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c/compounding·posted 2 years ago by u/kavya_kravchenko

help me understand 503A, I have read the wiki twice

Pricing Long Haul ×9 Receipts ×2 Slow Clap ×1

Genuinely asking, not being difficult.

Everyone in c/glp1canada repeats that shortage list is important. I believe it, but I have never seen anyone show why, and when I search I get 18 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.

3,534 up / 614 down85% upvoted39 commentsid kabode22 Apr 2024

39 comments

30 in this archive, depth 3

best — the order this archive was captured in

u/jonas_eriksen400 points·2 years ago

Crossposting this to c/hplc because the people who need it are not reading this community.

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u/ahmed_okafor91 points·2 years ago

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

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u/kavya_kravchenkoOP0 points·2 years ago

Small correction: the trial was 9 weeks, not 19. Does not change your point but people will quote it.

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[deleted]162 points·2 years ago

[deleted]

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u/cold_chromatogram31262 points·2 years ago

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

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u/hugo_bergstrom71 points·2 years ago

This is correct.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/julia_erdogan83 points·2 years ago

This is correct.

Yes, exactly this, and it is the bit that took me 18 weeks to accept.

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u/kavya_kravchenkoOP133 points·2 years ago

You have restated the marketing copy. What is the actual substance here.

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u/sofia_nascimento204 points·2 years ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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u/kavya_kravchenkoOP-32 points·2 years ago

telehealth costs 503B plus compounding markup, total varies

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u/gallbladder_gary143 points·2 years ago

What is the actual shortage list status right now?

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u/milos_mensa97 points·2 years ago

the the UK situation is different from the US, different regulations

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u/gustav_cardoso56 points·2 years ago

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

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u/ilias_cabrera29 points·2 years ago

Disagree. What you are describing is consistent with compounding, not with what you concluded.

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u/tove_ogunleye36 points·2 years ago

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

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u/rania_diallo25 points·2 years ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/ismael_pires17 points·2 years ago

Not convinced. The evidence does not support that reading.

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u/controversial_only25 points·2 years ago

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

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u/elin_ferrari6 points·2 years ago

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

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u/enzo_ferrari15 points·2 years ago

Disagree. What you are describing is consistent with 503B, not with what you concluded.

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u/formulary_fighterappeals18 points·2 years ago

Small correction: the trial was 20 weeks, not 17. Does not change your point but people will quote it.

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u/emeka_chowdhury0 points·2 years ago

The telehealth + compounding combo cost telehealth plus 4% markup. Not cheap but covered by insurance depending on state.

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u/jonas_eriksen16 points·2 years ago

What is the actual shortage list status right now?

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u/vikram_mbeki23 points·2 years ago

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

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u/fatima_kowalski16 points·2 years ago

state board rules differ, say which state

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u/ferran_mensah14 points·2 years ago

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

Adding to this: API source is doing more work than the comment implies.

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u/teodor_duarte10 points·2 years ago

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

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u/quiet_moderatorMOD12 points·2 years ago

Tracking number removed. It identifies both ends of a shipment.

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u/marit_laurent9 points·2 years ago

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

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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.
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