Can a med spa in New Hampshire offer compounded semaglutide or tirzepatide?

Facility · part of The Practice Perimeter

Short answer
No — New Hampshire bars compounding a sterile copy of an FDA-approved drug while it is commercially available, so compounded semaglutide or tirzepatide is off the table unless the approved product is unavailable, such as on the FDA backorder list.

New Hampshire bars compounding a sterile copy of a commercially available fda-approved product, which is what a compounded semaglutide or tirzepatide injection is while the approved product is on the market. a compounder shall not compound a sterile product of an FDA-approved product when the product is commercially available. (f) When no commercial source of a sterile product exists, such as being listed on the FDA backorder list, the compounder shall only use USP or other USP recognized grades such as BP, JP, EP, bulk ingredients obtained from a good manufacturing practice compliant supplier.

N.H. Code Admin. R. Ph 404.04(e)-(f) (Regulatory Requirements for Sterile Compounding) · verified Sep 7, 2026 · regulatory monitoring, not legal advice

Related New Hampshire rules

  • When a compounder prepares more than 50 dosage units for non-patient specific preparations the compounder shall be registered as a drug manufacturer or 503B with the FDA. (c) Compounders supplying limited quantities, less than 50 dosage units, to providers for administration use shall have an MOU with the provider for each compounded product they supply to the provider. When a compounder provides a practitioner a non-patient specific preparation, the compounder shall provide the practitioner a copy of the test result for each lot provided to the practitioner.

    N.H. Code Admin. R. Ph 404.04(b)-(c) (Regulatory Requirements for Sterile Compounding — non-patient-specific supply) · verified Sep 7, 2026

  • Esthetician means any person practicing esthetics.

    N.H. Rev. Stat. §313-A:1, VII · verified Sep 3, 2026

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

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