Aspen Pharmacare will produce up to 3.6 billion pills a year at its new manufacturing plant as the South African drug maker expands its therapeutic portfolio, Chief Executive Stephen Saad said at the official launch.

Although the U.S. requires prescriptions for topical steroids with more than a 0.5% concentration, much stronger and potentially harmful steroid creams are not hard to find without a prescription, doctors report.

A federal prosecutor told jurors that a Massachusetts pharmacist gambled with patients’ lives by making drugs in unsafe ways that led to a deadly 2012 fungal meningitis outbreak, but a defense lawyer said he was not a murderer.

AstraZeneca’s experimental injection for severe asthma cut substantially the need for patients to take problematic oral steroid drugs in a late-stage study.