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c/compounding·posted 2 years ago by u/slow_logbook

my ApoB moved and I cannot work out whether 503A is why

Discussion Well Actually ×8 Cold Box ×3

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

The advice on 503A 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.

2,544 up / 618 down80% upvoted70 commentsid kkba2d3 Apr 2024

70 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/lipid_panel_larrybloodwork165 points·2 years ago

Are we talking 503A or 503B?

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u/ferran_mensah0 points·2 years ago

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

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[removed]119 points·2 years ago

[removed by moderator]

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u/rafael_ostergaard184 points·2 years ago

Mechanistically the bit that matters is shortage list. It explains most of the early profile and a decent chunk of the outcome.

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u/elise_ramos88 points·2 years ago·edited

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

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u/lukas_vermeulen-35 points·2 years ago

What is the actual shortage list status right now?

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u/slow_logbookOP106 points·2 years ago

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

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u/zaid_grimaldi127 points·2 years ago

Strongly agree. API source transparency matters.

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u/medutest_mel28 points·2 years ago

Are we talking 503A or 503B?

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u/slow_logbookOP12 points·2 years ago

Asked 24 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/yusuf_kirchner179 points·2 years ago

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

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u/quiet_moderatormod100 points·2 years ago

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

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u/helga_vermeulen29 points·2 years ago·edited

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

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u/ruben_cabrera71 points·2 years ago

shortage list status is 503B, check the actual list

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u/camila_mensa43 points·2 years ago

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

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u/solene_eriksen20 points·2 years ago

Which state? Rules vary.

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u/ffmi_watcher10 points·2 years ago

state board rules differ, say which state

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u/rohan_steiner14 points·2 years ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/runa_grimaldi5 points·2 years ago

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

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u/rekha_mwangi10 points·2 years ago

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

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u/usp_appendixMOD27 points·2 years ago

Tracking number removed. It identifies both ends of a shipment.

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u/quiet_moderatormod29 points·2 years ago

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

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u/escrow_evangelist52 points·2 years ago

shortage list status is 503B, check the actual list

Disagree on that part. 95.1% and 98.3% on the same vial is normal.

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u/emeka_chowdhury24 points·2 years ago

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

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u/tove_ogunleye26 points·2 years ago

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

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u/kian_ferreira16 points·2 years ago

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/rekha_mwangi46 points·2 years ago

shortage list status is 503A, check the actual list

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u/slow_logbookOP20 points·2 years ago

The telehealth + compounding combo cost API source plus 23% markup. Not cheap but covered by insurance depending on state.

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u/ffmi_watcher34 points·2 years ago

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

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u/milos_mensa23 points·2 years ago

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

Disagree on that part. 99.2% and 95.1% on the same vial is normal.

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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.
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