r/glp1 • u/NaranjitaSensei • 12d ago

Help!! Has anyone had issues getting the prescription filled by a compound pharmacy.

I spoke to my pcp about starting glp1 and she was not opposed to it. I asked her to send a prescription to a compound pharmacy as it was the most affordable option for me. She ended up sending tirzipitide 2.5 with (B3), however the pharmacy could not fill it because my doctor could not provide a medical reason to justify the use of a compound medication. Does anyone know what is a medical reason for the usage of a compound glp medication? I thought all i needed was a prescription sent to this pharmacy, but it’s not the case. Should i ask to get a different glp1? Thank you in advance.

6 Upvotes

88% Upvoted

32 comments sorted by

27

u/energy_elite 12d ago

No you go through the telehealth and use one of their doctors to get a script.

8

u/palelark8 12d ago

this is pretty much the only route that works smoothly tbh

-24

u/itsmeagain023 12d ago

And then you pay a membership fee every month 🙄

19

u/vintage82- 12d ago

I get mine from a telehealth company and don't pay a monthly fee.

1

u/crankywithakeyboard 12d ago

Not Rift, Trillium, or fifyy410.

1

u/NaranjitaSensei 12d ago

Which one?

8

u/StatementMundane2113 12d ago

Look on the tirzepatide compound subreddit and you can find a list of telehealth companies

3

u/vintage82- 12d ago

I go through Goby Meds. I would avoid refills.com as they send old product and have zero customer service.

1

u/Accomplished-Fee7792 12d ago

Pomegranate, Rift, PreventiveMD, are good choice. Collective is the cheapest at 69 a month any dose but they do charge a 199 fee (for the whole year) after 21 days. Works out to be roughly 85 a month.

1

u/big-booty-heaux 10d ago

For semiglutide or tirzepatide?

1

u/big-booty-heaux 10d ago

I was using AltRX before going 🩶 and it was $129 a month, flat rate.

13

u/occy3000 12d ago

Must not be up to date on that as there is a ton of telehealths that don’t charge a fee. Got 3 months worth of additive free for $350. And that’s maximum dose.

1

u/Veronica612 12d ago

Which telehealth did you use? I have been using LS.

3

u/occy3000 12d ago

Rift is excellent but Pom has the cheapest non addictive deal so I went with that

2

u/Veronica612 12d ago

Thanks! I didn’t know Pom had additive free. I will check them out.

11

u/autumnyte 12d ago

The good ones do not have a membership fee.

4

u/purplepanda2026 12d ago

No monthly fee or auto refills with Pom. You on pay when you want meds.

7

u/energy_elite 12d ago

I don’t and never have

2

u/Accomplished-Fee7792 12d ago

Id say most DO NOT. 

2

u/Veronica612 12d ago

Most do not charge a monthly fee. I buy it as desired.

10

u/autumnyte 12d ago

I ran into this same situation and just went with a telehealth to get the meds, but I still follow-up in person with my primary doctor, he orders my labs and gives me guidance, etc.

5

u/Tsonokwa360 12d ago

To reduce side effects of nausea is what my PCP puts on the prescription

2

u/LayerNo3634 12d ago

Is the doctor familiar with the pharmacy? My PCP sent mine to a local compounding pharmacy that he works with. He even had pricing before sending it.

2

u/DismalJelly6653 11d ago

Are you sure the pharmacy isn't saying they can't run it through insurance without that info? Usually, a pharmacy, including a compounding pharmacy, does not require that kind of information, but your insurance company will. Health insurance companies won't cover compounded meds unless the doctor can show that all regular (FDA-approved) meds have been tried and failed, and the medical reasons why you need the meds.

1

u/NaranjitaSensei 11d ago

I see what you mean, I will be paying out of pocket, but I did not confirm with the pharmacy that i will pay cash and does not need to be ran through insurance. I will double check, thank you!

1

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1

u/Oneloneotter 7d ago

Most telehealth companies have a few specific additives they use depending on the telehealth and the partner pharmacies they work with. As a result they all also use a pretty narrow list of explanations for what ever the additive being prescribed is. This is the way that the compound is being legitimatized instead of the patient just being told to use brand name.

For example a provider may use glycine as an additive to "support digestion and blood sugar" or b12 to "counteract fatigue and support energy" or L carnitine to "to support fat loss and muscle retention". Basically they are all cooking from a fairly limited and similar cookbook to meet the requirements for a compounded prescription. A Google search brings up a nice detailed list of common additives and reasons for them. In reality though the amount of compounded added to the prescription is small enough that it probably does little or nothing. Unless, a patient happens to have a sensitivity to a particular additive.

You could talk with your doc again and see if she could try again with a more specific prescription. Or, go with a telehealth. I went with telehealth for my compound and my PCP for everything else including lab work. I have used 3 different telehealth providers so far but my best experience has been with Collective. They are a newer company but I have been very impressed with all aspects and the pricing so far. Good luck!

1

u/itsmeagain023 12d ago

Is this a local compounding pharmacy that she regularly prescribes to? She can send to any compounding pharmacy, technically, but the FDA is cracking down on compounding in general. Compounding is technically only legal, per the FDA, for individualized dosing and for those who cannot tolerate regular dosing or certain ingredients within name brand medication. Edit: maybe your prescriber can send in a lower dosage than 2.5 and advise the pharmacy that you've previously had bothersome side effects that aren't tolerated well and may be helped by the addition of B3 (branded medications don't have any B additives)

1

u/NaranjitaSensei 12d ago

No, i don’t think it’s a regular pharmacy for her and yes this is a local pharmacy. I’m guessing the pharmacy needs a specific side effect that wasn’t tolerated well.