I called to refill my prescription today at my compounding pharmacy. I was informed of this change. I lost over 100 lbs on this medication and it saved my life. Very frustrating
Yup, have a 7.5mg Zepbound Rx but my pharmacy is out of stock. Seems like that would be a good case for allowing compound Tirzepatide as a substitute, then try to fill the Zepbound again next month. Obviously Eli Lilly is not being completely truthful about availability, and shame on the FDA for cowtowing. 😖
Great video, and easy to understand! Thank you I hope the government will step in, I was using compound pharmacy because my insurance won't cover these drugs for weight loss and I couldn't afford $1500 a month. I cried, I have hypothyroidism and for 20 years with exercise and starvation haven't been able to loose weight before taking this drug. I hope more physicians like your self advocate for change otherwise millions of americans will suffer. Obesity is a disease not a choice.
We sell only to research facilities. Was wondering why so many trying to order. Just adding B6 or B12 will not work with the FDA. We are looking into adding 3 or 4 peptides in small, beneficial amounts to overcome this issue
Update: I was able to stay on tirzepatide compound. Oct 11th the FDA decided to revisit decision, and allowing refills. At least 2-3 months and possibly longer is what my provider said.
If you read the FDA rules, they state that you need to change one of the base ingredients in order to have it be a significant change to the drug. This means that adding something like B6 is not acceptable under their rules. The reason for this is that it would be quite simple for a patient to take the drug and then take a shot of B6 or a pill of B6 separately to get the same effect. If you had a patient who was allergic to a preservative they put in the base ingredient and the compounders made the drug up without that ingredient then that would be a reason to be able to produce a compounded version. It also seems that if a doctor is continually writing that all of their patients are allergic to a preservative or to one particular component in the brand-name medication that will not be looked upon favorably so I don’t think that that would work as an excuse long-term to produce a lot of of compounded medication. You are correct that it doesn’t get around the patent infringement problem. You can look up the FDA website and read the instructions around the rules. It’s quite clear.
I'm still surprised that Novo Nordisk hasn't sued Eli Lilly for patent infringement. I guess adding a new receptor agonist to the original GLP-1 drug is not considered patent infringement, though it's pretty close.
@@kmars3239 that may well be but it still doesn’t get around patent infringement problem and technically, both the doctor and the pharmacy could be sued for doing that. No one ever said doctors were lawyers. But ignorance of the law is not an excuse. The doctors can run the gauntlet of prescribing but once a few have been made an example of, they will all fall into line. They don’t want to be sued and possibly lose their licence to practice over prescribing a drug for someone. The FDA has said they will not go after people compounding while they are compiling their report for the court, which is due on 21 November but, they have also not put the drug back on the shortage list so Eli Lilly can certainly go forward and start proceedings if they so choose. That is why some compounding pharmacies have given up, at least until the report is out. If the FDA’s report confirms that they are going to keep the drug off the shortage list and that is upheld by the judge, then legally, the ban on compounding will be upheld and it will have to stop, The rules state that pharmacies can compound for up to 4 patients per month if a drug is commercially available. Any more and the FDA will take action. We will all know the future by Christmas. We will know the result of the election before we know the answer to compounding.
It’s disheartening that these medications have helped so many Americans improve their health-reducing high blood pressure, eliminating diabetes, and transitioning from frequent doctor visits to just an annual physical-only for many insurance companies to now refuse coverage. It feels like they prioritize keeping people dependent on multiple medications and frequent doctor visits over promoting true health. This situation is deeply unfair and shouldn’t be allowed.
I had just started the compound, 2 shots in. Already lost 6 pounds. Irritating. Can’t afford like triple for actual zepbound. Going to complete the 4 weeks, but guess I’ll have to switch to semaglutide.
I do not understand why Americans are paying circa $1,000 dollars for a US manufactured drug (Eli Lilly) when in the UK it sells for circa £200 ($261). Are the manufacturers taking the proverbial, or is the local supply chain just ripping off customers.
Do you have any recommendations for folks that would like to titrate off Mounjaro ? I’ve been on 15mg for 25 months. Huge success. But I’d like to safely get off without gaining my 80lbs back. Mainly I want to keep muscle mass, which can be a problem?
What an accomplishment! Honestly, I would recommend that you stay on the medication indefinitely. Obesity is a chronic health condition. Think of it like high blood pressure. Once your blood pressure is controlled with medication you don’t stop the medication. You can consider going down slightly on the dose or even consider taking it every 10-14 days but I believe you should be on some amount or form of the medication indefinitely. Studies have supported this recommendation as well. As always, talk to your own doctor before doing anything. Thanks for watching.
As some have reported, Eli Lilly won't release vials in higher doses because people will buy the higher dose vials, then split them up into lower doses. EL loses money that way and despite its woke attitude, profit is still the bottom line for these drug companies.
Exactly that makes sense what you’re saying. So therefore they ain’t going to do it. They’re smart about it becuz it’s all about the dollar sign for them and plus no concern for the patients that’s on these glp1 meds. Saddd though.
EL is playing games and 1/2 the price is for their "pen". They paid for a huge smear campaign against the compounds claiming they were harmful. They sued at the federal level and when the FDA told them no, they tried at the state level. The release of the vials to only the uninsured at 1/2 the price was to get encourage script transfers so they could find your dealers. Even today their website has "check your meds to see if they're fake" by uploading a photo. Sure...
Hi, I just recently started back taking Tirzepatide from my compounding pharmacy on Oct 24,2024. Are they really going to end the compounded medications?
With the Eli Lilly direct, do they have someone the other will write you the prescription and if so, is there a fee or can I have the telehealth company I’ve been dealing with write a prescription for me to get it from Eli Lilly direct now that they’re not providing access to the compounded medication? Thank you.
It’s a peptide (synthetic). I have no problem getting it but tapering off, but I may take low dose just because I don’t have Crohns problems anymore. I’d rather do a peptide than a drug just my thoughts 🤷🏼♀️
B12 in Tirzepatide is a good thing, my compounding pharmacy adds B12 because: vitamin B12 can help reduce nausea from tirzepatide. I do not get nausea side effect.
But as I think Dr. Risinger said, that could be construed as possible patent infringement -- and compounding pharmacies are hesitant to sell generic tirzepatide for fearing of lawsuits.
Hello all, I was recently moved to Mounjaro 5 from the 2.5. I have 3 boxes of the 2.5 for sale plus overnight shipping if you are interested send me a message.
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I called to refill my prescription today at my compounding pharmacy. I was informed of this change. I lost over 100 lbs on this medication and it saved my life. Very frustrating
Yup, have a 7.5mg Zepbound Rx but my pharmacy is out of stock. Seems like that would be a good case for allowing compound Tirzepatide as a substitute, then try to fill the Zepbound again next month. Obviously Eli Lilly is not being completely truthful about availability, and shame on the FDA for cowtowing. 😖
Report it to on the FDA Page
I have been using Tirzepatide from Swisschems for the past five months; you can check them out.
And other countries pay less than $100. The US is truly the cash cow for these companies.
The US government needs to buy out the patent under eminent domain to serve the public health.
❤
😂😂😂😂😂😂😂😂😂😂😂😂😂
Because the government is soo trustworthy with our health
Yeah if they didn't do that for epipens of diabetes or cancer etc etc etc meds. They definitely not doing it for this. The government likes us fat
Great video, and easy to understand! Thank you I hope the government will step in, I was using compound pharmacy because my insurance won't cover these drugs for weight loss and I couldn't afford $1500 a month. I cried, I have hypothyroidism and for 20 years with exercise and starvation haven't been able to loose weight before taking this drug. I hope more physicians like your self advocate for change otherwise millions of americans will suffer. Obesity is a disease not a choice.
My compounding pharmacy adds niacin. How do you patent a peptide that is already in your body? Get ready for the court battles.
My pharmacy done b12 with it , and They said they can continue
Local or online?
We sell only to research facilities. Was wondering why so many trying to order. Just adding B6 or B12 will not work with the FDA. We are looking into adding 3 or 4 peptides in small, beneficial amounts to overcome this issue
Cjc-1295 dac maybe?
Wouldn’t that change the medicine all together to something else? Plus would it work the same or not?
Who can afford this!
Me 😬
I quit eating out and can EASILY afford it!
Update: I was able to stay on tirzepatide compound. Oct 11th the FDA decided to revisit decision, and allowing refills. At least 2-3 months and possibly longer is what my provider said.
Thank God
If you read the FDA rules, they state that you need to change one of the base ingredients in order to have it be a significant change to the drug. This means that adding something like B6 is not acceptable under their rules.
The reason for this is that it would be quite simple for a patient to take the drug and then take a shot of B6 or a pill of B6 separately to get the same effect.
If you had a patient who was allergic to a preservative they put in the base ingredient and the compounders made the drug up without that ingredient then that would be a reason to be able to produce a compounded version. It also seems that if a doctor is continually writing that all of their patients are allergic to a preservative or to one particular component in the brand-name medication that will not be looked upon favorably so I don’t think that that would work as an excuse long-term to produce a lot of of compounded medication.
You are correct that it doesn’t get around the patent infringement problem.
You can look up the FDA website and read the instructions around the rules. It’s quite clear.
I'm still surprised that Novo Nordisk hasn't sued Eli Lilly for patent infringement. I guess adding a new receptor agonist to the original GLP-1 drug is not considered patent infringement, though it's pretty close.
My dr just called mine into a compound pharmacy with B12 added, it will be shipped to my house.
@@kmars3239 that may well be but it still doesn’t get around patent infringement problem and technically, both the doctor and the pharmacy could be sued for doing that.
No one ever said doctors were lawyers. But ignorance of the law is not an excuse. The doctors can run the gauntlet of prescribing but once a few have been made an example of, they will all fall into line. They don’t want to be sued and possibly lose their licence to practice over prescribing a drug for someone.
The FDA has said they will not go after people compounding while they are compiling their report for the court, which is due on 21 November but, they have also not put the drug back on the shortage list so Eli Lilly can certainly go forward and start proceedings if they so choose. That is why some compounding pharmacies have given up, at least until the report is out.
If the FDA’s report confirms that they are going to keep the drug off the shortage list and that is upheld by the judge, then legally, the ban on compounding will be upheld and it will have to stop,
The rules state that pharmacies can compound for up to 4 patients per month if a drug is commercially available. Any more and the FDA will take action.
We will all know the future by Christmas. We will know the result of the election before we know the answer to compounding.
It’s disheartening that these medications have helped so many Americans improve their health-reducing high blood pressure, eliminating diabetes, and transitioning from frequent doctor visits to just an annual physical-only for many insurance companies to now refuse coverage. It feels like they prioritize keeping people dependent on multiple medications and frequent doctor visits over promoting true health. This situation is deeply unfair and shouldn’t be allowed.
I had just started the compound, 2 shots in. Already lost 6 pounds. Irritating. Can’t afford like triple for actual zepbound. Going to complete the 4 weeks, but guess I’ll have to switch to semaglutide.
Mochi health is $350 a month for all dose levels. Discount code 9uqyic for $40 off first month
I do not understand why Americans are paying circa $1,000 dollars for a US manufactured drug (Eli Lilly) when in the UK it sells for circa £200 ($261).
Are the manufacturers taking the proverbial, or is the local supply chain just ripping off customers.
How will this affect those who couldn’t get the name brand due to their medical plan, such as non diabetic medicaid recipients?
They shouldn’t charge this much for medication,
How evil to charge $100 an injection!
Do you have any recommendations for folks that would like to titrate off Mounjaro ? I’ve been on 15mg for 25 months. Huge success. But I’d like to safely get off without gaining my 80lbs back. Mainly I want to keep muscle mass, which can be a problem?
What an accomplishment! Honestly, I would recommend that you stay on the medication indefinitely. Obesity is a chronic health condition. Think of it like high blood pressure. Once your blood pressure is controlled with medication you don’t stop the medication. You can consider going down slightly on the dose or even consider taking it every 10-14 days but I believe you should be on some amount or form of the medication indefinitely. Studies have supported this recommendation as well. As always, talk to your own doctor before doing anything. Thanks for watching.
As some have reported, Eli Lilly won't release vials in higher doses because people will buy the higher dose vials, then split them up into lower doses. EL loses money that way and despite its woke attitude, profit is still the bottom line for these drug companies.
Exactly that makes sense what you’re saying. So therefore they ain’t going to do it. They’re smart about it becuz it’s all about the dollar sign for them and plus no concern for the patients that’s on these glp1 meds. Saddd though.
If Eli Lilly are ripping off US customers, why can I buy it in the UK for circa $260 (£200).
Somethings up?
@@grahampearce2405 You have government subsidized health care in the UK.
EL is playing games and 1/2 the price is for their "pen". They paid for a huge smear campaign against the compounds claiming they were harmful. They sued at the federal level and when the FDA told them no, they tried at the state level. The release of the vials to only the uninsured at 1/2 the price was to get encourage script transfers so they could find your dealers. Even today their website has "check your meds to see if they're fake" by uploading a photo. Sure...
Hi, I just recently started back taking Tirzepatide from my compounding pharmacy on Oct 24,2024. Are they really going to end the compounded medications?
Fantastic video
Thank you.
Thank you!
I would have thought all this would be resolved now. What a disaster.
great video - thanks for your insights!
Thank you
With the Eli Lilly direct, do they have someone the other will write you the prescription and if so, is there a fee or can I have the telehealth company I’ve been dealing with write a prescription for me to get it from Eli Lilly direct now that they’re not providing access to the compounded medication? Thank you.
To use the direct to consumer Eli Lilly pharmacy you need a prescription from your doctor for Zepbound.
Is phentermine in shortage? I took it before I even knew much about compounding but I always got it from a compounding pharmacy. Just curious
I just made the decision to start. On Friday, ordered the Zepbound compound. Haven’t even gotten it. To say I’m upset is understatement
where did you order ? how much
@@divad2845 CareClinics. Starter pack for three months
Thanks for the information
Hi Dr do you Know if you pharma ship to Puerto Rico ?
How can i connect with you
Thanks Maria From Puerto Rico
That is still too high
If pharmacy's sold viles of the API it would get around the restrictions and storing the vile for 3,6,9 months.
My dr called my script into the compound pharmacy and they are shipping it to me.
It’s a peptide (synthetic). I have no problem getting it but tapering off, but I may take low dose just because I don’t have Crohns problems anymore. I’d rather do a peptide than a drug just my thoughts 🤷🏼♀️
If you trying to maintain is semi an good option
So even if you don’t have any comorbidities, you can still get the Zepbound through Eli Lilly and pay out-of-pocket?
You need a prescription from your doctor for zepbound to get it from the Eli Lilly pharmacy
good
B12 in Tirzepatide is a good thing, my compounding pharmacy adds B12 because: vitamin B12 can help reduce nausea from tirzepatide. I do not get nausea side effect.
I actually found that a very mild nausea, usually after eating a bit too much, really helped me to learn to readjust my eating habits.
But as I think Dr. Risinger said, that could be construed as possible patent infringement -- and compounding pharmacies are hesitant to sell generic tirzepatide for fearing of lawsuits.
Same here, they are saying they can continue, they were doing it before tge shortage
Fast,fast,fast
I'm getting my Zepbound like normal.
Hello all, I was recently moved to Mounjaro 5 from the 2.5. I have 3 boxes of the 2.5 for sale plus overnight shipping if you are interested send me a message.
I am interested. How much for the supply you have?
3 boxes of the 2.5 , 90 day supply of Mounjaro
Send me the offer with the city and zip code so I can look up the shipping fee to either send it fedex or ups