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394
c/compounding·posted 24 days ago by u/ilias_cabrera

am I the only one who found shortage list harder than the injections

Explainer Slow Clap ×1

Something I noticed reading old threads that I have not seen said out loud.

The advice on compounding in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.

I have listed what I think the current consensus is below. Correct me — that is the point of posting it.

590 up / 196 down75% upvoted30 commentsid 1pdjg46 Jul 2026

30 comments

23 in this archive, depth 4

best — the order this archive was captured in

u/quiet_moderatorMOD67 points·23 days ago

Retitled to remove editorialising. Put the evidence in the body.

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u/ahmed_okafor22 points·23 days ago·edited

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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u/draw_up_dizzy43 points·23 days ago·edited

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

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u/ismael_pires16 points·23 days ago

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

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u/lift_heavy_thingsresistance training32 points·23 days ago·edited

What is the actual shortage list status right now?

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u/ilias_cabreraOP17 points·23 days ago

The telehealth + compounding combo cost state board plus 20% markup. Not cheap but covered by insurance depending on state.

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u/rekha_mwangi14 points·23 days ago

API source questions are on-topic and compounders dodging them is newsworthy

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u/ilias_cabreraOP-33 points·23 days ago

telehealth prescriber models exist, pricing differs by state

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u/emeka_chowdhury1 point·23 days ago

the 503A/503B distinction is load-bearing, do not blur it

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u/pavel_kravchenko1 point·23 days ago

This is correct. The shortage list does expire and the rules change.

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u/cold_chromatogram3131 points·22 days ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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u/gallbladder_gary7 points·22 days ago

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

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u/ferran_mensah3 points·22 days ago

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

Adding to this: shortage list is doing more work than the comment implies.

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u/sofia_nascimento15 points·22 days ago

Which state? Rules vary.

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[removed]11 points·22 days ago

[removed by moderator]

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u/ahmed_fonseca10 points·22 days ago

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

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u/anya_antonsen33 points·23 days ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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u/santiago_rasmussen15 points·21 days ago

the shortage list is temporary, it ends and compounding becomes illegal again

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u/prior_auth_painappeals12 points·21 days ago·edited

Not convinced. The evidence does not support that reading.

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u/gallbladder_gary7 points·21 days ago

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

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u/ignacio_vanhecke8 points·21 days ago

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

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u/sofia_nascimento3 points·21 days ago

Strongly agree. API source transparency matters.

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u/ignacio_vanhecke4 points·21 days ago

Disagree. What you are describing is consistent with 503B, not with what you concluded.

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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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  5. Not medical advice. Describe what you did; never prescribe to a stranger.
  6. Claims need evidence. Batch numbers, dated screenshots, independent test reports, or a citation.
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