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Can a med spa in Michigan offer compounded semaglutide or tirzepatide?

Facility · part of The Practice Perimeter

Short answer
Not directly — a med spa can't compound in-house unless licensed as a pharmacy (with separate compounding authorization) or manufacturer; any compounded supply must come from such a licensee, and an outsourcing facility needs a Michigan pharmacy license too.

⚠️ Michigan requires a license to compound at all, and a second authorization on top of it. “To do business in this state, a person that provides compounding services must be licensed as a pharmacy or manufacturer under this part and, if a pharmacy, authorized to provide compounding services under this section and sections 17748a and 17748b.” The same subsection opens by requiring that “a pharmacy, manufacturer, wholesale distributor, or wholesale distributor-broker, whether or not located in this state, must be licensed under this part” — so every link in the chain that distributes a compounded drug into Michigan is licensed here. A pharmacy license alone does not by itself carry compounding authority.

Mich. Comp. Laws § 333.17748(1) · verified Sep 2, 2026 · regulatory monitoring, not legal advice

Related Michigan rules

  • ⚠️ and an outsourcing facility must hold a Michigan pharmacy license — federal registration is not enough. “To do business in this state, an outsourcing facility must be licensed as a pharmacy under this part. licenses are renewable biennially.” a Michigan practice buying compounded stock from a 503B should be checking a Michigan pharmacy license, not only an FDA registration.

    Mich. Comp. Laws § 333.17748(1) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule

  • Michigan also makes the out-of-state supplier pay to be looked at. Where the department inspects or investigates an applicant for a pharmacy license that will provide compounding services, or a compounding pharmacy, “and the applicant or compounding pharmacy is located outside of this state, the applicant or compounding pharmacy shall reimburse the department for its expenses incurred” in carrying out that inspection. Out-of-state compounders are inspected, and they fund it.

    Mich. Comp. Laws § 333.17748(9) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule

All 6 cited Michigan rules on med-spa registration & licensing →

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