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c/compounding·posted 10 months ago by u/ignacio_vanhecke

[Question] API source — what am I missing here

Question Well Actually ×8 Long Haul ×1

Right, the compounding question again, but with numbers this time.

I have 21 data points over 12 weeks. The pattern is consistent enough that I do not think it is chance, and boring enough that nobody is going to screenshot it, which is usually a good sign.

The thing I would flag for anyone new: the effect I am describing showed up at week 54, not week 8. People give up long before the interesting part.

Interested in whether this matches other people's logs or whether I am an outlier.

1,369 up / 353 down80% upvoted44 commentsid 1nf4962 Oct 2025

44 comments

16 in this archive, depth 4

best — the order this archive was captured in

u/yannick_barros218 points·9 months ago

Which state? Rules vary.

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u/hamza_serrano181 points·9 months ago

shortage list status is shortage list, check the actual list

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u/liv_vukovic100 points·9 months ago

telehealth costs 503A plus compounding markup, total varies

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u/ignacio_vanheckeOP84 points·9 months ago

Asked 13 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/usp_appendixMOD121 points·9 months ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/escrow_evangelist40 points·9 months ago

This is an urgent-care question wearing a forum question's clothes.

Disagree on that part. 95.1% and 96.2% on the same vial is normal.

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u/ignacio_vanheckeOP24 points·9 months ago

The telehealth + compounding combo cost 503A plus 19% markup. Not cheap but covered by insurance depending on state.

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u/cold_chromatogram318 points·9 months ago

Small correction: the trial was 12 weeks, not 14. Does not change your point but people will quote it.

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u/kavya_kravchenko107 points·9 months ago

503B compounding is different from 503A, different rules, different legality

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u/ffmi_watcher78 points·9 months ago

Did they tell you their API source or dodge the question?

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u/ignacio_vanheckeOP44 points·9 months ago

regulatory claims need a citation to the actual rule, not interpretation

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u/controversial_only64 points·9 months ago

The confident tone is doing a lot of work that the evidence is not.

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u/gallbladder_gary73 points·9 months ago

Not convinced. The evidence does not support that reading.

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u/priya_palacios42 points·9 months ago·edited

Are we talking 503A or 503B?

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u/medutest_mel50 points·9 months ago

telehealth prescriber models exist, pricing differs by state

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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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  1. Regulatory claims need a citation to the actual rule, notice or docket.
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  3. API source questions are on-topic and pharmacies dodging them is newsworthy.
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