Can a med spa in District of Columbia offer compounded semaglutide or tirzepatide?

Facility · part of The Practice Perimeter

Short answer
The cited rules do not settle this — they establish only that compounding must rest on a practitioner's prescription order (or anticipated regular prescribing) and be directed and verified by a pharmacist; they say nothing about these specific drugs.

Anticipatory compounding for later dispensing is inside the District's definition. Compounding - the preparation, mixing, assembling, packaging, or labeling of a drug or device as the result of a practitioner's prescription drug order or for the purpose of, or as an incident to, research, teaching, or chemical analysis and not for sale or dispensing. Compounding also includes the preparation of drugs or devices in anticipation of prescription drug orders based on routine, regularly observed prescribing patterns.

22-B DCMR § 1999.1 (Pharmacies — Definitions: “Compounding”) · verified Sep 7, 2026 · regulatory monitoring, not legal advice

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