- Apr 4, 2025
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Popular compounded versions of semaglutide - the active ingredient in blockbuster weight-loss drugs Ozempic and Wegovy - could vanish from pharmacies nationwide after a startling FDA announcement. Here's what patients and providers need to know about this developing crisis.
As brand-name semaglutide medications faced historic shortages, compounding pharmacies swooped in to fill the gap by creating their own versions. These alternatives often cost hundreds less than the $900-$1,300/month brand-name drugs, creating a booming gray market that served over 1 million Americans.
In an unexpected move, regulators issued stern warnings to compounding pharmacies and healthcare providers, stating: "Semaglutide cannot be legally compounded" under current rules because it's not on the FDA's shortage list and has FDA-approved versions available.
The crackdown leaves hundreds of thousands scrambling for alternatives as their affordable weight-loss solution disappears. Experts warn this could create:
Patient advocacy groups are furious, accusing regulators of prioritizing drug company profits over public health. "The FDA just pulled the rug out from under people finally getting control of obesity," said one advocate. Meanwhile, medical associations support the move, citing safety concerns with untested formulations.
Industry insiders predict three potential scenarios:
For now, patients using compounded semaglutide should consult their providers immediately about transition plans before their current supplies run out.
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