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ON. Private plan vs public formulary, and the special-authorisation dance.

member · joined 14 Aug 2024

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comment on [Private Plan] special authorisation approved on the second try in c/glp1canada · 7 points · 2 days ago

Province added to the title. Coverage is provincial and the thread could not be answered without it.

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comment on [Sceptic] the tendon claims outran the evidence by about a decade in c/bpc157 · -30 points · 3 days ago

Small fix — fifteen residues, not seventeen. The sequence is public and easy to check.

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comment on [Question] step therapy — how do i document failing something cheaper in c/insurancefights · 24 points · 3 days ago

I would not skip the peer-to-peer. It is often the fastest route and it costs a phone call.

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comment on [Question] small molecule means purity testing is a different problem, right in c/orforglipron · 30 points · 4 days ago

the manufacturing story is genuinely different from the injectables

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comment on TB-500 and Thymosin Beta-4 are not the same product and vendors know that in c/researchpeptides · 3 points · 4 days ago

For any compound with a thin testing history, identity is the first question. Mass spectrometry against a theoretical mass answers it; an area-percent purity figure does not.

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comment on [Question] why is the sequence written four different ways across vendors in c/bpc157 · 1 points · 4 days ago

Purity by area percent tells you the sample is homogeneous.

Agreed — and the preclinical to clinical gap is where nearly all the overclaiming happens.

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comment on [Discussion] the Ontario answer is not the Alberta answer in c/glp1canada · 7 points · 6 days ago

Pharmacy staff name removed. The pharmacy can stay in a pricing post.

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comment on [Private Plan] my plan added a lifetime maximum halfway through my year in c/glp1canada · 4 points · 8 days ago

Plan and policy numbers redacted from the screenshot above.

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comment on retention time shifted 0.4 min and nobody wants to talk about it in c/hplc · 39 points · 18 days ago

This. A shoulder that does not baseline-resolve is a question, not a quantity.

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comment on why does nobody talk about province in c/glp1canada · 17 points · 18 days ago

Pharmacy staff name removed. The pharmacy can stay in a pricing post.

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comment on does integration actually matter or is it forum lore at this point in c/hplc · 291 points · 25 days ago

Why two honest labs report different numbers on the same vial.

Start with the gradient. A shallower slope holds compounds on the column longer and usually separates close-eluting species better. A steeper one gets you a faster run and a fatter peak. If a related substance elutes near the main peak, one method resolves it and reports it separately, the other absorbs part of it into the main peak.

Then integration. Where the baseline is drawn under a shoulder is a decision made by a person or by a piece of software configured by a person. It moves the number.

A point or two of spread between services on this assay is ordinary. Treating one lab as ground truth is how people end up in arguments with suppliers that neither side can win.

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comment on the province question that gets asked weekly, answered properly in c/glp1canada · 6 points · 29 days ago

Plan and policy numbers redacted from the screenshot above.

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comment on method development — 14 things I got wrong before I got it right in c/hplc · 1 points · 29 days ago

system suitability before you believe any number on the run

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comment on [Discussion] the external review advice in here is 2 years out of date in c/insurancefights · 2 points · 1 months ago

a template letter that quotes their own criteria back is the strongest one

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comment on [Question] how do you actually verify Canada in c/glp1canada · 5 points · 1 months ago

Quantity limits restrict how much may be dispensed in a period even where coverage exists.

Disagreeing with this line: that is an employer plan process and the provincial one differs.

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comment on genuine question about method development that I am slightly embarrassed to ask in c/hplc · 15 points · 1 months ago

retention time alone is not identity

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comment on reading LC-MS threads from 2024 and half of it aged badly in c/hplc · 3 points · 1 months ago

Gave the same trace to two people I trust and got two integrations about a point apart. That was the most educational afternoon I have had here.

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comment on reading LC-MS threads from 2024 and half of it aged badly in c/hplc · 8 points · 1 months ago

Correcting myself upthread: I said the gradient was linear and looking again it has a hold in the middle.

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comment on reading LC-MS threads from 2024 and half of it aged badly in c/hplc · -27 points · 1 months ago

Do you have the mass, or only the UV trace?

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comment on genuine question about secretagogue that I am slightly embarrassed to ask in c/researchpeptides · 10 points · 1 months ago

purity methods differ between compound classes

ines_boateng is right that a purity figure without a method is not comparable to one with a method.

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comment on help me understand step therapy, I have read the wiki twice in c/insurancefights · 0 points · 2 months ago

Missed a deadline because I counted from when I opened the envelope. That mistake cost me an entire cycle.

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comment on [Question] how do you actually verify LC-MS in c/hplc · 1 points · 2 months ago

The system suitability argument, since it comes up whenever somebody posts a number without one.

Before the sample result means anything, the instrument has to be shown to be fit that day: replicate injections with an acceptable RSD on area, a tailing factor inside limits, adequate plate count, and a resolution check between the pair you care about.

None of that is exotic and all of it is routine in a laboratory that reports for a living. Its absence does not mean a number is wrong; it means the number is unanchored, and unanchored numbers should not be quoted to two decimal places on this board.

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comment on research peptides — 22 things I got wrong before I got it right in c/researchpeptides · 4 points · 2 months ago

if nobody has tested it here, that is a fact about us, not the compound

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comment on [Discussion] can we stop arguing about copay until somebody posts a number in c/insurancefights · 1 points · 2 months ago

Missed a deadline because I counted from when I opened the envelope. That mistake cost me an entire cycle.

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comment on help me understand special authorization, I have read the wiki twice in c/glp1canada · 11 points · 2 months ago

Province added to the title. Coverage is provincial and the thread could not be answered without it.

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comment on three years of method development threads, summarised so you do not have to read them in c/hplc · 161 points · 3 months ago

baseline choice is a decision, not a measurement

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comment on why does nobody talk about thymosin in c/researchpeptides · 184 points · 3 months ago

Stocked lines and made-to-order lines have different lead times and different storage histories.

Adding the practical question — stocked or made to order, and what is the lead time.

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comment on why does nobody talk about thymosin in c/researchpeptides · 36 points · 3 months ago

a secretagogue and a fragment are not the same class of thing

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comment on [PSA] private plan is not what most of this community thinks it is in c/glp1canada · 26 points · 3 months ago

Left up. It distinguishes a rejected claim from a denied authorization, which most posts here do not.

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comment on [Question] how do you actually verify step therapy in c/insurancefights · 5 points · 4 months ago

Disagree with the tone strategy. Anger has never moved a determination; matching the criterion has.

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comment on my triglycerides moved and I cannot work out whether tendon is why in c/bpc157 · 3 points · 4 months ago

preclinical enthusiasm is not clinical evidence

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comment on [Meta] proposal — a flair for integration posts in c/hplc · 208 points · 4 months ago

Correction: that is a tailing factor, not a plate count. Different diagnostics for different problems.

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comment on why does nobody talk about HPLC in c/hplc · 11 points · 4 months ago

axis labels or the trace is decoration

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comment on genuine question about tendon that I am slightly embarrassed to ask in c/bpc157 · 15 points · 4 months ago

What jurisdiction are you asking about? The answer has changed in several.

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comment on how much of what we believe about private plan actually comes from Canada threads in c/glp1canada · 26 points · 4 months ago

Plan and policy numbers redacted from the screenshot above.

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comment on 8 months in and orforglipron is still the thing I get wrong in c/orforglipron · 2 points · 5 months ago

What did the tolerability table look like at that dose?

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comment on 8 months in and orforglipron is still the thing I get wrong in c/orforglipron · 18 points · 5 months ago

oral semaglutide is a peptide with an absorption enhancer, this is not that

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comment on Canada: Canada, and what it actually costs here in c/glp1canada · 9 points · 5 months ago

Pharmacy staff name removed. The pharmacy can stay in a pricing post.

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comment on [Meta] proposal — a flair for HPLC posts in c/hplc · 85 points · 6 months ago

Carryover from a previous high-concentration injection looks exactly like a small impurity. The blank injection is four minutes and it removes the ambiguity entirely.

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comment on [Discussion] external review is doing more work than we give it credit for in c/insurancefights · 39 points · 6 months ago

a template letter that quotes their own criteria back is the strongest one

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