20Ways Summer Hospital 2026

Improving Patient Care & Pharmacy Cost Containment

THE CHALLENGE: NAVIGATING REGULATORY

AND OPERATIONAL CHALLENGES

IU Health’s pain clinic was tasked with delivering roughly 100

intrathecal pain pump refills per week. Between significant

compliance hurdles, and the escalating risk exposure

associated with in-house compounding, it became clear

that trying to do everything in-house was unsustainable.

Tate Trujillo, PharmD, BCPS, FCCM, FASHP, CPEL, Executive

Director of Pharmacy, Clinical Nutrition & Indiana Poison

Center at IU Health, explained, “We were trying to manage

this out of our satellite pharmacy and were not meeting

the need, particularly as the clinic was adding more and

more providers.” This led the pharmacy leadership team

to explore outsourcing solutions that could provide both

regulatory, compliance, and workflow improvements.

THE SOLUTION: AIS HEALTHCARE—THE RIGHT

COMPOUNDING PHARMACY PARTNER

IU Health needed to identify a pharmacy specializing

in Category 3 medications that could meet USP <797>

standards. Ideally, this pharmacy could integrate with IU

Health’s existing workflows and streamline administrative

burdens. After a thorough evaluation, IU Health chose

AIS Healthcare, an outsourcing partner with advanced

infrastructure, providing the highest standards in sterile

compounding.

AIS immediately began providing:

Quality control measures, from the industry-leading

cleaning, disinfection, and sanitization of its facilities

to the latest testing equipment

Terminal sterilization for enhanced safety and

compliance

Case Study: Challenges

and Solutions to Category 3

Compounded Medications

With its multiple, large-scale health facilities, Indiana

University Health (IU Health) needed assistance in

2019 managing their demand for intrathecal pain

pump–compounded medications. Increasing demand

for pain-pump refills, and the accompanying federal

compliance regulations posed significant operational

challenges. So they sought a trusted outsourcing

partner that could reduce overhead, streamline access,

and maintain the highest possible standards.

Indiana University Health

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