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One important note about the "compounded" designation

Microscopic clumps of degraded peptide scatter light, creating that hazy appearance

On April 1, 2026, the FDA reiterated its enforcement policy: it does not currently intend to take action where a 503A compounder fills four or fewer prescriptions per calendar month of a drug that is "essentially a copy." That safe harbor is narrow, and it signals the FDA's direction