For those of us in the Animal Drug world, we know it is unusual to hear much regarding compounding of animal drugs. Generally speaking, Animal Drug Compounding is prohibited; in accordance with GFI #256, “animal drugs compounded from bulk drug substances by pharmacists and veterinarians do not meet certain important requirements of the Federal Food, Drug, and Cosmetic Act (FD&C Act)…Thus, drugs compounded from bulk drug substances violate the FD&C Act because they are not approved or indexed, are not made according to CGMP, and cannot satisfy the FD&C Act’s adequate directions for use provision (which requires, among other things, that a prescription drug have FDA-approved labeling).”

However, FDA’s Center for Veterinary Medicine (CVM) provides information in GFI #256 for situations in which they would likely use enforcement discretion when Animal Drugs are compounded by veterinarians or pharmacists in State-licensed pharmacies or federal government facilities when no other medically appropriate treatment options exist. Human Drugs can be compounded either in 503A Compounding Pharmacies (for a specific patient) or in 503B Outsourcing Facilities (at a larger scale) that are registered with FDA under section 503B of the FD&C Act; however, 503B Facilities have not previously been allowed for animal drug compounding.

A new (or “addendum”) CVM draft guidance came out, GFI #256B, that when finalized, will be combined with the current GFI #256. It provides some additional information on compounding of animal drugs in federally registered facilities. According to the Federal Register Notice (FRN) 2026-17580, GFI #256B is intended to provide recommendations for the situation where CVM intends to use enforcement discretion for a federally registered facility which compounds animal drugs when it is not a state-licensed pharmacy. These federally registered facilities would be those registered under section 503B of the FD&C Act, as discussed above. GFI #256B includes the specific requirements which must be met for enforcement discretion to be applied.

This is a significant change to the previous stance from CVM, and I, for one, will be surprised if there is no substantial push-back on this change. The comment period for GFI #256B is open until November 27, 2026. All submissions must include the Docket No. FDA-2018 D-4533; additional information on how to provide comments can be found in the FRN.