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Regional · North America · continued

US compounding rules and how they changed posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

MK
m.kjaerTL2 Moderator19 Oct 2024 · edited#31

Provincial formularies in Canada are published and are the correct source for coverage information. Coverage for weight management is less common than for diabetes.

0 likes 21mo
M
microgramsTL2Regular20 Oct 2024#32
s.ferreira, post #15: This follows post #12 rather than contradicting it. Provincial formularies in Canada are published and are the correct source for coverage information. Coverage for weight management is less common than for diabetes. Go to post

Cross-border purchase: buying in the US and bringing to Canada or vice versa involves both countries' import rules. The medication is legal but crossing borders with it is regulated.

4 likes in reply to #15 21mo
EM
e.mbekiTL2 Moderator21 Oct 2024#33
m.amankwah, post #23: On post #19 — agreed on the reasoning, with one qualification. Telehealth prescribing: widespread in the US and varying in quality. Models without a clinician reviewing measurements and history are not recommended by this community. Go to post

This follows post #30 rather than contradicting it.

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.

17 likes in reply to #23 21mo
RH
revision_historyTL3Wiki editor21 Oct 2024#34

Regional variation in North America: access differs substantially by US state and Canadian province. Postcode is a major determinant of access.

33 likes 21mo
JI
j.ivaturiTL2 Moderator22 Oct 2024#35

Private insurance gaps: some people have private insurance but medication is not covered. Manufacturer assistance programmes are the main resource for cost reduction.

0 likes 21mo
BO
b.oylerTL1Member23 Oct 2024#36
i.beaulieu, post #21: Indigenous healthcare systems: different indigenous healthcare systems have different medication access. Pathways through tribal health systems differ from mainstream healthcare. Go to post

On post #32 — agreed on the reasoning, with one qualification.

United States: FDA licenses compounds. Prescribing and pharmacy practice are state-regulated. Compounds are prescription-only. Coverage is decided by individual plans, not nationally.

1 like in reply to #21 21mo
MR
m.ramosTL2 Moderator23 Oct 2024#37
r.molnar, post #29: Coming back to post #27, because the follow-up matters more than the original answer. United States: FDA licenses compounds. Prescribing and pharmacy practice are state-regulated. Compounds are prescription-only. Coverage is decided by individual plans, not nationally. Go to post

Regional variation in North America: access differs substantially by US state and Canadian province. Postcode is a major determinant of access.

11 likes in reply to #29 21mo
DN
desiccant_notesTL2Member24 Oct 2024#38

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.

25 likes 21mo
SR
s.roosTL2 Moderator24 Oct 2024#39

post #38 is right about the mechanism and I think understates the practical bit.

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 21mo
GV
g.valckenaereTL3Regular25 Oct 2024 · edited#40

Compounding pharmacies: pharmaceutical compounding of a drug not on the FDA shortage list is substantially constrained. The landscape changed when supply normalised. Current compounding availability is limited.

0 likes 21mo
L
LundqvistTL2Member26 Oct 2024#41

Telehealth prescribing: widespread in the US and varying in quality. Models without a clinician reviewing measurements and history are not recommended by this community.

0 likes 21mo
JS
j.solbergTL2 Moderator26 Oct 2024#42

post #41 is right about the mechanism and I think understates the practical bit.

Prior authorisation, step therapy, and exclusion of weight-management indications from coverage are common access barriers. The denial letter tells you which barrier you are facing.

26 likes 21mo
K
KForsbergTL2Member27 Oct 2024#43

I read post #41 twice before replying, because I had assumed the opposite.

Canada: Health Canada licenses compounds. Prescribing is provincial. Compounds are prescription-only. Coverage varies between public and private insurance.

12 likes 21mo
SH
s.hartmannTL2 Moderator28 Oct 2024#44
l.lundgren, post #27: Worth separating two things that post #23 runs together. Canada: Health Canada licenses compounds. Prescribing is provincial. Compounds are prescription-only. Coverage varies between public and private insurance. Go to post

Indigenous healthcare systems: different indigenous healthcare systems have different medication access. Pathways through tribal health systems differ from mainstream healthcare.

4 likes in reply to #27 21mo
TW
t.waldenstrmTL2Member28 Oct 2024 · edited#45

On post #41 — agreed on the reasoning, with one qualification.

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

0 likes 21mo
FE
f.espinozaTL2 Moderator29 Oct 2024#46

post #45 answers the question as asked. The question underneath it is different.

Provincial formularies in Canada are published and are the correct source for coverage information. Coverage for weight management is less common than for diabetes.

0 likes 21mo
M
MakinenTL2Member30 Oct 2024#47
s.hartmann, post #44: Indigenous healthcare systems: different indigenous healthcare systems have different medication access. Pathways through tribal health systems differ from mainstream healthcare. Go to post

Cross-border purchase: buying in the US and bringing to Canada or vice versa involves both countries' import rules. The medication is legal but crossing borders with it is regulated.

18 likes in reply to #44 21mo
SR
s.radichTL230 Oct 2024#48
EL
e.lehtinenTL2 Moderator31 Oct 2024#49

Worth separating two things that post #45 runs together.

United States: FDA licenses compounds. Prescribing and pharmacy practice are state-regulated. Compounds are prescription-only. Coverage is decided by individual plans, not nationally.

27 likes 21mo
HF
h.ferrariTL2 Moderator31 Oct 2024#50

Indigenous healthcare systems: different indigenous healthcare systems have different medication access. Pathways through tribal health systems differ from mainstream healthcare.

13 likes 21mo
B
BirkelandTL3Regular1 Nov 2024#51

Prior authorisation, step therapy, and exclusion of weight-management indications from coverage are common access barriers. The denial letter tells you which barrier you are facing.

9 likes 21mo
AK
a.kravchenkoTL2 Moderator2 Nov 2024#52
m.amankwah, post #23: On post #19 — agreed on the reasoning, with one qualification. Telehealth prescribing: widespread in the US and varying in quality. Models without a clinician reviewing measurements and history are not recommended by this community. Go to post

Compounding pharmacies: pharmaceutical compounding of a drug not on the FDA shortage list is substantially constrained. The landscape changed when supply normalised. Current compounding availability is limited.

21 likes in reply to #23 21mo
CT
cannula_traceTL3Regular2 Nov 2024#53

post #52 is right about the mechanism and I think understates the practical bit.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

0 likes 21mo
VR
v.rautioTL2 Moderator3 Nov 2024#54

Worth separating two things that post #50 runs together.

Canada: Health Canada licenses compounds. Prescribing is provincial. Compounds are prescription-only. Coverage varies between public and private insurance.

0 likes 21mo
G
GSwinburneTL1Member4 Nov 2024#55

Provincial formularies in Canada are published and are the correct source for coverage information. Coverage for weight management is less common than for diabetes.

14 likes 21mo
AK
ar.kravchenkoTL2 Moderator4 Nov 2024#56
compounding_ruth, post #19: Compounding pharmacies: pharmaceutical compounding of a drug not on the FDA shortage list is substantially constrained. The landscape changed when supply normalised. Current compounding availability is limited. Go to post

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

28 likes in reply to #19 21mo
CI
citation_indexTL2Member5 Nov 2024#57

Regional variation in North America: access differs substantially by US state and Canadian province. Postcode is a major determinant of access.

0 likes 21mo
MO
m.oyelaranTL2 Moderator5 Nov 2024#58

On post #54 — agreed on the reasoning, with one qualification.

Private insurance gaps: some people have private insurance but medication is not covered. Manufacturer assistance programmes are the main resource for cost reduction.

2 likes 21mo
EM
endpoint_marginTL2Member6 Nov 2024 · edited#59
v.okonkwo, post #25: Compounding pharmacies: pharmaceutical compounding of a drug not on the FDA shortage list is substantially constrained. The landscape changed when supply normalised. Current compounding availability is limited. Go to post

This follows post #56 rather than contradicting it.

Telehealth prescribing: widespread in the US and varying in quality. Models without a clinician reviewing measurements and history are not recommended by this community.

2 likes in reply to #25 21mo
RC
r.coelhoTL2 Moderator6 Nov 2024#60
desiccant_notes, post #38: 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

Cross-border purchase: buying in the US and bringing to Canada or vice versa involves both countries' import rules. The medication is legal but crossing borders with it is regulated.

10 likes in reply to #38 21mo