Table IV.2: The Number of States That Reported Conducting Different Types of Inspections for Resident (In-State) and Nonresident (Out-of-State) Pharmacies, and Other Entities
  Type of inspection (number of states)
Type of licensed or registered entity Pre-licensure One time only (post-licensure) For cause (e.g., in response to complaint) Recurring
Resident pharmacy 39 2 44 43
Nonresident pharmacy 1 0 1 2
Resident sterile compounding pharmacya 28 0 33 38
Nonresident sterile compounding pharmacya 3 0 2 4
Resident wholesale distributor 33 4 34 29
Nonresident wholesale distributor 1 0 1 1
Resident outsourcing facility 21 1 22 23
Nonresident outsourcing facility 3 0 1 3

Source: GAO survey of state pharmacy regulatory bodies, survey question 17. | GAO-17-363SP
Notes: GAO surveyed the state pharmacy regulatory bodies in the 50 states, the District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands, and all but 4 completed the survey.
aTwelve states reported having a separate state license category for resident sterile compounding pharmacies, and 12 states reported having a category for nonresident sterile compounding pharmacies; however, some states reported that they inspect pharmacies they know are compounding sterile drugs even if their state does not have a specific license category for these entities.