learners must:

  • Complete the attestation statement
  • Review all content
  • Complete and pass the assessments
  • Complete the evaluations 

Follow the prompts to claim, view, or print the statement of credit within 60 days after completing the activity.


These activities were developed by ASHP.