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Single comment threadYou are looking at one branch of genuine question about 503B that I am slightly embarrassed to ask — 47 comments in the full submission. View in context.
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c/compounding·submitted 2 years ago by u/stubborn_batchlist_pls

genuine question about 503B that I am slightly embarrassed to ask

Pricingbranch of 9 comments

genuine question about 503B that I am slightly embarrassed to ask — that is what I am asking, and I have already read the wiki twice. Switched between two compounded preparations and the concentration on the label was different. Redid the arithmetic on paper before drawing anything. Paid noticeably more at one clinic…

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9 comments, started 2 years ago
u/lift_heavy_thingsresistance training57 points·2 years 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/stubborn_batchlist_plsOP42 points·2 years 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/stubborn_batchlist_pls24 points·2 years ago

Agreed on potency testing of the finished preparation. That is a different question from the purity of the starting material.

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u/stubborn_batchlist_plsOP18 points·2 years ago

ask what the beyond-use date is based on

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u/lift_heavy_thingsresistance training4 points·2 years ago

do not assume the concentration matches the branded product

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u/julia_erdogan10 points·2 years ago

Small fix — 503B facilities register with the regulator; 503A pharmacies are licensed by the state board. Different mechanisms.

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u/gallbladder_gary3 points·2 years 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/ahmed_fonseca32 points·2 years ago

Salt form matters for mass: a preparation specified as one salt and dosed as the free base gives you a different amount of peptide for the same number on the label.

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u/stubborn_batchlist_plsOP31 points·2 years ago

That figure is the starting material purity, not the finished preparation potency. Two different tests.

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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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