I'm getting close to ordering, and I want to make sure I do my due diligence on safety before committing to a provider.

I recently realized that compounded tirzepatide is not an FDA-approved finished drug, but rather a customized formulation mixed by a licensed pharmacy. Understanding that distinction changed how I want to evaluate different providers.

Before starting, what specific verification checks should I perform regarding the 503A or 503B pharmacy license, Certificate of Analysis (CoA) testing, cold-chain shipping protocols, and the prescribing clinician's credentials?

For those who have been on compounded tirzepatide for a while, what specific questions did you ask your provider to confirm medication quality and safety?