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State guide

Compounded GLP-1s in Ohio

Most of this site is about what things cost. This page is about what a pharmacy in Ohio is allowed to make. The state's Board of Pharmacy put dates on when compounding semaglutide and tirzepatide had to stop, and named two peptides that were never allowed in the first place.

Every source on this page was read in September 2026. Each one is dated below with the date printed on the document itself.

All state guides

What changed, and what the document says

PointStatusWhat the source says
What the guidance isContext

Not a new rule. The board is restating law that already applied, which is why it has dates attached rather than a comment period.

This guidance highlights existing law and is intended for the benefit of practitioners and the public to promote better understanding of the laws governing the compounding and sale of GLP-1 drugs.

The Ohio Board of PharmacyDate Issued: 7/17/2025

Salt formsNot covered

The semaglutide sodium and semaglutide acetate you see advertised are not the ingredient in the approved drugs, and the board says so directly.

Ozempic®, Wegovy®, and Rybelsus® contain semaglutide base – not a salt form. Mounjaro® and Zepbound® contain tirzepatide base – not a salt form. Therefore, only the base is a component of an FDA-approved human drug product. The salt forms are different active ingredients than those used in FDA-approved drugs, and do not meet FD&C Act requirements for compounding.

The Ohio Board of PharmacyDate Issued: 7/17/2025

Retatrutide and cagrilintideNot covered

Not a timing question. These two cannot be compounded, and existing stock had to go.

Retatrutide and/or Cagrilintide cannot be used in compounding under federal and state law.

The Ohio Board of PharmacyDate Issued: 7/17/2025

What happens to inventoryConditions apply

Immediate disposal, not sell-through.

This does not apply to retatrutide or cagrilintide as these drugs are NOT FDA-approved. All inventory containing retatrutide or cagrilintide must be disposed of immediately.

The Ohio Board of PharmacyDate Issued: 7/17/2025

Which of these companies serve Ohio?

Of the 28 companies we grade, 4 publish a list of the states they are licensed in. We checked 23 more and found no such list on any page we read; 1 we have not checked either way.

3 of those lists name Ohio: Gala Health, Care Bare Rx and Vita Bella. That is a licensure claim each company makes about itself, not something we checked with a state board.

A published list is a starting point, not a guarantee. If availability decides your choice, ask before you pay and get the answer in writing.

Sources

Each document below was fetched and read in September 2026. The date shown is the one printed on the document, which is not always the date in its web address.

Nothing on this page is medical advice, and nobody here is a clinician. Coverage rules change; check the linked document before you rely on it.