What is the recommended BUD for Medium Risk CSPs stored in the refrigerator?

For Medium Risk Compounded Sterile Preparations (CSPs) stored in the refrigerator, the recommended Beyond Use Date (BUD) is indeed 9 days. This classification of CSPs typically involves the preparation of multiple individual doses that are combined, while also requiring sterile conditions.

The assigned BUD reflects the stability and sterility considerations associated with Medium Risk CSPs. When these preparations are refrigerated, they may maintain their integrity and sterility for a shorter period compared to Low Risk CSPs due to the inherent complexities and potential for microbial growth during preparation. The 9-day BUD provides a balance between maintaining sterility and ensuring patient safety, thus minimizing the risk of contamination and degradation of the active ingredients.

Understanding the different risk categories and their associated BUDs is crucial for pharmacy practice, as it helps pharmacists ensure the safe and effective dispensing of compounded sterile products.