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Writer's pictureDave Knapp

REPORT: Staggering Number of Compound Semaglutide Rx In the US Per the OFA

In a recent submission to the FDA, the Outsourcing Facilities Association (OFA) disclosed a startling figure: 80 million prescriptions for compounded semaglutide were filled in the past year between both 503a and 503b pharmacies. This number is far higher than previous estimates. According to the OFA, currently there are an estimated 2 million patients relying on compounded semaglutide from 503b pharmacies alone. These updated numbers demand a closer look, as they offer critical insights into the scale of unmet demand for GLP-1 medications like semaglutide.




Breaking Down the Numbers: From Prescriptions to Patients

Understanding how 80 million prescriptions translate to patient usage involves looking at typical prescribing patterns for semaglutide:

  1. Monthly Supply Per Prescription: Each prescription generally covers a one-month supply of semaglutide.

  2. 12 Prescriptions Per Year: A single patient on a full-year regimen would require 12 prescriptions annually.

Based on this standard, we can calculate:

  • 80 Million Prescriptions ÷ 12 Months = Approximately 6.7 Million Patients.

This could mean that some 6.7 million Americans potentially relied on compounded semaglutide at some point in the past year.


Why This Matters

These figures highlight the incredible demand for semaglutide and the vital role that compounded medications play in meeting it. Let’s put this into perspective:


  • Novo Nordisk has significantly increased its production capacity for semaglutide-based medications, tripling its GLP-1 patient reach to approximately 11.5 million over the past three years. (The Fool) Despite these efforts, the demand continues to outpace supply, as evidenced by the 80 million compounded semaglutide prescriptions filled in the past year. This indicates that compounded medications are serving a substantial portion of the patient population that branded supplies cannot currently accommodate.


    Growing Awareness and Need:

    According to the Centers for Disease Control and Prevention (CDC), during August 2021–August 2023, the prevalence of obesity among U.S. adults was 40.3%, equating to approximately 104 million individuals.(CDC)

    This high prevalence underscores the increasing demand for effective treatments like GLP-1 medications, including semaglutide, to manage obesity and related health conditions.


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Implications for Patient Access

The data underscores the indispensable role of compounded semaglutide in filling the gap left by branded medications. Without it, millions of patients could be left without access to treatment. Here’s why this matters:

  1. Accessibility for the Underinsured: Branded semaglutide remains unaffordable for many, with list prices exceeding $1,000 per month. Compounded versions provide a more affordable alternative, especially for those without comprehensive insurance coverage.

  2. Bridging Supply Gaps: The branded supply is still unable to keep up with demand. Compounded semaglutide ensures that patients who cannot access branded medications still have a path to treatment.

  3. Continuity of Care: For many patients, compounded medications are the only way to maintain treatment continuity, particularly during shortages or insurance delays.


The FDA’s Role: Protecting Access to Compounded Medications

As the FDA considers drug manufacturer reports about commercial availability of branded products, these numbers serve as a crucial reminder of the millions of patients who rely on them. Any regulatory decisions that limit compounding could have devastating consequences for accessibility, affordability, and public health.


With demand continuing to rapidly outpace branded supply, compounded semaglutide is not just a temporary solution—it is a cornerstone of patient care for millions of Americans.


Advocacy and Action

For policymakers, healthcare providers, and patient advocates, the path forward is clear: protecting access to compounded medications is essential. The numbers tell a compelling story, and it’s one that cannot be ignored.


The 80 million prescriptions fulfilled last year represent not just a statistic but a lifeline for millions of patients. As the conversation around supply, regulation, and safety continues, ensuring the availability of compounded semaglutide must remain a top priority.


Stay tuned to OnThePen.com for more updates and in-depth analysis on the latest developments in weight loss and diabetes treatments. Sharing this article is a powerful form of advocacy that brings us closer to our goal of educating the masses and reducing the stigma of obesity. If you found this article insightful, please share it within your networks, especially in Facebook groups and Reddit forums dedicated to GLP-1 medications and diabetes management. Together, we can make a difference.

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1 Comment


If compounding gets banned, there is always the grey market. It costs only a fraction of what compounding pharmacies charge.

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