Accepted answer
0.9 per cent is 9 mg of sodium chloride per millilitre — 0.9 g in 100 mL — which works out at about 154 mmol/L of each ion and is why it is called isotonic. The number that sets a beyond-use date is not the tonicity, though: it is the absence of a preservative. Plain 0.9 per cent sodium chloride for injection is single-use, so a compounded preparation made in it is dated on sterility grounds long before chemistry becomes the limit. Bacteriostatic diluents carry benzyl alcohol and buy the twenty-eight days the convention describes; 9 mg/mL of salt buys none of it. A beyond-use date set on stability data alone, with no sterility argument behind it, is a date about the molecule and not about the vial.
The relevant distinction is between compounding for an individual patient and compounding at scale, which are regulated differently.
Compounding is the preparation of a medicine for an individual patient in response to a prescription, where an approved product is unsuitable. It sits outside the approval framework by design rather than by omission.
Regulators generally prohibit compounding what is essentially a copy of a commercially available product, with a shortage listing being the usual exception that permits it temporarily.
Compounding is defined in regulation as preparation for an individual patient under prescription and is distinguished from manufacturing by scale and by the patient-specific requirement.
The caveat is that the legal and regulatory position differs by jurisdiction and nothing here is legal advice.
Check the beyond-use date and what it was based on.
edited 13 Mar 2026 by tess_amankwah — added the citation requested in comments