The audit trail
What's changed
Every status change we've recorded, newest first - each one dated and linked to its primary source. This is the same feed the alert emails draw from.
Semaglutide (compounded) - FDA proposed to permanently exclude semaglutide from the 503B bulks list, finding no clinical need for outsourcing facilities to compound it from bulk. This is a proposal in a comment period, not a final change.
Tirzepatide (compounded) - FDA proposed to permanently exclude tirzepatide from the 503B bulks list, alongside semaglutide and liraglutide. This is a proposal in a comment period, not a final change.
GHK-Cu - Injectable GHK-Cu removed from Category 2 without being placed on the 503A list - removal did not authorize compounding.
Melanotan II - Moved out of Category 2 and slated for a later PCAC review - the change did not legalize compounding.
TB-500 (Thymosin Beta-4) - Removed from FDA Category 2 after nominations were withdrawn - but it was never in Category 1, so it is still not legal to compound.
BPC-157 - Placed on the July 23, 2026 FDA advisory committee agenda (Docket FDA-2025-N-6895); FDA's briefing proposes not adding it to the 503A list.
Semax - Placed on the July 24, 2026 FDA advisory committee agenda for possible inclusion on the 503A list.
TB-500 (Thymosin Beta-4) - Placed on the July 23, 2026 FDA advisory committee agenda for possible inclusion on the 503A list.
Semaglutide (compounded) - 503B enforcement discretion for compounding semaglutide ended (503A ended April 22, 2025), following the resolved shortage.
Tirzepatide (compounded) - 503B enforcement discretion for compounding tirzepatide ended (503A ended February 18, 2025), following the resolved shortage.
CJC-1295 - FDA advisory committee voted against adding CJC-1295 to the 503A list.
Thymosin Alpha-1 - FDA advisory committee reviewed thymosin alpha-1 and did not recommend adding it to the 503A list.
Ipamorelin - FDA advisory committee voted against adding ipamorelin to the 503A list.
Selank - Removed from Category 2 after its nomination was withdrawn - not placed on the 503A list, so compounding remained unauthorized.
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