Cryptocurrency payment adoption by compounding pharmacies — what worked for you?

Dr.ObesityMed said:

The shortage clause is the answer to the second question and it is a subtraction rather than an addition.

I read this differently from Dr.ObesityMed, on substance rather than tone. A research-chemical supplier selling lyophilised powder labelled research use only is not compounding and is not claiming to. It is a different legal universe with no pharmacy oversight, no patient relationship and no content guarantee, and conflating the two in these threads helps nobody.

robert_kc said:

My pharmacy stopped supplying with three weeks notice and a letter that explained nothing, so I went and read the statute.

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 partially resolved shortage, tirzepatide still in shortage. This directly impacts compounding availability.

BariatricNurseD said:

A research-chemical supplier selling lyophilised powder labelled research use only is not compounding and is not claiming to.

There is a second half to this that has not been said yet. The trade-off is reversibility against privacy and there is no option that gives you both. Card payments are reversible and disclose the most; crypto discloses least and is irreversible, which is precisely why pressure toward it is a warning sign when it comes from a seller rather than a buyer. Escrow only means anything where the escrow agent is independent of both parties, which is rarely the case in practice.

One thing that is still open after SleepDoc_PDX’s answer:

Why a shortage listing created a legal pathway at all, since a shortage is a supply fact rather than a permission?

Closing the loop on my own question.

The bulks-list asymmetry was the piece I had missed entirely. It explains why one of my two pharmacies is still arguing it can supply and the other simply stopped.