HealthRX.com · Printable question sheet
AOD peptide legal access questions for prescriber and pharmacist
Use this sheet before a visit with a prescriber or pharmacist to ask how the AOD peptide can be accessed legally in Pennsylvania. Fill it in by hand, bring it along, or keep it at home to record what you were told.
Product I am asking about
Write what you know. Leave blank anything you do not know.
Name of the product as I was given itCopy the name exactly as it appears on any label or paperwork
Where I first heard about itWebsite, seller, friend, clinic or other source
Prescriber or pharmacist name
Date of visit
Health goal I want to discussWrite it in your own words
Bring to the visit
Gather these before you go.
- Bring any label, vial or packaging you received for the product
- Write the name and address printed on any paperwork or receipts
- List every prescription, supplement and peptide you already use
- Note any letters, emails or messages from the seller or clinic
- Bring this sheet and a pen to write down answers
- Confirm whether the pharmacy is licensed in your state
- Check with your insurer whether it covers this type of treatment
Questions to ask the prescriber or pharmacist
- Is there an FDA-approved product with this name?
- Is this peptide on any FDA compounding list that applies to my pharmacy?
- Does this pharmacy compound from a bulk substance that meets FDA's listed routes?
- Does the Pennsylvania State Board of Pharmacy have a rule that covers this peptide?
- What safety information does FDA publish about this peptide?
- Can you note in my record that we reviewed this peptide's legal status?
- What licensed options exist for the health goal I wrote down?
- Is this peptide banned in sport under the rules that apply to me?
Contacts and answers received
Record each call, visit or email and what you were told.
| Date | Person asked | Answer given | Follow up needed |
|---|---|---|---|