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ForumsCompounding & FormulationHas anyone dealt with fda warning letters to compounding pharmacies? Page 5

Has anyone dealt with fda warning letters to compounding pharmacies?

DebRD_ATL Thu, Oct 31, 2024 at 2:36 AM 50 replies 2,916 viewsPage 5 of 10
Dr.NateNeph
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Nov 3, 2024 at 9:58 PM#21
TrialTracker_MD said:
Regarding compounded supply compounding legality: compounding pharmacies can legally produce semaglutide and tirzepatide while these drugs remain on…

That reframing is the part I needed. Sending this to two other people who asked me the same thing last week.

27 2JakeSmashed95, NauseaFreeNow, SteveThurs and 24 others
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james_edin
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Sep 2024
Edinburgh, UK
Nov 4, 2024 at 4:40 AM#22

Clinical perspective, offered as context rather than as advice.

Compounding pharmacy response time test for compounded supply: I email customer service at odd hours to test responsiveness. A pharmacy that can't answer questions promptly is a red flag.

My current pharmacy: average response time same day. They answered my questions about sterility testing thoroughly and professionally.

Communication quality is a proxy for operational quality. A pharmacy that communicates well is likely manufacturing well too.

Last edited: Nov 4, 2024 at 6:40 AM
26 1Dr.PathRoch, mona_PHX, andrew_nyc and 23 others
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HealthEcon_DC
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Apr 2024
Washington, DC
Nov 4, 2024 at 11:22 AM#23
james_edin said:
Compounding pharmacy response time test for compounded supply: I email customer service at odd hours to test responsiveness.

Can confirm. Same sequence, different timescale. Nothing to add that would improve it.

Last edited: Nov 4, 2024 at 1:22 PM
25 0KevinCompounds, TirzTom, TrialTracker_MD and 22 others
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JessicaM_2024
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Mar 2024
Portland, OR
Nov 4, 2024 at 6:04 PM#24
james_edin said:
Compounding pharmacy response time test for compounded supply: I email customer service at odd hours to test responsiveness.

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

SourceMonthly CostTypePurity Verified
Brand (Ozempic)$948FDA-approvedN/A (pharma)
503B Compounding$178cGMP compoundedYes (in-house)
503A Compounding$98Patient-specificVaries
Research peptide$63Not 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.

24 24Dr.PainCLE, mike_mealprep, NicoleRaleigh and 21 others
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PharmacoVig_BOS
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Feb 2024
Boston, MA
Nov 5, 2024 at 12:47 AM#25
james_edin said:
Compounding pharmacy response time test for compounded supply: I email customer service at odd hours to test responsiveness.

Vendor communication red flags for compounded supply:

  • Won't provide COA before purchase — walk away
  • Claims "100% pure" without analytical data — unrealistic
  • No physical address or phone number — accountability matters
  • Pushes you to buy more than you need — pressure tactics
  • Won't answer questions about their compounding process — transparency is key
  • Payment only via crypto or wire transfer — legitimate pharmacies accept cards

A legitimate compounding pharmacy operates like a healthcare business, not a gray market dealer.

Last edited: Nov 5, 2024 at 3:47 AM
23 23LabKate, kate.chem, DataDave and 20 others
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