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ForumsCompounding & FormulationState pharmacy board compounding enforcement actions — looking for input Page 3

State pharmacy board compounding enforcement actions — looking for input

TomTeleRx Sun, Jan 4, 2026 at 8:18 AM 34 replies 1,751 viewsPage 3 of 7
NicoleRaleigh
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Jan 4, 2026 at 3:38 PM#11
lisa_labSD said:
They are two different exemptions from the same federal requirements and they buy different things.

Bookmarking. The distinction being drawn above is the one nobody else makes.

30 5InsuranceTom, WendyG_ATL, SaraMom3 and 27 others
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CarlaRPh_TPA
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Jan 4, 2026 at 5:48 PM#12

Adding the clinical framing, because it changes how the question reads.

Price comparison for compounded supply across sources I've used:

SourceMonthly CostTypePurity Verified
Brand (Ozempic)$1039FDA-approvedN/A (pharma)
503B Compounding$169cGMP compoundedYes (in-house)
503A Compounding$109Patient-specificVaries
Research peptide$54Not for human useOften Janoshik

I use the 503B option — best balance of quality, cost, and legality. The brand price is insane but insurance can help if you qualify.

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Dr.RaviCardio
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Jan 4, 2026 at 7:59 PM#13
Dr.NateNeph said:
Compounding pharmacy response time test for compounded supply: I email customer service at odd hours to test responsiveness.

For compounded supply users considering compounded for the first time: here's a step-by-step guide:

  1. Get a prescription from your doctor (telehealth counts)
  2. Research 503B compounding pharmacies with good community reviews
  3. Verify their FDA registration and inspection history
  4. Request a COA for your specific compound before ordering
  5. Start with a 1-month supply to test
  6. Consider sending a sample to Janoshik for independent verification
  7. Track your response compared to brand (if you were on it previously)
Last edited: Jan 4, 2026 at 8:59 PM
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wendy_avl
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Jan 4, 2026 at 10:10 PM#14
TomTeleRx said:
Resolution therefore closed the doors unevenly, and the asymmetry follows from the bulks lists.

Regarding compounded supply compounding legality: compounding pharmacies can legally produce semaglutide and tirzepatide while these drugs remain on the FDA shortage list. If/when the shortage resolves, the legal landscape may change.

Stay informed. The FDA shortage list is updated regularly. Current status as of my last check: semaglutide shortage ongoing, tirzepatide partially resolved. This directly impacts compounding availability.

27 2PharmHunterJen, TomTeleRx, DoseLogDan and 24 others
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Admin
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Jan 5, 2026 at 12:21 AM#15

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. Carry on.

26 1PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 23 others
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