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Additionally, according to the Center for Medicine in the Public Interest white paper, 503A pharmacies are also not allowed to ship more than 5% of compounded drugs they make outside of the state where they operate unless the pharmacy has a memorandum of understanding with the FDA that allows for adequate oversight by state regulators

Brain Res 1043 : 139144 Broberger C et al

The high cost and inconsistent access have already driven some users to procure their medication from a variety of sources, including online compounding pharmacies, which can legally mix off-brand versions of the popular medications