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c/compounding·posted 4 months ago by u/ireland_drugs_pay

unpopular opinion: state board is massively overrated

Regulatory Long Haul ×5

Trying to settle this properly because the thread from last year went in circles.

The claim: compounding matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 8 months without either producing anything.

What would actually settle it is 23 people measuring the same thing the same way. I have started; my numbers are below. They lean one way but not strongly enough for me to declare victory.

If you have data, post the data. If you have an opinion, flair it as an opinion.

2,603 up / 2,282 down53% upvoted21 commentsid l4yrjw9 Mar 2026

21 comments

17 in this archive, depth 4

best — the order this archive was captured in

u/elise_ramos69 points·4 months ago

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

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u/lukas_delgado56 points·4 months ago

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

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u/solene_eriksen26 points·4 months ago

the Poland situation is different from the US, different regulations

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[removed]26 points·4 months ago

[removed by moderator]

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u/gallbladder_gary21 points·4 months ago·edited

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

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u/dario_stanescu20 points·4 months ago

The telehealth + compounding combo cost shortage list plus 18% markup. Not cheap but covered by insurance depending on state.

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u/lina_ndiaye6 points·4 months ago

Respectfully this is a sample of one presented as a finding.

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u/sigrid_kaufmann33 points·4 months ago

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

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u/clara_danquah27 points·4 months ago

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

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u/ahmed_fonseca20 points·4 months ago

telehealth prescriber models exist, pricing differs by state

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u/step_therapy_s-20 points·4 months ago

The telehealth + compounding combo cost state board plus 24% markup. Not cheap but covered by insurance depending on state.

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u/ireland_drugs_payOP0 points·4 months ago

Asked 6 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/ireland_drugs_payOP1 point·4 months ago

shortage list status is 503A, check the actual list

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u/jonas_eriksen1 point·4 months ago

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

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u/blunt_coldbox_notes1 point·4 months ago

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

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u/rekha_mwangi19 points·4 months ago

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

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u/zaid_grimaldi23 points·4 months ago

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

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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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