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Kumar recommends looking for providers that partner with either state-regulated 503A compounding pharmacies that are required to comply with United States Pharmacopeia (USP) requirements or 503B pharmacies that operate under strict FDA oversight and must comply with Current Good Manufacturing Practice (CGMP) standards

The current picture for our best, guideline-recommended options: Neuropathic pain: first-line treatments (duloxetine, gabapentinoids) have an NNT of roughly 78