Secondary engineering controls refer to the ante area and buffer area that separate the primary engineering control (PEC) area from the surrounding environment. The buffer area must meet or exceed ISO Class 7 standards with a minimum of 30 air changes per hour, while the ante area must meet or exceed ISO Class 8 standards with a minimum of 20 air changes per hour. These areas have increased air supply, HEPA filtration, and room pressurization compared to ordinary rooms. The configuration and requirements of the secondary engineering controls depend on the risk level of the compounded sterile preparations.