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c/compounding·posted 15 days ago by u/swirl_dont_shake

[Question] does anyone get a COA from their compounding pharmacy

Question Slow Clap ×2

Something I noticed reading old threads that I have not seen said out loud.

The advice on telehealth in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.

I have listed what I think the current consensus is below. Correct me — that is the point of posting it.

757 up / 270 down74% upvoted22 commentsid 1ksw1m14 Jul 2026

22 comments

21 in this archive, depth 5

best — the order this archive was captured in

u/quiet_moderatorMOD59 points·14 days ago

Retitled to remove editorialising. Put the evidence in the body.

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u/formulary_fighterappeals25 points·14 days ago

telehealth prescriber models exist, pricing differs by state

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[removed]18 points·14 days ago

[removed by moderator]

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u/liv_vukovic29 points·15 days ago

The 503A pharmacy I used lost their shortage list eligibility. Same day, compounding became illegal. Rules are real.

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u/lipid_panel_larrybloodwork18 points·15 days ago

I am going to push back on this slightly.

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u/discount_math_dm4 points·14 days ago

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

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u/yusuf_kirchner25 points·14 days ago

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

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u/kian_ferreira21 points·14 days ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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u/swirl_dont_shakeOPreconstitution0 points·14 days ago

Sceptical.

Disagree on that part. 95.1% and 99.3% on the same vial is normal.

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u/step_count_stan1 point·14 days ago

telehealth costs telehealth plus compounding markup, total varies

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u/swirl_dont_shakeOPreconstitution11 points·14 days ago

The telehealth + compounding combo cost API source plus 15% markup. Not cheap but covered by insurance depending on state.

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u/tobias_vukovic15 points·14 days ago

Strongly agree. API source transparency matters.

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u/runa_grimaldi12 points·13 days ago

Which state? Rules vary.

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u/quiet_moderatormod8 points·15 days ago

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/swirl_dont_shakeOPreconstitution6 points·14 days ago

The 503A pharmacy I used lost their shortage list eligibility. Same day, compounding became illegal. Rules are real.

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u/swirl_dont_shakereconstitution5 points·14 days ago

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

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u/ahmed_okafor4 points·14 days ago

Not convinced. The evidence does not support that reading.

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u/step_count_stan3 points·14 days ago

Small correction: the trial was 12 weeks, not 38. Does not change your point but people will quote it.

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u/dario_stanescu-5 points·14 days ago

state board rules differ, say which state

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u/chidi_demir1 point·14 days ago

the Poland situation is different from the US, different regulations

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u/naomi_erdogan3 points·15 days ago

Three years on this site and the questions have not changed at all.

Yes, exactly this, and it is the bit that took me 11 weeks to accept.

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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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