HealthRX.com · Printable question sheet
BPC peptide compounded product questions for your pharmacist
Use this sheet before or at a visit when a pharmacy or prescriber offers a compounded BPC peptide. Fill in the product details, bring the listed papers, ask the questions, and log any changes you notice.
Pharmacy and prescription details
Copy these exactly from the label, prescription or pharmacy paperwork.
Pharmacy name and license typeWrite the pharmacy name and whether it is state-licensed or an outsourcing facility
Pharmacist name
Prescriber name
Product formWrite injection, oral, topical, nasal or other, as printed
Ingredient name on the labelWrite the exact wording, such as acetate or free base
Date the prescription was written
Gather before the visit
Bring copies if the pharmacy allows.
- Bring the label from the vial, syringe or package
- Bring the certificate of analysis the pharmacy can provide
- Confirm the name of the bulk ingredient manufacturer
- Write down the syringe brand and whether it is FDA-cleared
- Note whether the product contains any other peptide
- List every current medicine and supplement you take
- Bring any sports or competition rules that apply to you
Questions for the pharmacist or prescriber
- Is this BPC peptide product FDA-approved?
- Is the BPC peptide on any FDA list that covers this pharmacy?
- Is this pharmacy a state-licensed pharmacy or an outsourcing facility?
- Which form of the BPC peptide is in this product, and is it the form on the label?
- Does this product contain any ingredient other than the BPC peptide?
- Can you show me the certificate of analysis for the bulk ingredient?
- How will serious side effects or quality problems be reported?
- Who do I contact after hours if I have a reaction?
- Is this product banned under the sports anti-doping rules I follow?
- Will my insurer cover a compounded peptide like this one?
Changes and events to record
Write what you noticed and whether you told the pharmacy or prescriber.
| Date | Product and form used | What I noticed | Reported to pharmacy or prescriber |
|---|---|---|---|