Cal. Code Regs. tit. 8, § 9789.40.4 – Compounding Fee and Sterility Fee for Pharmacy Dispensed or Physician Dispensed Compounded Drugs: Route of Administration Compounding Fee/Sterility Fee Table; Dosage Form Compounding Fee Table; Compounded Drugs Dispensed on or after July 1, 2025.

(a) The Compounding Fee per allowed container is the lower of the billed compounding fee amount or:
1. (1) the fee designated for the compounded drug's route of administration on the Route of Administration Compounding Fee/Sterility Fee Table set forth in subdivision (e), or, if that amount is zero,
2. (2) the fee designated for the compounded drug's applicable dosage form and range of dosage metric decimal units on the Dosage Form Compounding Fee Table set forth in subdivision (f).
(b) The Sterility Fee per allowed container is the lower of the billed sterility fee amount or the fee designated in the Route of Administration Compounding/Sterility Fee Table set forth in subdivision (e). A Sterility Fee is allowed only when sterility testing is performed by the pharmacy or physician. The pharmacy or physician must maintain records of the sterility testing with the prescription.
(c) The maximum professional dispensing fee per allowed container is the dispensing fee determined pursuant to section 9789.40.3 for a pharmacy or $10.05 for a physician dispensing in accordance with Business and Professions Code section 4170.
(d) Allowed container count:
1. (1) The maximum billable container count per dispensed compounded prescription equals one.
2. (2) Notwithstanding paragraph one, up to 20 containers may be billed for the following Compound Route of Administration Descriptions:
  1. (A) Injection
  2. (B) Infusion.
(e) Route of Administration Compounding Fee/Sterility Fee Table
Compound Route of Administration Description
Metric Decimal Quantity Range
Compounding Fee
Sterility Fee
Buccal
000 to 9999999
0
0
Dental
000 to 9999999
0
0
Enteral
000 to 9999999
0
0
Infusion
000 to 9999999
0.99
0.32
Inhalation
000 to 9999999
0
0
Injection
000 to 9999999
0.99
0.32
Intraperitoneal
000 to 9999999
0
0.32
Irrigation
000 to 9999999
0
0.32
Mouth/Throat
000 to 9999999
0
0
Mucous Membrane
000 to 9999999
0
0.32
Nasal
000 to 9999999
0.81
0
Ophthalmic
000 to 9999999
2.04
0.32
Oral
000 to 9999999
0
0
Other/Miscellaneous
000 to 9999999
0
0
Otic
000 to 9999999
0.81
0
Rectal
000 to 9999999
0
0
Sublingual
000 to 9999999
0
0
Topical
000 to 9999999
0
0
Transdermal
000 to 9999999
0
0
Translingual
000 to 9999999
0
0
Urethral
000 to 9999999
0
0.32
Vaginal
000 to 9999999
0
0
(f) Dosage Form Compounding Fee Table
Compound Dosage Form
Compound Dosage Form Description
Compound Claim Quantity Low Range
Compound Claim Quantity High Range
Compounding Fee
01
Capsule
0000000
0000005
0.00
01
Capsule
0000006
0000036
1.98
01
Capsule
0000037
9999999
3.95
02
Ointment
0000001
0000179
1.64
02
Ointment
0000180
9999999
3.29
03
Cream
0000001
0000179
1.64
03
Cream
0000180
9999999
3.29
04
Suppository
0000001
0000023
3.29
04
Suppository
0000024
9999999
5.76
05
Powder
0000000
0000005
0.00
05
Powder
0000006
0000036
1.98
05
Powder
0000037
9999999
3.95
06
Emulsion
0000001
0000239
0.81
06
Emulsion
0000240
9999999
1.64
07
Liquid
0000000
9999999
0.99
10
Tablet
0000000
0000005
0.00
10
Tablet
000006
0000036
1.98
10
Tablet
0000037
9999999
3.95
11
Solution
0000000
9999999
0.99
12
Suspension
0000000
9999999
0.99
13
Lotion
0000001
0000239
0.81
13
Lotion
0000240
9999999
1.64
14
Shampoo
0000000
9999999
0.99
15
Elixir
0000000
9999999
0.99
16
Syrup
0000000
9999999
0.99
17
Lozenge
0000000
0000005
0.00
17
Lozenge
0000006
0000036
1.98
17
Lozenge
0000037
9999999
3.95
18
Enema
0000000
9999999
0.99

The maximum allowable compounding fee, sterility fee, and professional dispensing fee payable to a pharmacy pursuant to section 9789.40.3 or to a physician for purposes of section 9789.40.7, subdivision (a)(2), shall be determined as follows.

Note: Authority cited: Sections 133, 4603.5, 5307.1 and 5307.3, Labor Code. Reference: Sections 4600, 4603.2 and 5307.1, Labor Code.

History

1. New section filed 12-11-2024; operative 7-1-2025. Submitted to OAL for filing and printing only pursuant to Government Code section 1340.9(g) (Register 2024, No. 50).