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c/compounding·posted 5 months ago by u/priya_palacios

why does nobody talk about shortage list

Question Clean Column ×1 Receipts ×3

Quick one. Canada here.

state board works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 2 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

1,412 up / 287 down83% upvoted51 commentsid kazygz12 Feb 2026

51 comments

27 in this archive, depth 5

best — the order this archive was captured in

u/quiet_moderatorMOD157 points·5 months ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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u/ahmed_okafor52 points·5 months ago·edited

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

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[removed]38 points·5 months ago

[removed by moderator]

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u/marit_laurent12 points·5 months ago

Strongly agree. API source transparency matters.

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u/cold_chromatogram31112 points·5 months ago·edited

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

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u/naomi_erdogan69 points·5 months ago

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

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u/marit_mwangi48 points·5 months ago

Asked 19 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/jonas_eriksen12 points·5 months ago

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

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u/helga_vermeulen18 points·5 months ago

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

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u/incretin_ivypharmacology6 points·5 months ago

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

Yes, exactly this, and it is the bit that took me 88 weeks to accept.

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u/blunt_coldbox_notes12 points·5 months ago

You have restated the marketing copy. What is the actual substance here.

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u/hassan_chowdhury14 points·5 months ago

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

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u/zaid_grimaldi4 points·5 months ago

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

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u/priya_palaciosOP9 points·5 months ago

Respectfully this is a sample of one presented as a finding.

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u/honest_syringe13 points·5 months ago

Respectfully this is a sample of one presented as a finding.

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

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u/rafael_ostergaard4 points·5 months ago

shortage list status is state board, check the actual list

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u/slow_logbook15 points·5 months ago

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

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u/santiago_rasmussen34 points·5 months ago·edited

Strongly agree. API source transparency matters.

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u/discount_math_dm8 points·5 months ago

Not to be pedantic but shortage list and 503A are being used interchangeably and they are not interchangeable in real life.

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u/swirl_dont_shakereconstitution23 points·5 months ago

The 503A pharmacy I used lost their shortage list eligibility. Same day, compounding became illegal. Rules are real.

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u/yusuf_kirchner15 points·5 months ago

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

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u/rania_diallo9 points·5 months ago

What is the actual shortage list status right now?

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u/ireland_drugs_pay5 points·5 months ago

the the UK situation is different from the US, different regulations

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u/neha_krastev4 points·5 months ago

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

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u/ismael_pires4 points·5 months ago

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

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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.
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