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ForumsVendor ReviewsFirst time ordering compounded - what do I even look for?? — anyone have experience? Page 6

First time ordering compounded - what do I even look for?? — anyone have experience?

JakeBK_lifts Sat, Oct 19, 2024 at 6:24 AM 37 replies 2,114 viewsPage 6 of 8
lisa_labSD
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1,234
Oct 2024
San Diego, CA
Oct 25, 2024 at 3:53 PM#26

Clinical perspective, offered as context rather than as advice.

Compounding pharmacy red flag checklist for compounded supply — if ANY of these apply, find a different source:

  1. No verifiable physical address
  2. No pharmacist available for consultation
  3. COA not available or clearly template/fake
  4. Prices dramatically below market ($30-40/month = suspicious)
  5. No prescription required
  6. Ships without cold pack or temperature control
  7. No batch/lot numbers on product labeling
  8. Pushes "research use only" products for human injection

Your health depends on product quality. Don't cut corners on source verification.

Last edited: Oct 25, 2024 at 6:53 PM
18 16stefan_berlin, Dr.EM_Chicago, pete_RVA and 15 others
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hank_denver
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278
1,234
Sep 2024
Denver, CO
Oct 26, 2024 at 9:51 AM#27
lisa_labSD said:
Compounding pharmacy red flag checklist for compounded supply — if ANY of these apply, find a different source: No verifiable physical address No…

Mine went the same way, slower. Nothing to add that would improve it.

19 17raj_cambridge, ingrid_STO, pete_nash and 16 others
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Dr.CardioMD
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Dec 2023
Cleveland, OH
Oct 27, 2024 at 3:48 AM#28
lisa_labSD said:
Compounding pharmacy red flag checklist for compounded supply — if ANY of these apply, find a different source: No verifiable physical address No…

FDA inspection results for compounding pharmacies selling compounded supply: you can look up any 503B facility's FDA inspection history on the FDA website.

Check for: Form 483 observations (violations), warning letters, and recall history. A clean inspection record is a strong indicator of quality. My pharmacy has had 0 Form 483 observations in their last 3 inspections.

This is public information. Use it. Link: fda.gov/inspections-compliance-enforcement-and-criminal-investigations

20 18tony_orlando, Dr.NephBHM_UK, kim_atl_prep and 17 others
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josh_phd_bmore
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Jul 2024
Baltimore, MD
Oct 27, 2024 at 9:45 PM#29
lisa_labSD 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 licensing verification for compounded supply: before ordering, verify your pharmacy's credentials:

  1. State Board of Pharmacy license — check on your state BOP website
  2. FDA registration (for 503B) — check on fda.gov
  3. DEA registration if handling controlled substances
  4. PCAB accreditation — voluntary but demonstrates commitment to quality
  5. USP <797>/<800> compliance for sterile compounding

This takes 10 minutes of research and could save you from receiving substandard or unsafe medication.

21 19KarenAZ_mom, zoe_NC, Dr.ObesityLA and 18 others
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JakeBK_lifts
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Jul 2024
Brooklyn, NY
Oct 28, 2024 at 3:41 PM#30
Dr.CardioMD said:
FDA inspection results for compounding pharmacies selling compounded supply: you can look up any 503B facility's FDA inspection history on the FDA…

503A vs 503B compounding pharmacies for compounded supply — this distinction matters enormously:

Feature503A503B
RegulationState Board of PharmacyFDA-registered
PrescriptionRequired (patient-specific)Can compound without patient Rx
TestingVaries by statecGMP required
ScaleSmall batchesLarger production
Quality consistencyVariableGenerally higher

I strongly recommend 503B facilities. The FDA oversight and cGMP requirements mean more consistent product quality.

43 16DataDave, Dr.GutHealth, amsterdam_pete and 40 others
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