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ForumsPublic SquareCompounded sema shortage — which pharmacies still have stock? Page 4

Compounded sema shortage — which pharmacies still have stock?

PharmHunterJen Tue, May 19, 2026 at 4:09 AM 22 replies 762 viewsPage 4 of 5
EndoResFellow
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Sep 2024
Baltimore, MD
May 20, 2026 at 2:30 PM#16

From the other side of the consultation, briefly.

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.

42 15robert_kc, dan_philly, MeganSA_TX and 39 others
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CanadaChris
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Nov 2024
Toronto, CA
May 20, 2026 at 7:10 PM#17

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

Did your prescriber agree with that reading, and if not what was their objection?

43 16stefan_berlin, Dr.EM_Chicago, pete_RVA and 40 others
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DebRD_ATL
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Feb 2024
Atlanta, GA
May 20, 2026 at 11:50 PM#18
EndoResFellow said:
Compounding pharmacy licensing verification for compounded supply: before ordering, verify your pharmacy's credentials: State Board of Pharmacy…

Beyond-use dating (BUD) for compounded supply compounded products:

Lyophilized (unreconstituted): typically 6 months from compounding date
Reconstituted with BAC water: typically 28-30 days refrigerated
Reconstituted with sterile water: typically 24 hours (no preservative!)

Always use BAC water for multi-dose vials. Sterile water has no preservative and supports bacterial growth after first puncture. This is a common and potentially dangerous mistake.

44 17SleepDoc_PDX, RegAffairsDC, BiostatsBrad and 41 others
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Dr.EndoIndy
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Oct 2024
Indianapolis, IN
May 21, 2026 at 4:30 AM#19
EndoResFellow said:
Compounding pharmacy licensing verification for compounded supply: before ordering, verify your pharmacy's credentials: State Board of Pharmacy…

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 1 Form 483 observations in their last 2 inspections.

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

45 18DeniseRN_TPA, SandraNC_45, Dr.EndoIndy and 42 others
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Admin
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May 21, 2026 at 9:10 AM#20

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful.

17 15PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 14 others
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