I do not see a reason to look too hard for pharma (USP) grade, and there's no a priori reason to assume pharma grade has higher purity standard than food grade, which is readily available. the tests are a little different, but neither is clearly better than the other for a reef tank, IMO:
Sodium Hydroxide USP NF Grade Specifications
Identification— A solution (1 in 25) responds to the tests for Sodium.
Insoluble substances and organic matter— A solution (1 in 20) is complete, clear, and colorless to slightly colored.
Potassium— Acidify 5 mL of a solution (1 in 20) with 6 N acetic acid, then add 5 drops of sodium cobalt nitrite TS: no precipitate is formed.
Heavy metals— the limit is 0.003%.
Sodium Hydroxide FCC Food Grade
REQUIREMENTS
Identification: A 1:25 aqueous solution gives positive tests for Sodium.
Assay: Not less than 95.0% and not more than 100.5% of total alkali, calculated as NaOH.
Arsenic: Not more than 3 mg/kg.
Carbonate: (as Na2CO3) Not more than 3.0%.
Insoluble Substances and Organic Matter: Passes test.
Lead: Not more than 2 mg/kg.
Mercury: Not more than 0.1 mg/kg.