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.
- Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - 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 ↗ - Legal→Prohibited
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 ↗ - 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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - 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 ↗ - Legal→Prohibited
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 ↗ - 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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗ - Legal→Prohibited
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 ↗ - Shortage-dependent→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 ↗
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