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Evidence-based GLP-1 & peptide discussion since 2023
ForumsSemaglutide (Ozempic / Wegovy)Has anyone dealt with my compounded sema journey? Page 2

Has anyone dealt with my compounded sema journey?

Dr.PeteFamMed Wed, Jun 12, 2024 at 9:15 PM 11 replies 2,020 viewsPage 2 of 3
NurseKim_ATL
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Atlanta, GA
Jun 12, 2024 at 10:33 PM#6
PeptideChemSF said:
They are two different exemptions from the same federal requirements and they buy different things.

I read this differently from PeptideChemSF, 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.

14 9denise_HTX, raj_cambridge, ingrid_STO and 11 others
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NicoleRaleigh
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Raleigh, NC
Jun 12, 2024 at 11:03 PM#7
Dr.PeteFamMed said:
My pharmacy stopped supplying with three weeks notice and a letter that explained nothing, so I went and read the statute.

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.

13 8MikeFit_NJ, InsuranceTom, WendyG_ATL and 10 others
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LibrarianMeg
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Baltimore, MD
Jun 12, 2024 at 11:33 PM#8
NurseKim_ATL said:
A research-chemical supplier selling lyophilised powder labelled research use only is not compounding and is not claiming to.

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

SourceMonthly CostTypePurity Verified
Brand (Ozempic)$1098FDA-approvedN/A (pharma)
503B Compounding$178cGMP compoundedYes (in-house)
503A Compounding$128Patient-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.

12 7julia.endo, JessicaM_2024, TomFromTexas and 9 others
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PharmHunterJen
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Jul 2024
Illinois
Jun 13, 2024 at 12:03 AM#9

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

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

Last edited: Jun 13, 2024 at 6:03 AM
11 6Dr.PainCLE, mike_mealprep, NicoleRaleigh and 8 others
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Dr.PeteFamMed
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Jun 13, 2024 at 2:27 AM#10

Reporting back.

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.

Last edited: Jun 13, 2024 at 3:27 AM
35 8FranDenver, Dr.BariatricHTX, LindaRN_retired and 32 others
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