Couldn’t compounding pharmacies like Empower purchase brand name drugs like Testosterone, HCG, anastrozole etc and resell them at a mark up? So that TRT clinics could continue to send prescriptions to these compounding pharmacies. I know this doesn’t fix the problem of affordability and lack of treatment options for some people (specially women) but at least fix some of the accessibility issues.Cash-based online and most TRT local clinics can stay in business because of hormone product and blood test margins. So, if the FDA bans 11 compounded hormones, all these clinics will take a hit. They would have to pivot by calling in prescriptions to regular pharmacies like Walgreens, etc. They do not get any margins from that. Men that get TRT paid by insurance will still have access to pharma name-brand products. hCG is not paid by insurance, though. Another issue is that many online TRT clinics do not have a physician licensed in every state, so there will be states that they won't be able to serve. The consumer will be affected since hCG, FSH, HMG, TRT creams, TRT pellets, and other TRT options are much more expensive as name-brand products. Another issue is that hCG, FSH and HMG are usually on back order at regular pharmacies. Last but not least, every insurance company has a very limited formulary of TRT or HRT options since they make deals with specific pharma companies for pricing. More details on the hCG, FSH, HMG story: The FDA Blocked Your Access to Affordable Compounded hCG, FSH and hMG - Hormone Access Coalition and TRT, HRT: FDA Aims at Blocking Your Access to Affordable HRT, TRT, and Other Hormones - Hormone Access Coalition
The focus remains to avoid this to happen but just thinking about a plan B in case worst case scenario happens.