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c/glp1aus·posted 1 year ago by u/hamza_serrano

help me understand compounding, I have read the wiki twice

Question Clean Column ×7

Trying to get a straight answer on this: help me understand compounding, I have read the wiki twice.

Where to look instead of asking, which will nearly always be faster.

The national shortage database is public, searchable and carries expected resolution dates. The subsidy criteria for each indication are published. Your pharmacist can check wholesaler availability in a few minutes, which is a different question from what is on the shelf.

Between those three, most questions on this board are answerable in half an hour with primary sources. The board is genuinely useful for experience, pricing comparison and the parts that are not written down anywhere — it is a poor substitute for a document that exists.

The two decisions that this whole board turns on, kept apart.

Registration means a product may lawfully be supplied. Subsidy listing means the public system will fund it, for a defined indication, against published criteria. They are made by different bodies on different timetables, and a product can be registered and unsubsidised for a given use for a long time.

Almost every "why can I not get this" thread here is really a question about the second decision being answered with facts about the first. Say which one you are asking about and the thread resolves in two replies.

Someone posted US advice in an Australian thread and it took four replies to untangle it. Say your country.

Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.

779 up / 177 down81% upvoted17 commentsid 5beccv5 Oct 2024

17 comments

16 in this archive, depth 6

best — the order this archive was captured in

u/yara_antonsen87 points·1 year ago

Compounded supply arrangements have changed materially in recent years. Advice predating that change describes a situation that no longer applies.

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u/copay_card_cc98 points·1 year ago

Yes — the shortage database is the source. The news coverage of it is downstream and usually a week behind.

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u/blunt_coldbox_202462 points·1 year ago

The compounded arrangements changed while I was mid-thread and I was arguing from a superseded position.

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u/cormac_pereira16 points·1 year ago

the shortage listing has an expected resolution date on it

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u/sten_rautio48 points·1 year ago

Read the published criteria for my indication rather than asking. Twenty minutes, and it answered everything I had been guessing at.

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[deleted]35 points·1 year ago

[deleted]

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u/chidi_yilmaz8 points·1 year ago

PBS-subsidised or private script?

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u/adnan_sandvik3 points·1 year ago

Not convinced. That is the New Zealand position and the thread is asking about Australia.

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u/arne_amankwah1 point·1 year ago

Kept the script and the receipt for a private health claim and both were requested.

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u/phase_two_pete17 points·1 year ago

Have you checked the shortage database directly?

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u/jarno_cabrera13 points·1 year ago

the TGA shortage database is public and it is the source, not the news

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u/hamza_serranoOP0 points·1 year ago

Correcting myself: the compounded position changed and my earlier comment was describing the old one.

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u/slow_logbook_notes1 point·1 year ago

the Medsafe position in New Zealand is its own thing entirely

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u/quiet_reader_9933 points·1 year ago

The national shortage database is a primary source with expected resolution dates attached. It is public, searchable, and consistently more accurate than reporting about it.

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u/slow_logbook_notes27 points·1 year ago

Read the published criteria for my indication rather than asking.

Agreed — the database rather than the coverage, every time.

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u/lane_watchermod · logistics0 points·1 year ago

Agreed — the database rather than the coverage, every time.

Adding the quickest step — ask the pharmacist to check the wholesaler.

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Australia and New Zealand: PBS listing status and what it does to out-of-pocket cost, TGA shortage notices, the 2024 compounding rule change that closed a major access route overnight, and NZ's unfunded-means-full-price reality.

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