Driven by the need to meet USP requirements, pharmacy renovations over the past year have typically been comprehensive. Likewise, there has been a marked increase in the budgeted costs to complete these upgrades. Increased spending for renovations has been particularly prevalent for small and mid-sized facilities. However, even with the impending 12/1/19 deadline approaching, most facilities continue to struggle to get administration support for the renovation budget. Aging cleanrooms are the norm, raising concerns that USP <800> compliance may be difficult for some facilities to achieve in time. Areas of particular concern are segregated HD storage, external venting of HD PECs, and appropriately designed buffer rooms. The next few months should be busy as many pharmacies operating in older facilities plan to renovate their cleanrooms.