Journal article
Economics of compliance for mixing allergy immunotherapy
Frontiers in allergy, v 6, 1729120
13 Jan 2026
PMID: 41608595
Abstract
United States Pharmacopeia (USP), a nonprofit organization that sets safety standards for food, medicine and supplements updated its Chapter 797 standards for the preparation of allergy immunotherapy vials in November 2023. These guidelines impacted facility and personnel qualifications, workflow, and laboratory documentation. We hypothesized adhering to regulations may be financially difficult for allergy practices. To comply, offices must either use mail order prescription facilities or allocate financial resources to purchase a Primary Engineering Control (PEC) Hood, a device used to protect against airborne contaminants, or build-out an Allergenic Extract Compounding Area (AECA), a room specialized for compounding allergens. We performed a comparative analysis to determine financial feasibility of these three scenarios with the support of a Public Service Enterprise Group (PSEG) grant. Of these three options prescription sets were most costly, followed by PEC Hood and AECA. For both PEC Hood and AECA, costs were recouped by the third week of operation. In conclusion, for long term operation, the AECA would be most feasible for small private practice outpatient clinics in regard to overall cost and estimated revenue.
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Details
- Title
- Economics of compliance for mixing allergy immunotherapy
- Creators
- Katarina I. Trapanotto (Corresponding Author) - Stony Brook UniversityMary F. Lee-Wong - Maimonides Medical CenterRobert A. Promisloff - Drexel UniversityAnthony M. Szema - Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
- Publication Details
- Frontiers in allergy, v 6, 1729120
- Publisher
- Frontiers
- Number of pages
- 5
- Grant note
- Public Service Enterprise Group Foundation
The author(s) declared that financial support was received for this work and/or its publication. We performed a comparative analysis to determine financial feasibility of these three scenarios with the support of a Public Service Enterprise Group (PSEG) grant.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:001669115900001
- Other Identifier
- 991022154866304721