Can a med spa in North Dakota offer compounded semaglutide or tirzepatide?
Facility · part of The Practice Perimeter
Short answer
The cited rules do not settle this — they only define compounding as licensed pharmacy practice, resting either on a prescription order within the practitioner-patient-pharmacist relationship or on stock anticipating regularly observed prescribing.
North Dakota answers the compounded-semaglutide question in the definition, and neither limb reaches a clinic buying stock. "Compounding" means the preparation, mixing, assembling, packaging, or labeling of a drug or device: a. As the result of a practitioner's prescription drug order or initiative based on the practitioner, patient, and pharmacist relationship in the course of professional practice; or b. For the purpose of, or as an incident to, research, teaching, or chemical analysis and not for sale or dispensing. Limb (a) needs a prescription order resting on the practitioner-patient-pharmacist relationship; limb (b) is research and is expressly not for sale or dispensing.
N.D. Cent. Code § 43-15-01 (definition of “Compounding” — two limbs, one of them not for sale) · verified Sep 6, 2026 · regulatory monitoring, not legal advice
Related North Dakota rules
And both acts sit inside the licensed practice. The compounding, dispensing, and labeling of drugs and devices except labeling by a manufacturer, packer, or distributor of nonprescription drugs and commercially packaged legend drugs and devices
N.D. Cent. Code § 43-15-01 (compounding and dispensing are both the practice of pharmacy) · verified Sep 6, 2026
Stock held ahead of the order is permitted, and what may justify it is fixed. Compounding also includes the preparation of drugs or devices in anticipation of prescription drug orders based on routine, regularly observed prescribing patterns. The anticipation must rest on prescribing already observed.
N.D. Cent. Code § 43-15-01 (anticipatory stock is allowed, bounded by observed prescribing) · verified Sep 6, 2026
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