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What changed on April 30, 2026: The FDA announced a proposal to exclude semaglutide, tirzepatide, and liraglutide from the 503B compounding bulks list

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Concerns about medication purity, dosing accuracy, and consistency FDA-approved, pharma-regulated medications ensure quality and safety For patients without insurance coverage, we typically recommend pharma direct programs , though in-office FDA-branded medications may also be appropriate in some cases