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ForumsSemaglutide (Ozempic / Wegovy)Compounded sema batch testing results — need advice Page 2

Compounded sema batch testing results — need advice

steve_okc Fri, Aug 30, 2024 at 7:49 AM 14 replies 1,952 viewsPage 2 of 3
SarahChen_PharmD
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San Diego, CA
Aug 30, 2024 at 9:21 PM#6
julia.endo said:
They are two different exemptions from the same federal requirements and they buy different things.

Pushing back on julia.endo here. 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.

31 1Dr.ObesityLA, NurseKim_ATL, paul_denver and 28 others
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dan_philly
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Philadelphia, PA
Aug 31, 2024 at 2:43 AM#7
steve_okc said:
Two pharmacies quoted me last year, one describing itself as 503A and one as 503B, and I assumed 503B just meant bigger until both stopped within…

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.

30 0AmyNC_wife, SkepticalSean, Dr.CardioMD and 27 others
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LipidDoc_ATL
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Atlanta, GA
Aug 31, 2024 at 8:05 AM#8
SarahChen_PharmD said:
A research-chemical supplier selling lyophilised powder labelled research use only is not compounding and is not claiming to.

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.

29 24AttorneyGrant, DebRD_ATL, KristenIndy and 26 others
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pam_stl
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Oct 2024
St. Louis, MO
Aug 31, 2024 at 1:27 PM#9

One thing that is still open after Dr.EndoIndy’s answer:

What actually distinguishes 503A from 503B, in terms of what each may make and from what starting material?

Last edited: Aug 31, 2024 at 6:27 PM
28 23SleepDoc_PDX, RegAffairsDC, BiostatsBrad and 25 others
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steve_okc
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Oklahoma City, OK
Sep 1, 2024 at 3:14 PM#10

OP back with an update, since a thread like this is useless without one.

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.

38 11KetoKyle, CanadaChris, ZaraB_AL and 35 others
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