FDA squeezing compounding pharmacies?

Tone_Life

Well-known member
Hey all,

Just a heads-up: the FDA's looking for feedback on compounding regulations (deadline's comin' up quick, July 18th!). They seem to be leaning towards stricter rules, and we need to make our voices heard to protect access to compounded meds.

https://www.regulations.gov/searchResults?rpp=25&po=0&s=compounding+pharmacies&fp=true&ns=true

Here's what I sent in, focusing on my work with HIV patients. Feel free to adapt it with your own experiences (TRT, HRT, etc.).

"The FDA should include community representatives when creating guidances for compounding pharmacies. Stricter requirements on 503A and 503B facilities will cut patient options.

High pharma prices are causing huge problems. The focus should be on making affordable compounded medications MORE available, not less.

I appreciate the FDA's safety efforts, but overdoing it will hurt patients.

Many patients think the FDA is controlled by big pharma, which is probably unfair, but more restrictions on compounding will only reinforce that.

A recent report reminded the FDA that compounding pharmacies aren't drug manufacturers. They're state-licensed healthcare providers inspected by state boards. Adding big pharma-like regulations is an unnecessary burden for these small businesses.

Without affordable compounded meds, many of my non-profit's clients would have suffered from HIV wasting and other issues. We often need medications that insurance won't cover, so compounded products are vital for our quality of life.

Please carefully consider the impact of extra burdens on these small businesses, especially since existing sterility guidelines already address the problems caused by a few bad companies."

Here's a letter from Congress about it too:
https://c.ymcdn.com/sites/iacp.site-ym.com/resource/resmgr/DQSA/Stewart_Cuellar_Office_Use_L.pdf
 
My buddy Lee Myers shared this:

Congress is fighting for compounding pharmacies against the FDA and Big Pharma.

About 70% of guys on TRT are using compounded injectables or HCG. Some use creams, too. And women probably use even more compounded hormone creams. Compounded products are a great value and offer customization for TRT/HRT.

Big Pharma, through the FDA, is trying to shut down the compounding industry.

More info here:
http://www.peaktestosterone.com/Congress_Compounding_Pharmacies_FDA.aspx
 
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[TD]IACP'S 2016 COMPOUNDERS ON CAPITOL HILL REPORT
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[video=vimeo;173768840]https://vimeo.com/173768840[/video]
 
To answer @Lee_32's question, GLP-1s are medications originally for diabetes, but they're now used for weight loss too. Think Ozempic, Wegovy, Mounjaro. Because of shortages and high costs, some people are turning to compounded versions. There's a lot of debate about the safety and legality of these compounded versions, which is why the FDA is probably cracking down.
 
I came across some info about biosimilar issues that opened my eyes. From what I found, India seems to be a particular problem spot with quality control. This was even with supposedly regulated meds you get at a regular pharmacy.
 
Approval is just the start. FDA clearance to pharmacy shelves usually takes a few months for new dose sizes.
 
The 503(b) enforcement sequence has been incremental - BPI being the latest, not an outlier. The comment window and July deadline are worth engaging; volume of submissions matters more than individual arguments.
 
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