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c/compounding·posted 3 months ago by u/step_count_stan

the shortage list question that gets asked weekly, answered properly

PSA Cold Box ×3

Genuinely asking, not being difficult.

Everyone in c/hplc repeats that 503A is important. I believe it, but I have never seen anyone show why, and when I search I get 11 threads of people agreeing with each other.

Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

3,491 up / 3,095 down53% upvoted14 commentsid jqxll229 Apr 2026

14 comments

14 in this archive, depth 6

best — the order this archive was captured in

u/prior_auth_painMOD58 points·3 months ago

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

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u/dario_stanescu20 points·3 months ago

What is the actual shortage list status right now?

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u/hydration_hank33 points·3 months ago

Asked 17 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/receptor_bias_rick11 points·3 months ago

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

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u/sofia_danquah7 points·3 months ago

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

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u/ahmed_okafor6 points·3 months ago

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

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[deleted]4 points·3 months ago

[deleted]

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u/gustav_cardoso-8 points·3 months ago

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

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u/joaquin_trevino1 point·3 months ago

What is the actual shortage list status right now?

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u/incretin_ivypharmacology5 points·3 months ago

regulatory claims need a citation to the actual rule, not interpretation

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u/pavel_kravchenko4 points·3 months 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/step_count_stanOP4 points·3 months ago

The telehealth + compounding combo cost 503B plus 9% markup. Not cheap but covered by insurance depending on state.

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u/slow_logbook0 points·3 months ago

Strongly agree. API source transparency matters.

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u/step_count_stanOP24 points·3 months ago

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

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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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  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.
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