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Compounded GLP-1 Legal Status

The legality of compounded semaglutide and tirzepatide has tightened sharply since both drugs came off the FDA shortage list. This tracks what is — and isn't — permitted now.

Last verified Sep 21, 2026·Status Restricted·All trackers
4
Points tracked
2
Points current
1h
Since last verification
2
Points expired
Point statusCurrent — confirmed within its check windowChanged — the underlying fact movedPending — re-check queuedExpired — past its window, treat as unverified

Inside a tracker

Restricted · 4 points
Tracked statementStatusSourceLast confirmed
Semaglutide shortage statusRemoved from FDA shortage list (Feb 2025)With semaglutide off the shortage list, the legal basis for mass compounding lapsed.ExpiredSep 21, 2026
Tirzepatide shortage statusRemoved from FDA shortage list (Dec 2024)ExpiredSep 21, 2026
Compounding of semaglutide/tirzepatideBroadly no longer permitted for mass production — Limited case-by-case compounding may remain for documented medical need under 503A; mass compounding ended.Limited case-by-case compounding may remain for documented medical need under 503A; mass compounding ended.CurrentSep 21, 2026
Retatrutide / cagrilintide compoundingNot permitted — Not components of FDA-approved drugs.Not components of FDA-approved drugs.CurrentSep 21, 2026

Expired does not mean false — it means nobody has confirmed it recently enough for us to stand behind it. 2 points here are past their window and are queued for review.

How we keep this current

Our AI Librarian periodically re-checks each line against primary sources — FDA notices, manufacturer announcements, and clinical-trial registries — and re-stamps the "last verified" date above. Fast-moving regulatory facts can still change between checks; always confirm against the linked primary source before relying on any single line.