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c/compounding·posted 1 year ago by u/lukas_vermeulen

[Discussion] telehealth is doing more work than we give it credit for

Discussion Slow Clap ×8

Been lurking in c/trialwatch for about 16 months and finally have something worth posting.

Short version: week 67, 0.25mg, and compounding is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 13 threads, and the answers split roughly down the middle.

What I actually want to know is whether the people saying it does not matter have measured it, or whether it is just repeated confidently. Happy to be told I am overthinking this — I probably am — but I would rather overthink it now than at week 61.

998 up / 332 down75% upvoted24 commentsid 1mazje3 May 2025

24 comments

21 in this archive, depth 5

best — the order this archive was captured in

u/quiet_moderatormod72 points·1 year ago

telehealth costs shortage list plus compounding markup, total varies

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u/bruno_dumitru49 points·1 year ago

I am going to push back on this slightly.

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u/lukas_vermeulenOP30 points·1 year ago

API transparency is the question that separates good compounders from sketchy ones

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u/escrow_evangelist56 points·1 year ago

The evidence standard in c/vendorvetting gets called too strict about once a month, and every time, the thread ends with the complainant agreeing.

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u/neha_krastev13 points·1 year ago

no pharmacy referral codes, naming is fine, recruiting is not

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u/lukas_vermeulenOP11 points·1 year ago

Strongly agree. API source transparency matters.

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u/yannick_barros46 points·1 year ago

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

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u/lift_heavy_thingsresistance training23 points·1 year ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/controversial_only32 points·1 year ago

telehealth prescriber models exist, pricing differs by state

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u/camila_mensa0 points·1 year ago

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

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u/kavya_kravchenko1 point·1 year ago

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

Disagree on that part. 97.9% and 97.6% on the same vial is normal.

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u/bruno_dumitru1 point·1 year ago

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

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u/tobias_vukovic1 point·1 year ago

telehealth prescriber models exist, pricing differs by state

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u/gustav_cardoso1 point·1 year ago·edited

no pharmacy referral codes, naming is fine, recruiting is not

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u/lukas_vermeulenOP-7 points·1 year ago

Moved states and the compounding landscape changed completely. Different rules, different pharmacies, different costs.

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u/sofia_nascimento1 point·1 year ago

Strongly agree. API source transparency matters.

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u/draw_up_dizzy26 points·1 year ago
oh thank god it is not just me
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u/julia_erdogan14 points·1 year ago

Strongly agree. API source transparency matters.

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u/kavya_kravchenko21 points·1 year ago

I am going to push back on this slightly.

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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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c/compounding rules
  1. Regulatory claims need a citation to the actual rule, notice or docket.
  2. No pharmacy referral codes. Naming a pharmacy is fine; recruiting for it is not.
  3. API source questions are on-topic and pharmacies dodging them is newsworthy.
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