Original Investigation

Postshortage Compounded GLP-1 RA Market in 2 States With Potentially High Demand

JAMA Health Forum 10.1001/jamahealthforum.2026.2207

July 17, 2026 at 11:00 AM EDT

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Among brick-and-mortar businesses offering compounded glucagon-like peptide-1 receptor agonist (GLP-1 RA) products after semaglutide and tirzepatide shortages, what products are offered, what types of care and monitoring are provided for patients using them, and which compounding facilities supply them?In this cross-sectional study of 75 businesses in 2 US states, 7 reported offering oral formulations and 42 reported offering GLP-1 RAs combined with B vitamins. Twenty-three compounding suppliers were identified, of which 4 lacked sterile compounding licenses and 4 had been subject to disciplinary action.The compounded GLP-1 RA market remains robust, with diverse sourcing, posing complex clinical and regulatory challenges.

Corresponding Author: Michael J. DiStefano, PhD, Department of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, 12850 E Montview Blvd, Aurora, CO 80045 (michael.j.distefano@cuanschutz.edu).

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