BOSTON — Massachusetts officials have ordered 11 compounding pharmacies to completely or partially shut down after a series of recent unannounced state inspections.

The inspections were prompted by a deadly fungal meningitis outbreak caused by drugs linked to the now-closed New England Compounding Center. The Framingham pharmacy produced a contaminated steroid blamed for an outbreak that has killed 45 people and sickened more than 600 nationwide.

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The unannounced inspections were conducted over the past several months at 40 sterile compounding pharmacies across the state.

Besides the 11 cease-and-desist orders, public health inspectors cited 21 other pharmacies for minor deficiencies that have since been corrected or are currently being addressed.

Pharmacies that have been shut down must submit a plan and take corrective actions before they can begin producing drugs again.