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c/compounding·submitted 9 months ago by u/elin_ferrari

the telehealth question that gets asked weekly, answered properly

Regulatorybranch of 11 comments

the telehealth question that gets asked weekly, answered properly. It is the sort of thing everyone half-believes and nobody writes down. Compounded preparations are not approved products and carry no bioequivalence claim. That is a statement about regulatory category, not about quality. The shortage list is the…

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This branch

11 comments, started 9 months ago
u/clara_danquah13 points·9 months ago

Concentration on the compounded vial was different from what I had been using and I nearly did the arithmetic on autopilot.

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u/elin_ferrariOP9 points·9 months ago

the API source is the question nobody asks and everybody should

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u/naomi_erdogan6 points·9 months ago

Not convinced. You are comparing a compounded concentration with a branded one and assuming they match.

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u/enzo_ferrari2 points·9 months ago

compounded is not generic, there is no equivalence claim

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u/clara_danquah1 point·9 months ago

compounded is not generic, there is no equivalence claim

Adding one thing — ask for the facility name. Most will give it, and the ones that will not have answered you.

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u/stubborn_batchlist_pls3 points·9 months ago

Paid noticeably more at one clinic than another for what turned out to be the same facility behind both.

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u/marit_laurent2 points·9 months ago

Disagree — a 503B being registered does not make its preparations equivalent to an approved product. Different regulatory category entirely.

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u/elise_ramos3 points·9 months ago

Switched between two compounded preparations and the concentration on the label was different. Redid the arithmetic on paper before drawing anything.

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u/ireland_drugs_pay0 points·9 months ago

Switched between two compounded preparations and the concentration on the label was different.

This is the distinction the whole board runs on. Everything else follows from it.

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u/ruben_cabrera1 point·9 months ago·edited

This is the distinction the whole board runs on.

Agreed — and the follow-up question is what the beyond-use date is based on.

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u/sigrid_kaufmann1 point·9 months ago

What did the intake actually ask you?

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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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