Pepvetted

Sourced · timestamped · updated as rules change

GLP-1 Compounding Regulation Tracker

Compounding rules for semaglutide and tirzepatide shift by state and change without warning. We log every change — old status, new status, and the source — so you don't find out the hard way. Informational only, not legal advice.

  1. Washington · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  2. Washington · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  3. Washington · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  4. Washington · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  5. Arizona · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  6. Arizona · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  7. Arizona · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  8. Arizona · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  9. Michigan · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  10. Michigan · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  11. Michigan · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  12. Michigan · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  13. North Carolina · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  14. North Carolina · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  15. North Carolina · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  16. North Carolina · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  17. Georgia · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  18. Georgia · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  19. Georgia · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  20. Georgia · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  21. Ohio · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  22. Ohio · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  23. Ohio · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  24. Ohio · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  25. Pennsylvania · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  26. Pennsylvania · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  27. Pennsylvania · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  28. Pennsylvania · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  29. Illinois · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  30. Illinois · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  31. Illinois · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  32. Illinois · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  33. New York · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  34. New York · Tirzepatide503AUpdated24 days ago
    Restricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  35. New York · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  36. New York · Semaglutide503AUpdated24 days ago
    Restricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  37. Florida · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  38. Florida · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  39. Florida · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  40. Florida · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  41. California · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  42. California · Tirzepatide503AUpdated24 days ago
    Restricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  43. California · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  44. California · Semaglutide503AUpdated24 days ago
    Restricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗
  45. Texas · Tirzepatide503BStatus change24 days ago
    LegalProhibited

    Tirzepatide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude tirzepatide from the 503B bulks list.

    Source ↗
  46. Texas · Tirzepatide503AStatus change24 days ago
    Shortage-dependentRestricted

    Tirzepatide left the FDA shortage list (Dec 2024). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions.

    Source ↗
  47. Texas · Semaglutide503BStatus change24 days ago
    LegalProhibited

    Semaglutide is on neither the FDA shortage list nor the 503B bulks list, so outsourcing facilities may not compound it from bulk. FDA proposed (Apr 30, 2026) to formally exclude semaglutide from the 503B bulks list.

    Source ↗
  48. Texas · Semaglutide503AStatus change24 days ago
    Shortage-dependentRestricted

    Semaglutide left the FDA shortage list (Feb 2025). Routine 503A compounding of an essentially-a-copy product is no longer permitted; FDA applies enforcement discretion only for pharmacies filling 4 or fewer such prescriptions per calendar month, plus narrow documented-clinical-need exceptions (e.g., a strength not commercially available).

    Source ↗

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