A possible concise summary is:
The text is a transcript of a segment from the show Last Week Tonight with John Oliver, where he discusses the problems with compounding pharmacies in the US. He explains that these pharmacies make customized drugs for people and animals who cannot use FDA-approved products, but they are often poorly regulated and inspected, leading to fraud, contamination, and harm to patients. He shows examples of compounding pharmacies that used fake names, dirty equipment, and dangerous ingredients to mass-produce drugs without proper oversight. He calls for stricter enforcement of the rules and more accountability for the pharmacies. He also features some celebrities whose names were used in fake prescriptions, who express their anger and demand that the pharmacies stop using their names. He ends with a joke about Michael Bolton having a parrot that needs compounded drugs.
Here are some key facts extracted from the text:
1. Compounding pharmacies are places that make medication from scratch on site for people whose needs cannot be met by an FDA-approved product.
2. Compounding pharmacies are subject to much less oversight than large drug manufacturers and are regulated by state pharmacy boards, which often lack enough inspectors and enforcement power.
3. Compounding pharmacies can produce ineffective, fraudulent, or contaminated drugs that can harm or kill large numbers of people, such as the meningitis outbreak caused by the New England Compounding Center in 2012.
4. Congress passed a law to toughen up regulations for compounding pharmacies, but it made the outsourcing facilities designation voluntary and left many loopholes for violators to exploit.
5. Some compounding pharmacies have used fake names of celebrities and fictional characters to evade the law and avoid having individual prescriptions for each patient.