Dr.PainCLE said:

Compounding pharmacy red flag checklist for compounded supply — if ANY of these apply, find a different source: No verifiable physical address No…

Compounding pharmacy customer here with experience relevant to compounded supply.

I've ordered from 3 different compounding pharmacies over the past year. The quality variation is real — purity ranged from 94% to 101% of label claim based on independent Janoshik testing.

My current compounder (a 503B facility) has been consistently 98-101% purity across 6 orders. I pay $150/month vs $1,220 for brand. The savings are substantial and the product is equivalent in my experience.

Re: compounded supply — this applies whether you're using brand or compounded. The clinical principles are the same.

A narrower follow-up, since the general answer is now clear:

What would you measure differently if you were starting again?

Dr.PulmRoch said:

Compounding pharmacy customer here with experience relevant to compounded supply.

Compounded has been just as effective for me. If compounded supply is the concern, the COA from my 503B pharmacy shows 99.1% purity. Verified by Janoshik.

Dr.PulmRoch said:

Compounding pharmacy customer here with experience relevant to compounded supply.

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

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

Dr.PulmRoch said:

Compounding pharmacy customer here with experience relevant to compounded supply.

Thank you for spelling out the reasoning rather than just the conclusion.