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Coming back to: Official shortage notices and what they authorise

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Solved by r.villalobos in post #6
I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

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DO
d.oyelaranTL3Pharmacist3 Feb 2025#1

Official shortage notices and what they authorise — setting out what I have, and where I think it stops being reliable.

A coverage question with the paperwork detail included, since that is what determines the answer.

Denial received, with a stated reason. My reading of the reason is that it tells me exactly what to submit next, which is the useful thing about a well-written denial.

Before I spend a week on it: is my reading of the stated criterion correct, and is there a documented precedent for this specific ground?

13 likes 18mo
FF
f.fenwickTL3Regular4 Feb 2025 · edited#2

International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can.

1 like 18mo
AP
ar.petrovTL2 Moderator5 Feb 2025#3
f.fenwick, post #2: International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can. Go to post

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

0 likes in reply to #2 18mo
RS
r.scholtenTL2Member6 Feb 2025#4
f.fenwick, post #2: International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can. Go to post

the opening post answers the question as asked. The question underneath it is different.

Resuming after a gap: after a gap of days or a few weeks, most people resume at the dose they were on when they stopped. Gaps of months might require retitration discussion with a clinician.

24 likes in reply to #2 18mo
RD
r.danquahTL2 Moderator6 Feb 2025#5

I read post #3 twice before replying, because I had assumed the opposite.

Dose hold versus tapering: if a temporary shortage forces a gap, holding your dose and resuming when supply returns is different from gradually tapering. The two are different decisions.

4 likes 18mo
RV
r.villalobosTL2 Moderator Solution7 Feb 2025#6

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

7 likes 18mo
OV
o.vogelTL2 Moderator8 Feb 2025#7

Allocation and rationing: during severe shortages, suppliers might ration allocation to prescribers. Understanding rationing policies from your prescriber matters for planning.

0 likes 18mo
MD
m.duarteTL2 Moderator8 Feb 2025#8
r.danquah, post #5: I read post #3 twice before replying, because I had assumed the opposite. Dose hold versus tapering: if a temporary shortage forces a gap, holding your dose and resuming when supply returns is different from gradually tapering. The two are different decisions. Go to post

Compounding during shortages: some jurisdictions allow pharmacy compounding when a marketed product is in shortage. That permission is jurisdiction-specific and time-limited (usually for the duration of the shortage).

17 likes in reply to #5 18mo
BN
bench_notesTL4 Moderator9 Feb 2025#9
Staff post. Actions described here are recorded in the public moderation log and may be challenged in Meta.

Coming back to post #7, because the follow-up matters more than the original answer.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

1 like 18mo
KP
k.perrinTL2 Moderator10 Feb 2025#10

Picking up post #7: that is the part I would want checked first.

Patient advocacy during shortages: some advocacy groups advocate for patients during shortages. Knowing who they are and following their communication is useful.

0 likes 18mo
CC
c.correiaTL2 Moderator10 Feb 2025#11

Picking up post #8: that is the part I would want checked first.

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

0 likes 18mo
ME
me.eriksenTL2 Moderator11 Feb 2025#12

Supply interruptions: official shortage notices are published by regulatory agencies. That is the correct primary source rather than pharmacy rumors or forum discussion.

1 like 18mo
ML
m.lindqvistTL2 Moderator11 Feb 2025#13
bench_notes, post #9: Coming back to post #7, because the follow-up matters more than the original answer. Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post

Managing an unplanned gap: if a shortage causes a gap in treatment, the questions are how long the gap will be and how that affects your condition. Discussing with your clinician is prudent if the gap is weeks or longer.

7 likes in reply to #9 17mo
RR
r.restrepoTL2 Moderator12 Feb 2025 · edited#14

Shortage predictions: regulators and suppliers issue shortage alerts before they become acute. Checking the regulatory website for shortages gives you advance notice.

18 likes 17mo
AW
a.westergaardTL3Regular13 Feb 2025#15

Resuming after a gap: after a gap of days or a few weeks, most people resume at the dose they were on when they stopped. Gaps of months might require retitration discussion with a clinician.

0 likes 17mo
MM
m.malinowskiTL2 Moderator13 Feb 2025#16

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

0 likes 17mo
JD
j.delacroixTL3Regular14 Feb 2025#17
r.restrepo, post #14: Shortage predictions: regulators and suppliers issue shortage alerts before they become acute. Checking the regulatory website for shortages gives you advance notice. Go to post

International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can.

4 likes in reply to #14 17mo
SO
sa.okonkwoTL2 Moderator14 Feb 2025#18

Worth separating two things that post #14 runs together.

Communication from suppliers: a supplier having supply problems usually communicates them. If a supplier goes silent, that is itself information.

12 likes 17mo
OV
o.vukovicTL2 Moderator15 Feb 2025#19

Compounding during shortages: some jurisdictions allow pharmacy compounding when a marketed product is in shortage. That permission is jurisdiction-specific and time-limited (usually for the duration of the shortage).

1 like 17mo
OO
orbitrap_olaTL3Mass spectrometrist15 Feb 2025#20
r.scholten, post #4: the opening post answers the question as asked. The question underneath it is different. Resuming after a gap: after a gap of days or a few weeks, most people resume at the dose they were on when they stopped. Gaps of months might require retitration discussion with a clinician. Go to post

Allocation and rationing: during severe shortages, suppliers might ration allocation to prescribers. Understanding rationing policies from your prescriber matters for planning.

7 likes in reply to #4 17mo
D
DOdendaalTL3Regular16 Feb 2025#21

Coming back to post #19, because the follow-up matters more than the original answer.

Patient advocacy during shortages: some advocacy groups advocate for patients during shortages. Knowing who they are and following their communication is useful.

27 likes 17mo
DV
d.vestergaardTL2 Moderator16 Feb 2025#22

Supply interruptions: official shortage notices are published by regulatory agencies. That is the correct primary source rather than pharmacy rumors or forum discussion.

13 likes 17mo
VT
vial_tableTL2Member17 Feb 2025#23

Managing an unplanned gap: if a shortage causes a gap in treatment, the questions are how long the gap will be and how that affects your condition. Discussing with your clinician is prudent if the gap is weeks or longer.

2 likes 17mo
SS
s.salgadoTL2 Moderator17 Feb 2025#24
c.correia, post #11: Picking up post #8: that is the part I would want checked first. Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up. Go to post

post #23 answers the question as asked. The question underneath it is different.

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

0 likes in reply to #11 17mo
AS
a.stephanopoulosTL3Regular18 Feb 2025#25

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

0 likes 17mo
LC
l.cabreraTL2 Moderator18 Feb 2025#26

Dose hold versus tapering: if a temporary shortage forces a gap, holding your dose and resuming when supply returns is different from gradually tapering. The two are different decisions.

19 likes 17mo
SF
sterile_fileTL3Regular19 Feb 2025#27

Worth separating two things that post #23 runs together.

Shortage predictions: regulators and suppliers issue shortage alerts before they become acute. Checking the regulatory website for shortages gives you advance notice.

5 likes 17mo
CM
c.marchettiTL2 Moderator19 Feb 2025#28
m.malinowski, post #16: Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

post #27 is right about the mechanism and I think understates the practical bit.

Managing an unplanned gap: if a shortage causes a gap in treatment, the questions are how long the gap will be and how that affects your condition. Discussing with your clinician is prudent if the gap is weeks or longer.

0 likes in reply to #16 17mo
ID
integrator_draftTL3Regular20 Feb 2025#29

Supply interruptions: official shortage notices are published by regulatory agencies. That is the correct primary source rather than pharmacy rumors or forum discussion.

14 likes 17mo
NS
n.szaboTL2 Moderator20 Feb 2025#30

Picking up post #27: that is the part I would want checked first.

Patient advocacy during shortages: some advocacy groups advocate for patients during shortages. Knowing who they are and following their communication is useful.

5 likes 17mo