HealthRX.com · Printable question sheet
Thymosin fragment compounding pharmacy questions sheet
Use before you accept a compounded thymosin fragment injection, sold as TB five hundred, from a pharmacy or outsourcing facility. Bring it to your prescriber or pharmacist, write down answers, and keep it with your medicine records.
Product and pharmacy details
Copy these from the label, prescription and paperwork you were given.
Product name exactly as printedWrite the name on the vial or package
Pharmacy or facility nameWrite the name shown on the label
Pharmacy typeState-licensed pharmacy, outsourcing facility, or not sure
Prescriber name and phone
Route written on the prescriptionCopy the wording exactly
Ingredients listed on the labelNote if more than one peptide is named
Gather before the visit
Bring copies, not originals, where you can.
- Bring the vial or package label and write down what it says
- Bring the prescription and any cover sheet from the pharmacy
- Write down whether a certificate of analysis came with the product
- Note the manufacturer name and whether the pharmacy named one
- Bring a list of every medicine and supplement you already take
- Check with the pharmacy how the product was sourced
- Confirm whether the label includes the wording about not for resale
- Bring this sheet and a pen
Questions to ask
- Is this product on an FDA list for the pharmacy that is filling it?
- Does the pharmacy hold a valid certificate of analysis for this exact ingredient?
- Is this product a single active ingredient, or is it blended with another peptide?
- Which FDA-registered manufacturer made the bulk ingredient?
- Has any study in people tested this exact fragment, and where can I read it?
- Would you recommend a different option that is FDA approved for my condition?
- If I have a reaction, who should I contact and what should I report?
Pharmacy and prescriber contacts
Record each call, email or visit about this product.
| Date | Who you spoke with | Answer given | Follow-up needed |
|---|---|---|---|