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Why this is legal in 2026 Compounded tirzepatide is dispensed under Section 503A of the Federal Food, Drug, and Cosmetic Act, which authorizes a state-licensed pharmacy to compound a drug for an identified individual patient with documented medical need
You also need to follow: State medical practice acts Nursing board rules Scope of practice laws Delegation standards Medical director oversight policies Prescribing rules Marketing regulations Some state boards have already started to investigate med spas for using peptides not approved by the FDA, so don't underestimate local rules
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To reconstitute a 5 mg Tirzepatide vial, add 1 mL of bacteriostatic water using gentle swirling techniques
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