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c/compounding·posted 1 year ago by u/yannick_barros

6 months in and shortage list is still the thing I get wrong

Pricing Receipts ×4 Well Actually ×2

compounding. That is the whole post, but I will justify it.

Everything else people worry about in c/coldchain is downstream of it. Titration speed, muscle cramps, the endless dose arguments — most of it resolves if you sort compounding out first, and almost nobody does.

I say this having got it wrong for 17 months. My hs-CRP was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

2,426 up / 505 down83% upvoted36 commentsid 1jt34520 Jan 2025

36 comments

25 in this archive, depth 4

best — the order this archive was captured in

u/santiago_rasmussen273 points·1 year ago

no pharmacy referral codes, naming is fine, recruiting is not

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u/rina_sobczak125 points·1 year ago

Yeah, 503A and 503B are different regulatory animals.

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u/step_count_stan209 points·1 year ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/sofia_nascimento165 points·1 year ago

telehealth costs state board plus compounding markup, total varies

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u/tobias_vukovic56 points·1 year ago

no pharmacy referral codes, naming is fine, recruiting is not

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u/clara_danquah135 points·1 year ago

no pharmacy referral codes, naming is fine, recruiting is not

Adding to this: shortage list is doing more work than the comment implies.

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u/formulary_fighterMOD288 points·1 year ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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[removed]211 points·1 year ago

[removed by moderator]

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u/yannick_barrosOP62 points·1 year ago

Asked 9 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/milos_mensa15 points·1 year ago

the shortage list is temporary, it ends and compounding becomes illegal again

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u/pavel_kravchenko-24 points·1 year ago

Are we talking 503A or 503B?

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u/dario_stanescu-28 points·1 year ago

telehealth costs 503B plus compounding markup, total varies

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u/tb500_tangent1 point·1 year ago

the 503A/503B distinction is load-bearing, do not blur it

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u/camila_mensa149 points·1 year ago

Not convinced. The evidence does not support that reading.

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u/mateusz_adebayo104 points·1 year ago

no pharmacy referral codes, naming is fine, recruiting is not

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u/tb500_tangent34 points·1 year ago

Did they tell you their API source or dodge the question?

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u/dario_stanescu181 points·1 year ago

Yeah, 503A and 503B are different regulatory animals.

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u/cold_chromatogram31151 points·1 year ago

The telehealth + compounding combo cost 503B plus 12% markup. Not cheap but covered by insurance depending on state.

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u/neha_krastev84 points·1 year ago

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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u/liver_enzyme_liz102 points·1 year ago

Yeah, 503A and 503B are different regulatory animals.

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u/tove_ogunleye38 points·1 year ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/kavya_kravchenko18 points·1 year ago

503B compounding is different from 503A, different rules, different legality

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u/camila_mensa11 points·1 year ago

the shortage list is temporary, it ends and compounding becomes illegal again

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u/dario_stanescu21 points·1 year ago

This is correct. The shortage list does expire and the rules change.

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u/emeka_chowdhury56 points·1 year ago

the Poland situation is different from the US, different regulations

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About c/compounding

Compounded GLP-1s as a supply route: the 503A/503B distinction, the shortage-list mechanics that made compounding legal and then didn't, state board rules, telehealth prescriber models, and what a compounding pharmacy will and will not tell you about its API source.

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c/compounding rules
  1. Regulatory claims need a citation to the actual rule, notice or docket.
  2. No pharmacy referral codes. Naming a pharmacy is fine; recruiting for it is not.
  3. API source questions are on-topic and pharmacies dodging them is newsworthy.
  4. Independent community. Nobody here sells anything, and anyone who tries is banned.
  5. Not medical advice. Describe what you did; never prescribe to a stranger.
  6. Claims need evidence. Batch numbers, dated screenshots, independent test reports, or a citation.
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