Compounded Semaglutide
Patient-specific 503A preparation — by exception only
Available only when your NP documents a clinical reason the FDA-approved product cannot meet your needs, such as a verified intolerance to an inactive ingredient or a dose the commercial pen does not produce. Your prescriber must record that reason before the prescription can be written.
This is not where treatment usually starts. It is prescribed when the manufactured, FDA-approved option has been ruled out for you specifically, and your nurse practitioner has to write down why before it can be sent to a pharmacy. You are welcome to ask about it — just expect the conversation.
Regulatory status
Compounded drug. Not FDA-approved. Not reviewed by FDA for safety or effectiveness.
Frequency
Weekly injection
Route
Subcutaneous
Supply
4-week patient-specific supply
Minimum age
18+
What patients get from this
- Doses the commercial pen does not offer
- Preservative and excipient adjustments for verified intolerances
- Dispensed against your name by a PCAB-accredited 503A pharmacy
We will not prescribe this if
- Personal or family history of medullary thyroid carcinoma
- Multiple endocrine neoplasia syndrome type 2
- Current pregnancy or breastfeeding
- History of pancreatitis
The intake asks about each of these. Some answers stop the process; others are flagged for your nurse practitioner.
Labs your NP may order
- CMP
- HbA1c
- Lipid panel
- TSH
Draw at our Fort Lauderdale clinic or a reference lab near you. Your NP reviews the results and posts them to your account.
Please read
- Compounded drugs are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
- Prescribed only where your clinician documents that the FDA-approved product is not suitable for you.
- Not a generic of, or equivalent to, any brand-name product.
About compounded medication
A compounded preparation is made for one named patient by a licensed pharmacy. It is not an FDA-approved product: the FDA does not review it for safety, effectiveness or manufacturing quality. Your nurse practitioner has to record a specific clinical reason why the commercially available product will not work for you before this can be prescribed — and cost on its own is not one.
A 503A pharmacy may not supply a clinic with shared stock, so your prescription is filled in your name and shipped to the clinic for you. A nurse cannot administer it without linking the order it came from.