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c/compounding·submitted 7 months ago by u/ismael_pires

three years of telehealth threads, summarised so you do not have to read them

Questionbranch of 8 comments

Posting this as a discussion rather than a claim: three years of telehealth threads, summarised so you do not have to read them. Why "compounded" is not "generic", written out because the confusion is constant. A generic is an approved product demonstrated to be bioequivalent to a reference. A compounded preparation…

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8 comments, started 7 months ago
u/quiet_moderatormod5 points·7 months ago

Compounded preparations are not approved products and carry no bioequivalence claim. That is a statement about regulatory category, not about quality.

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u/rafael_ostergaard4 points·7 months ago

a telehealth intake that asks nothing has told you what it is

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u/amara_kuipers2 points·7 months ago

Compounded preparations are not approved products and carry no bioequivalence claim.

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

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u/hamza_serrano1 point·7 months ago

A 503A pharmacy compounds for an identified patient against a prescription. A 503B outsourcing facility registers with the regulator, may produce without patient-specific prescriptions, and is subject to current good manufacturing practice requirements. The two are governed differently and the difference is not cosmetic.

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u/nadia_fonseca1 point·7 months ago

What is the beyond-use date and what is it based on?

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u/liv_vukovic3 points·7 months ago

That is not what patient-specific means. It refers to the prescription, not to a customisation of the formula.

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u/ilias_cabrera2 points·7 months ago

The shortage list is the legal hinge: the permissions that allow certain compounding to happen at scale are tied to a drug’s shortage status, which changes.

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u/yusuf_kirchner1 point·7 months ago

That is not what patient-specific means.

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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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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