The quick answer is yes, bioidentical hormones are FDA approved but hold on, this is a very controversial and somewhat complex topic that requires more explanation. Some bioidentical hormones are manufactured by drug companies, are approved by the FDA, and sold in standard doses. On the other hand some bioidentical hormone preparations are made ...In many instances compounded hormones are more affordable. Estradiol vaginal cream can cost well over $300 while compounded estradiol vaginal cream may start at around $50. Some insurance companies may be more likely to cover FDA approved hormones. However, now some compounding pharmacies file insurance too.Hormone Route of administration Bioidentical brand name (active pharmaceutical ingredient) Non-Bioidentical brand name (active pharmaceutical ingredient) Estrogen: Oral: FDA-approved Estrace®, generics (17β-estradiol)Available compounded (not FDA-approved) Estradiol (E2), estriol (E3), biestrogen (E2E3), triestrogen (E1E2E3) FDA-approvedCompounding pharmacies should be aware of recent developments in the law surrounding bioidentical hormone therapy (cBHT). In the field of pharmacy, compounding (performed in compounding pharmacies) is preparation of a custom formulation of a medication to fit the unique need of a patient which cannot be met with commercially available products. Compounded drugs are not FDA-approved. The Food ...The FDA’s Pharmacy Compounding Advisory Committee (PCAC) should review select hormones for the Difficult to Compound list, including estradiol, estrone, estradiol, progesterone, estriol, testosterone, and the pellet dosage form. The federal government and State Boards of Pharmacy should expand and improve oversight of 503A “traditional ... Patented synthetic hormones require extensive testing and funding, which helps keep the FDA in business. When looking at the safety of bioidentical hormones, several things stand out. As mentioned above, the risk of breast cancer is reduced using bioidentical hormones.Hormone Route of administration Bioidentical brand name (active pharmaceutical ingredient) Non-Bioidentical brand name (active pharmaceutical ingredient) Estrogen: Oral: FDA-approved Estrace®, generics (17β-estradiol)Available compounded (not FDA-approved) Estradiol (E2), estriol (E3), biestrogen (E2E3), triestrogen (E1E2E3) FDA-approvedNot all hormones made from natural sources are bioidentical. There are two types of bioidentical hormone products: pharmaceutical products and custom-made products. Pharmaceutical Products: These products have been approved by the U.S. Food and Drug Administration (FDA). Their quality and safety are regulated so it is the same high-quality ...The FDA has not approved these compounded hormones, and it does not regulate them. As a result, they may pose safety risks. There is little evidence supporting bioidentical hormones, particularly ...In many instances compounded hormones are more affordable. Estradiol vaginal cream can cost well over $300 while compounded estradiol vaginal cream may start at around $50. Some insurance companies may be more likely to cover FDA approved hormones. However, now some compounding pharmacies file insurance too.FDA Approved Drugs. The following database contains a listing of drugs approved by the Food and Drug Administration (FDA) for sale in the United States. Drug information typically includes the drug name, approval status, indication of use, and clinical trial results. A.To learn more, review the BIJUVA Patient Information and talk about BIJUVA with your healthcare provider or pharmacist. The FDA-approved product labeling, including Patient Information, can be found here. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch or call 1-800-FDA-1088.Jun 23, 2021 · The categories of hormones gets broken down into bioidentical versus synthetic, and FDA-approved versus non-FDA-approved. FDA-Approved Hormone therapy Numerous FDA-approved hormone preparations are available for the treatment of menopausal symptoms, gender-affirming therapy, birth control, and menstrual regulation. Jan 18, 2023 · FDA approved bioidentical hormones are intended for standard doses that are mass-produced by manufacturers. If you need a dose that is higher or lower than what a manufacturer makes, then you must have it compounded to your individual needs. There are 3 types of bioidentical estrogens. The stronger and more active estrogen against menopausal ... In recent years, CBHT has emerged as a popular alternative to manufactured, FDA-approved hormone therapy—despite concerns within the medical community and the availability of new FDA-approved “bioidentical” products. This study investigated the motivations for choosing and using CBHT in a U.S. sample of ordinary midlife women.Bioidentical hormones are broadly categorized, as either tested and reviewed by the FDA or not. Products approved by the FDA have undergone extensive testing and quality control.These days, there are FDA-approved versions of bioidentical hormones, and there are alternative, custom-prepared varieties — like the one Foster uses — made in specialized "compounding ...They have names such as Estrace, Alora, Climara, Estring and Vagifem. A woman who still has her uterus and who goes on hormone therapy for menopause symptoms should also take progesterone to reduce her risk for uterine cancer. FDA-approved bioidentical progesterone products, such as Prometrium, are available as well.Hormone Route of administration Bioidentical brand name (active pharmaceutical ingredient) Non-Bioidentical brand name (active pharmaceutical ingredient) Estrogen: Oral: FDA-approved Estrace®, generics (17β-estradiol)Available compounded (not FDA-approved) Estradiol (E2), estriol (E3), biestrogen (E2E3), triestrogen (E1E2E3) FDA-approvedApr 14, 2021 · not currently available as an FDA-approved drug product” (p. 195). “The term ‘bioidentical hormone’ generally refers to sex steroid hormones, usually an estrogen, an androgen or progesterone, that has the same chemical and molecular structure [and Mar 11, 2021 · Bioidentical hormones are available as FDA-approved hormone formulations. Nonapproved custom-compounded preparations are marketed as bioidentical, but content is uncertain. The widespread use of compounded bioidentical hormone therapy despite the lack of evidence to support its safety and efficacy is concerning. Context: Since 2002, when the US Food and Drug Administration (FDA) placed a black box warning on women's hormone replacement products, women and their providers have been struggling with whether to proceed with hormone replacement therapy. Out of the controversy has grown a popular movement promoting the use of bioidentical hormones. Oct 7, 2022 · by DonnaWhite | Oct 11, 2019. The quick answer is yes, bioidentical hormones are FDA approved but hold on, this is a very controversial and somewhat complex topic that requires more explanation. Some bioidentical hormones are manufactured by drug companies, are approved by the FDA, and sold in standard doses. The Endocrine Society has defined bioidentical hormones as “compounds that have exactly the same chemical and molecular structure as hormones that are produced in the human body.” 11 This broad definition does not address the manufacturing, source, or delivery methods of the products and thus can include non–FDA-approved custom-compounded ... FDA Approved Bioidentical Hormones Preparations: All the hormones used in compounded preparations have been FDA approved and are used OFF-Label in compounded preparations. Here is a partial list of FDA approved hormone preparations for Estradiol, Progesterone and Testosterone: Hormone Product Year of FDA Approval ManufacturerJul 8, 2020 · Custom hormone treatments, called compounded bioidentical hormone therapies (cBHTs), are often promoted by celebrities as natural or safer than FDA-approved therapies. For example, one study found that only 1 of 10 compounding pharmacies provided progesterone vaginal suppositories that were all within the potency range required of similar FDA-approved products. 2. This article will focus on compounded bioidentical hormone preparations aimed at menopausal and perimenopausal women.Source: goodtoknow.co.uk. On the other hand, many of these points may be directly treated with bioidentical hormone alternative therapy. Hormone preparations specially tailor made for patients by compounding pharmacies, often known as bioidentical hormones, are extensively touted as being safer and more natural than Food and Drug Administration (FDA) approved variations of hormones.Bioidentical hormones are man-made hormones derived from plants, often soy and yams, that are chemically identical to those the human body produces. As such, they bind to the estrogen and testosterone receptors in the same way as women’s endogenous hormones have throughout their lives . The U.S. FDA has approved some forms of manufactured ...These types are approved and regulated by the FDA, and they are made by drug companies. Some bioidentical hormones are available in a compounding pharmacy. Compounded bioidentical hormones may be put into a capsule, a skin cream or gel, a tablet to dissolve under your tongue, a suppository, or a nose spray.A wide variety of FDA-approved bioidentical hormones are currently available. New transdermal biodentical estradiol gels have been approved by the FDA for menopausal symptoms. In the future, new ... May 13, 2016 · The author, an AP medical writer, might be horrified to know that these non-FDA approved bioidentical hormones, (estradiol, progesterone, estriol and testosterone), are floating around in her blood stream right now, and have been since she was born. So, please, don’t do anything impulsive or crazy, like trying to remove these non-FDA approved ... Read on to learn the definitions of compounded and bioidentical and what being “FDA-approved” tells you about a product. Compounded hormone therapy — sometimes called compounded bioidentical hormone therapy, abbreviated as cBHT — refers to the non-FDA-approved bioidentical options (pictured on the far-right branch of the decision tree ...The term "bioidentical hormone therapy" is used to describe hormones that are identical or nearly identical to the molecular structure of hormones produced naturally by your body. Technically, your body cannot tell bioidentical hormones from the ones your ovaries produce. Bioidentical hormones come from plants like soy or yams, but still need ...May 31, 2019 · The FDA has approved bioidentical formulations of both estrogen and progesterone. Products include (FDA) oral, transdermal, and vaginal 17β-estradiol and oral progesterone. These products are carefully controlled and regulated, allowing for improved safety and known risks. If women are interested in using bioidentical hormone therapy, consider Bioidentical hormone therapy used to treat menopausal symptoms typically contains estradiol which is, in fact, identical to the estradiol used in traditional hormone therapy. Thus, the term bioidentical hormone therapy can be confusing; there are bioidentical hormones approved by the FDA, but there are also compounded bioidentical hormone ...The Food and Drug Administration (“FDA”) is currently considering placing eleven hormones used in Compounded Bioidentical Hormone Therapy (“cBHT”) on a The Food and Drug Administration (“FDA”) is currently considering placing eleven hormones used in Compounded Bioidentical Hormone Therapy (“cBHT”) on a “difficult to compound list”[1],effectively banning the compounding of ...A long list of FDA-approved hormone products contain 17-beta estradiol and, therefore, are bioidentical. Examples include oral esterase, estradiol transdermal patches (Climara®, Vivelle®) and the vaginal ring (Estring®). Prometrium® is an oral FDA-approved bioidentical progesterone product. The next misconception is that progesterone ...Compounded “Bioidentical” Hormone Therapy (cBHT), particularly estrogen and progesterone, have been promoted by some as safer and more effective alternatives to manufactured FDA-approved hormone therapies (HT) for relief of symptoms of the menopause. In fact, little or no scienti˜ c evidence exists to support suchFDA Approved Bioidentical Hormones Preparations: All the hormones used in compounded preparations have been FDA approved and are used OFF-Label in compounded preparations. Here is a partial list of FDA approved hormone preparations for Estradiol, Progesterone and Testosterone: Hormone Product Year of FDA Approval ManufacturerThe U.S. Food and Drug Administration (FDA) has approved dozens of hormone therapy products for men and women, including estrogen, progesterone, testosterone, and related compounds. These products have been reviewed for safety and efficacy and are indicated for treatment of symptoms resulting from hormonal changes associated with menopause or other endocrine-based disorders. In recent decades ...Sep 27, 2021 · The FDA wants to restrict compounded hormones to patients who are allergic to manufactured products or who need an unavailable specific dosage. People other than estrogen-deficient women use ... Jun 23, 2021 · The categories of hormones gets broken down into bioidentical versus synthetic, and FDA-approved versus non-FDA-approved. FDA-Approved Hormone therapy Numerous FDA-approved hormone preparations are available for the treatment of menopausal symptoms, gender-affirming therapy, birth control, and menstrual regulation. The agency has latched onto this false conclusion from a report it commissioned, and it is another direct threat to estriol and compounded bioidentical hormones’ future. Action Alert! The FDA’s announcement regarding bioidentical hormones came just hours after the National Academy of Sciences, Engineering, and Medicine (NASEM) released their report reviewing the “clinical utility” ofBreast tumors that contain estrogen and/or progesterone receptors are sometimes called hormone receptor positive (HR positive). Most ER-positive breast cancers are also PR positive. Breast cancers that lack ERs are called ER negative, and if they lack both ER and PR they may be called HR negative. Approximately 67%–80% of breast cancers in ...Indeed, the appeal of bioidentical hormone therapy has not been lost on the public or the medical community: nearly one-third of women who now use hormone therapy do so with bioidentical hormones (Gass 2015). Many FDA-approved commercial preparations now utilize bioidentical hormones, which is helping spread acceptance of bioidentical HRT among ...Nov 8, 2022 · Bioidentical hormone therapy used to treat menopausal symptoms typically contains estradiol which is, in fact, identical to the estradiol used in traditional hormone therapy. Thus, the term bioidentical hormone therapy can be confusing; there are bioidentical hormones approved by the FDA, but there are also compounded bioidentical hormone ... The FDA has not approved these compounded hormones, and it does not regulate them. As a result, they may pose safety risks. There is little evidence supporting bioidentical hormones, particularly ...The first will examine the clinical utility of treating patients with compounded bioidentical hormone replacement therapy (BHRT) products. ... instead of FDA-approved drug products for hormone ...compounded drugs, and then it reviews key regulatory issues related to the U.S. compounded drug market. 2 FDA-APPROVED DRUG PRODUCTS. FDA approves a new drug for public use only after careful review of data from preclinical studies in animals and human clinical trials that determine whether the benefits of the drug outweigh its known and potential risks. The first will examine the clinical utility of treating patients with compounded bioidentical hormone replacement therapy (BHRT) products. ... are used at times instead of FDA-approved drug ... A wide variety of FDA-approved bioidentical hormones are currently available. New transdermal biodentical estradiol gels have been approved by the FDA for menopausal symptoms. In the future, new ... Most of these hormones, except progesterone, are not approved by the FDA for use in women. Purchasing FDA-approved progesterone requires a medical prescription. Scientists report that FDA-approved progesterone BHRT products also adopt the name “body-identical” to avoid confusion with compounded bioidentical hormones (cBHRT). They are ...Jan 24, 2022 · Not all hormones made from natural sources are bioidentical. There are two types of bioidentical hormone products: pharmaceutical products and custom-made products. Pharmaceutical Products: These products have been approved by the U.S. Food and Drug Administration (FDA). Their quality and safety are regulated so it is the same high-quality ... Most of these hormones, except progesterone, are not approved by the FDA for use in women. Purchasing FDA-approved progesterone requires a medical prescription. Scientists report that FDA-approved progesterone BHRT products also adopt the name “body-identical” to avoid confusion with compounded bioidentical hormones (cBHRT). They are ...Jul 10, 2020 · The benefits of FDA-approved bioidentical hormone therapy stem from the nature of their creation. They are created at a molecular level in order to be as close a match as possible for their patients. On the other hand, since no conclusive study has yet been made, it can't be concluded that bioidentical hormones are any safer than synthetic ... In contrast to FDA-approved drug products, compounded bioidentical hormone therapy (cBHT) preparations lack standardized production methods, potentially leading to state-by-state and even pharmacy-by-pharmacy variability in the medications dispensed to patients.However, there are also commercially available FDA-approved products that fit the definition of “bioidentical,” and some bioidentical hormones are derived from animal sources or made synthetically (Cirigliano 2007). These products are seldom marketed or prescribed by anti-aging and other alternative health practitioners, who instead favor ... Doses should be as low as possible to help ease the symptoms, and then taken for the shortest amount of time. For some women, this may be for a few months, for others, years. If you are taking HRT for serious menopause symptoms, you may be reluctant to stop taking HRT, for fear the symptoms will return.Bioidentical hormones have the exact same chemical and molecular structure as hormones that are produced in the human body. Bioidentical hormones are available as FDA-approved hormone formulations. Nonapproved custom-compounded preparations are marketed as bioidentical, but content is uncertain. Nov 8, 2022 · Bioidentical hormone therapy used to treat menopausal symptoms typically contains estradiol which is, in fact, identical to the estradiol used in traditional hormone therapy. Thus, the term bioidentical hormone therapy can be confusing; there are bioidentical hormones approved by the FDA, but there are also compounded bioidentical hormone ... Jul 10, 2020 · The benefits of FDA-approved bioidentical hormone therapy stem from the nature of their creation. They are created at a molecular level in order to be as close a match as possible for their patients. On the other hand, since no conclusive study has yet been made, it can't be concluded that bioidentical hormones are any safer than synthetic ... Jul 13, 2021 · Group Tells the FDA to Restrict the Use of Compounded Hormones. That is the message this group is using to convince the FDA to make prescribing compounded products a very restricted field. The use of compounded bioidentical hormone therapies (cBHTs) — an increasingly popular approach to relieve symptoms of menopause and male hypogonadism ... However, there are also commercially available FDA-approved products that fit the definition of “bioidentical,” and some bioidentical hormones are derived from animal sources or made synthetically (Cirigliano 2007). These products are seldom marketed or prescribed by anti-aging and other alternative health practitioners, who instead favor ...Estrogen, progesterone and testosterone are the most commonly used bioidentical hormones. Some prescription forms of bioidentical hormones are premade by drug companies. The U.S. Food and Drug Administration (FDA) has approved certain types of bioidentical hormones.Bioidentical hormones are available as FDA-approved hormone formulations. Nonapproved custom-compounded preparations are marketed as bioidentical, but content is uncertain. The widespread use of compounded bioidentical hormone therapy despite the lack of evidence to support its safety and efficacy is concerning.However, there are also commercially available FDA-approved products that fit the definition of “bioidentical,” and some bioidentical hormones are derived from animal sources or made synthetically (Cirigliano 2007). These products are seldom marketed or prescribed by anti-aging and other alternative health practitioners, who instead favor ...There are FDA-approved bioidentical hormone products available, including estradiol (Estrace, Climara, Vivelle) and progesterone (Prometrium). Many compounded hormones are also considered to be bioidentical. These are hormones made just for you. But they aren’t FDA-approved and can vary in quality. Table of contents About bioidentical hormones UsesAug 17, 2022 · Bioidentical hormones are synthetic (artificial) hormones often confused with natural hormones derived from plants. Standard BHRT is tested, approved, and regulated by the FDA, while cBHRT is not. Many people prefer BHRT because of its perceived safety and because it can be customized. The FDA wants to restrict compounded hormones to patients who are allergic to manufactured products or who need an unavailable specific dosage. People other than estrogen-deficient women use ...In recent decades there has been a significant increase in both the supply and demand for compounded bioidentical hormone therapy (cBHT) products, raising the need for a better understanding of their safety and effectiveness. cBHT use has alarmed many providers as custom-compounded hormones are not Food and Drug Administration (FDA) approved and do not have labeling that details product risks ...14 uses of U.S. Food and Drug Administration (FDA) approved hormone therapies include 15 replacement during menopause, oncology therapies, and for endocrine or genetic disorders. 16 Although oral contraceptives are a common use of hormones, their primary use for the preventionThe author falsely claims that bioidentical hormones have not been proven safe and effective as required for FDA approval process. Take a look at the list of bioidentical prescription hormones above. These are all FDA approved and proven safe and effective.Sep 12, 2012 · A long list of FDA-approved hormone products contain 17-beta estradiol and, therefore, are bioidentical. Examples include oral esterase, estradiol transdermal patches (Climara®, Vivelle®) and the vaginal ring (Estring®). Prometrium® is an oral FDA-approved bioidentical progesterone product. The next misconception is that progesterone ... Oct 11, 2019 · The quick answer is yes, bioidentical hormones are FDA approved but hold on, this is a very controversial and somewhat complex topic that requires more explanation. Some bioidentical hormones are manufactured by drug companies, are approved by the FDA, and sold in standard doses. On the other hand some bioidentical hormone preparations are made ... Compounded “Bioidentical” Hormone Therapy (cBHT), particularly estrogen and progesterone, have been promoted by some as safer and more effective alternatives to manufactured FDA-approved hormone therapies (HT) for relief of symptoms of the menopause. In fact, little or no scienti˜ c evidence exists to support suchHowever, there are also commercially available FDA-approved products that fit the definition of “bioidentical,” and some bioidentical hormones are derived from animal sources or made synthetically (Cirigliano 2007). These products are seldom marketed or prescribed by anti-aging and other alternative health practitioners, who instead favor ... "It is important that women understand what bioidentical hormones are and the differences between those that are FDA-approved and those that are compounded or "mixed" at the pharmacy level," said ...Jul 1, 2020 · Compounded drugs have long been part of the medical armamentarium. Through drug compounding, compounders may offer therapeutic alternatives for patients with unique medical needs that cannot be met by U.S. Food and Drug Administration (FDA)-approved drug products (FDA, 2017a). The Federal Food, Drug, and Cosmetic Act (FDCA) of 1938 is the primary source of FDA's authority over prescription ...
Pellet therapy is one of the many ways you can receive hormone replacement therapy and is a popular treatment plan for patients in wellness, anti-aging, and hormone clinics. The pellets can be FDA-approved drugs (Testopel), or they can be custom made (not FDA-approved) in a compounding pharmacy (e.g., BioTE and many others).. What mods do the gauntlets need in gta v
The FDA has latched onto this false conclusion from a report it commissioned, and it is another direct threat compounded bioidentical hormones’ future. The FDA’s announcement regarding bioidentical hormones came just hours after the National Academy of Sciences, Engineering, and Medicine (NASEM) released their report reviewing the ...Jul 10, 2020 · Bioidentical progesterone replacement therapy is commonly used by perimenopausal and postmenopausal women whose shifting hormone levels severely affect their well-being, causing symptoms such as irritability, hot flashes, difficulty concentrating, loss of libido, and more. However, women of reproductive age may also choose to take bioidentical ... In contrast to FDA-approved drug products, compounded bioidentical hormone therapy (cBHT) preparations lack standardized production methods, potentially leading to state-by-state and even pharmacy-by-pharmacy variability in the medications dispensed to patients.Bioidentical Hormone Therapy. The change in hormonal milieu associated with perimenopause and menopause can lead to a variety of symptoms that can affect a woman's quality of life. Postmenopausal hormone therapy (HT) is an effective, well-tolerated treatment for these symptoms. However, combined HT consisting of conjugated equine estrogen and ...Read on to learn the definitions of compounded and bioidentical and what being “FDA-approved” tells you about a product. Compounded hormone therapy — sometimes called compounded bioidentical hormone therapy, abbreviated as cBHT — refers to the non-FDA-approved bioidentical options (pictured on the far-right branch of the decision tree ...Jan 18, 2023 · FDA approved bioidentical hormones are intended for standard doses that are mass-produced by manufacturers. If you need a dose that is higher or lower than what a manufacturer makes, then you must have it compounded to your individual needs. There are 3 types of bioidentical estrogens. The stronger and more active estrogen against menopausal ... 14 uses of U.S. Food and Drug Administration (FDA) approved hormone therapies include 15 replacement during menopause, oncology therapies, and for endocrine or genetic disorders. 16 Although oral contraceptives are a common use of hormones, their primary use for the prevention To learn more, review the BIJUVA Patient Information and talk about BIJUVA with your healthcare provider or pharmacist. The FDA-approved product labeling, including Patient Information, can be found here. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch or call 1-800-FDA-1088.The cost of hormone pellet therapy can vary depending on the provider, but an average cost may be close to $1,536 each year. Healthcare insurance may cover FDA-approved hormone therapy, but the extent of the coverage may vary among plans. Most insurance companies are unlikely to cover compounded bioidentical hormone therapy because it is not ...The FDA requires manufacturers of FDA-approved products that contain estrogen and progestin to include a black box warning that reflects the findings of the Women’s Health Initiative. However, compounded products (including “bio-identical hormones”) are not approved by the FDA and have been exempt from having to provide patient package Jul 10, 2020 · The benefits of FDA-approved bioidentical hormone therapy stem from the nature of their creation. They are created at a molecular level in order to be as close a match as possible for their patients. On the other hand, since no conclusive study has yet been made, it can't be concluded that bioidentical hormones are any safer than synthetic ... The FDA requires manufacturers of FDA-approved products that contain estrogen and progestin to include a black box warning that reflects the findings of the Women’s Health Initiative. However, compounded products (including “bio-identical hormones”) are not approved by the FDA and have been exempt from having to provide patient packageCompounding pharmacies should be aware of recent developments in the law surrounding bioidentical hormone therapy (cBHT). In the field of pharmacy, compounding (performed in compounding pharmacies) is preparation of a custom formulation of a medication to fit the unique need of a patient which cannot be met with commercially available products. Compounded drugs are not FDA-approved. The Food ...Bioidentical hormone therapy used to treat menopausal symptoms typically contains estradiol which is, in fact, identical to the estradiol used in traditional hormone therapy. Thus, the term bioidentical hormone therapy can be confusing; there are bioidentical hormones approved by the FDA, but there are also compounded bioidentical hormone ...Compounded bioidentical hormone replacement therapy (BHRT) products such as progesterone and testosterone, are used at times instead of FDA-approved drugs for hormone replacement therapy. The FDA requires manufacturers of FDA-approved products that contain estrogen and progestin to include a black box warning that reflects the findings of the Women’s Health Initiative. However, compounded products (including “bio-identical hormones”) are not approved by the FDA and have been exempt from having to provide patient package.