Table IV.3: Frequency of Recurring Inspections, by the Number of States That Reported Conducting Them
  Number of states
Type of licensed or registered entity At least once a year 1 up to 2 years 2 up to 3 years 3 up to 5 years 5 or more years
Resident (in-state) pharmacya 13 16 9 2 1
Nonresident (out-of-state) pharmacy 0 2 0 0 0
Resident sterile compounding pharmacyb 21 11 4 2 0
Nonresident sterile compounding pharmacyb 1 3 0 0 0
Resident wholesale distributora 5 13 4 4 1
Nonresident wholesale distributor 0 1 0 0 0
Resident outsourcing facility 11 9 1 2 0
Nonresident outsourcing facility 1 2 0 0 0

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.
aTwo states that reported conducting recurring inspections did not report the frequency of these inspections.
bTwelve 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.