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Federal law allows compounding pharmacies to create versions of brand-name drugs only when those drugs are on the official FDA shortage list under FDA drug shortage guidance

And the cost of wasting a vial, per milligram, can be just as significant even though compounded tirzepatide costs less than brand-name options

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While compounded medications are not FDA-approved, the pharmacies that make them must follow all relevant regulatory guidelines to ensure quality and safety

however small differences in patients who discontinued from study due to death were reported