PCAB Survey Data Reveal Progress, Gaps

By: Caroline Girardeau, PharmD, MBA, PMP, BCPS, Program Director

Caroline Girardeau brings more than 30 years of pharmacy experience to her position as Program Director for ACHC Pharmacy and PCAB (Compounding Pharmacy) Accreditation. She combines clinical expertise with a passion for education, quality, and performance improvement to help pharmacies strengthen their practices and deliver safe, patient-centered care.

Posted: December 22, 2025

Recent PCAB (Compounding Pharmacy) Accreditation survey data show meaningful improvement but also highlight opportunities for continued growth. The latest Quality Review edition of Surveyor features the first cohort of compounding pharmacies surveyed under revised standards that align with updated USP requirements.

Ten standards were cited as noncompliant on more than 25% of surveys, with four from Section 6: Provision of Care and Record Management. The most frequently cited standard, TCRX6-C, focuses on safe storage, labeling, handling, and disposal of pharmaceutical components and preparations.

While cited on 41% of surveys, it shows notable progress from three years ago, when 69% of compounding pharmacies in this cohort struggled meeting requirements.

Similarly, the second most cited standard, TCRX6-D, shows improvement in shipping system validations, declining from 63% noncompliance in 2022 to 37% in 2025.

New this year

Continuous improvement is woven into all we do at ACHC, including the annual Quality Review edition of Surveyor. In our recent issue, “tips for compliance” under each standard profile are enhanced to address varying levels of accreditation knowledge and experience across your agency. Explore our new Accreditation Nerd categories to see which is best for you. 

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