Medication Compounding Certification | Joint Commission
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Sunday 10:42 CST, May 20, 2018

Medication Compounding Providers

Quality compounding of medicine is foundational to patient safety and may serve to reduce the incidence of adverse healthcare associated conditions such as infections and medication errors. USP Compounding Standards <797> and <795> aim to assist hospitals in improving the quality of the healthcare they deliver. As such, it is part of USP’s mission to support the advancement of healthcare quality and safety. USP is proud to work with The Joint Commission on this important endeavor and would also like to commend institutions that demonstrate their commitment to quality through such certification processes.”

Jaap Venema, Ph.D., USP Chief Science Officer

About the Program

The Joint Commission’s Medication Compounding Certification is a voluntary certification program for hospitals and home care agencies seeking an independent evaluation and recognition of compliance with USP Chapters <797> and <795> (the evaluation will include <800> once they are implemented). Michigan was the first state to require certification, however several other states have legislation pending.  The Joint Commission certified over 75 organizations in Michigan in early 2017.

The program has been developed to recognize organizations that demonstrate excellence in medication compounding through a combination of standards compliance for both Joint Commission standards for medication compounding and the USP standards.

Focus Topics

  • People:  training, proper use of personal protective equipment, aseptic technique
  • Product:  sterility of base products, beyond use dates, labeling
  • Environment:  airflow, buffer areas, guidelines for cleaning and documentation, storage

The Risks of Compounding

Pew’s Drug Safety Project identified over 25 reported compounding errors or potential errors associated with 1,076 adverse events, including 90 deaths, since 2001. 

The Pew Charitable Trusts, Drug Safety Project, October 14, 2015



Compounding pharmacies that provide sterile and nonsterile compounding services are eligible to apply for certification. An earned certification is good for two years. Unlike other Joint Commission certification programs, you do not need to be a Joint Commission-accredited organization to gain this certification.

This program is open to all organizations performing medication compounding.

Certification Timeline



How to Get Started

Step 1.  Get a 90 day trial of the standards
The Standards of this certification program are aligned with the USP standards. Meeting these standards can help show your patients that you are providing quality compounded medications.

Step 2. Conduct a gap analysis. 
Whether you have internal resources to conduct an assessment, or are looking for an external objective view, this is an important step in gauging compliance and priorities.

Step 3. Contact us to apply. 

Hospital-based pharmacies:,
Francine Topps
Business Development Specialist

Home care pharmacies
Margherita C. Labson RN, MSHSA, CPHQ
Executive Director Home Care Program

Why Achieve The Joint Commission’s Gold Seal of Approval® for Certification?

For more than 60 years, the name “The Joint Commission” has been synonymous with quality, safety, and performance improvement. Our standards are recognized as the most rigorous in the industry, our surveyors and reviewers are some of the most knowledgeable in their field, and our accredited and certified organizations are among the top in their marketplaces. No other “seal of approval” is as widely recognized by peers, payers, insurers, and the public as The Joint Commission Gold Seal of Approval®. The Joint Commission is committed to continuously improving the quality and safety of care provided to the public.