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FDA intends to take action against non-FDA-approved GLP-1 drugs

Posted by randycupertino |4 hours ago |116 comments

rootusrootus 14 minutes ago

After the first big crackdown on compound pharmacies, I have seen a lot of people go to gray market. Especially now that it has become pretty clear that the remaining compound pharmacies defying the FDA are getting their API from the same sources that we can buy it from directly, and their testing is way more suspect. On the gray market the batches of peptides are routinely subject to a battery of tests run by groups of volunteers, which is a lot more than what you can get from your chosen compound pharmacy (most will give you a COA, but that's already table stakes if you buy from a "research" vendor.)

I have noticed that the "research" vendors have started to tighten up their operations, especially the ones based in the US. A lot of people have seen the writing on the wall and expect it to become somewhat harder to get the peptides, and are stocking up. It's a running joke how many years worth of tirzepatide or retatrutide people have in the freezer. Once you've had the miracle drug, you won't risk being without it.

pfisherman 3 hours ago[4 more]

FDA regulates the marketing of drugs and medical devices. This is a case of Hims and Hers (and other compounding pharmacies) marketing drugs without having been granted approval.

There is an abbreviated application for new drug approval (ANDA) pathway meant for generics, but it does not seem like H&H has gone this route. It does require you to open your supply chain up to inspections and to provide evidence that your generic version basically works the same as the brand name.

In my opinion there two things going on here that I strongly feel are true.

1. Something is systemically wrong in the US when we are cutting off people’s access to meds, like GLP-1s, which have profound health benefits.

2. Hims and Hers are also in the wrong. The rules and laws are there for a good reason. It is not just for us to arbitrarily pick and choose when to enforce them.

elamje 2 hours ago[7 more]

The situation is basically this -

Novo and Lilly spent billions making Semaglutide, Tirzepatide, and future formulations/modalities.

They are going to monetize this heavily while they have IP coverage. There is no world they will let HIMS or any compounding pharmacy of scale undercut them.

On the insurance front - expect your insurance to decline this forever unless you are at serious risk of diabetes. It would make you cost them $3-6k/yr more. Insurance premiums would rise for everyone if insurance was subsidizing this - no free lunch.

Fortunately, the prices are coming down. Amazon pharmacy has Wegovy in an auto-injector starting at $199 without insurance. And that’s delivered to your door in under 24 hrs in most major cities.

I highly recommend checking out the terms of trumprx.gov - not endorsing the entire government here, but it is actually working and quite cleverly written to ensure Americans are getting the lowest cost drugs in the world now. Historically, we subsidized R&D globally by allowing pharma to make most profits on Americans then have cheaper prices abroad. That is changing and hopefully that’s a net positive.

cj 3 hours ago[2 more]

It’s unfortunate that shutting these companies down will result in less people gaining access to the drug.

GLP-1’s might be the best thing to happen to medicine this decade - I personally want everyone who would benefit from it to have access.

ecommerceguy 37 minutes ago

HIMS has known this was coming for a very long time. How much has the CEO cashed out with ? I think i saw 133 million. Sounds criminal. Where is the Occupy Wall Street movement when shit like this happens?

throw31977 3 hours ago[3 more]

As an aside, I wonder why this wasn't discussed during the recent Greenland dispute. The US government basically legally pirate the drug, and it'd make a fairly large dent in Denmark's economy. It'd be a politically popular move too.

https://en.wikipedia.org/wiki/Government_patent_use_(United_...

randycupertino 3 hours ago[6 more]

This is big. HIMS and HERS and other companies are blantatly skirting patent laws under the guise of compounding.

insuranceguru 2 hours ago[2 more]

this was bound to happen with the number of compounding pharmacies getting into the glp-1 game. from a risk side, it’s a total mess it’s basically impossible for insurers to model long-term liability when the supply chain for these drugs is a black box. fda had to drop the hammer before the claims started flying.

tokyobreakfast 2 hours ago

Oh no next you're going to tell me they're coming after the gas station dick pills.

mindslight 3 hours ago

Is there a cash price for getting the government to shake down your competitors, the way there is for pardons ? Or is this type of service only available in exchange for equity stakes?

SilverElfin 3 hours ago[1 more]

Given how transactional this administration is, you can be confident that one set of companies donated to the administration or enriched the Trump family somehow, and the other set is facing regulatory attacks.

alephnerd 2 hours ago[1 more]

And India wins again!

There's a reason the major Indian generics manufacturers like Cipla have partnered with Ely Lilly [0] and Novo Nordisk [1] for exclusivity deals for GLP branding and IP even though it isn't required outside the US.

Keep screeching about H1Bs and offshoring while sweetheart deals are signed with the Trump admin [2] by lobbyng with the right leverage points [3][4][5][6] and threatening the right GOP ruled states with tariffs [7][8].

Thanks to Trump, India has finally began reversing the brain drain, and with it bringing Big Tech [9], Big Pharma (already mentioned), Big Oil [10], and Wall Street [11] back.

[0] - https://www.reuters.com/business/healthcare-pharmaceuticals/...

[1] - https://www.reuters.com/business/healthcare-pharmaceuticals/...

[2] - https://www.whitehouse.gov/briefings-statements/2026/02/unit...

[3] - https://www.trump.com/residential-real-estate-portfolio/trum...

[4] - https://www.trump.com/residential-real-estate-portfolio/trum...

[5] - https://www.trump.com/residential-real-estate-portfolio/trum...

[6] - https://www.trump.com/residential-real-estate-portfolio/trum...

[7] - https://www.daines.senate.gov/2026/01/20/daines-travels-to-i...

[8] - https://governor.iowa.gov/press-release/2025-09-16/gov-reyno...

[9] - https://www.bloomberg.com/news/articles/2025-12-11/india-dra...

[10] - https://www.wsj.com/business/energy-oil/big-oil-is-offshorin...

[11] - https://www.bloomberg.com/news/features/2025-11-11/trump-s-h...

valerie003 19 minutes ago

Comment deleted

tptacek 3 hours ago[3 more]

It is wild that it took until 2026 for this to happen.

In the late 1990s, when my friends wanted mushrooms or 5MEO-DMT, they'd order from "Poisonous Non-Consumables" catalogs. Today, people are literally doing that (same words, even!), but for the next iteration of GLP1 drugs not yet on the wider market. Compounding pharmacies are selling "research chemicals", like in Bitcoin Mining Profit Calculator: Gaiden.