Can a med spa in Tennessee offer compounded semaglutide or tirzepatide?
Facility · part of The Practice Perimeter
Short answer
Not directly settled — no cited rule bans compounded GLP-1s; they require any compounded sterile injectable to be prepared in compliance with applicable USP standards, and that duty sits on the supplying pharmacy rather than on the med spa.
Tennessee binds sterile compounding to usp and says so twice. “all sterile products shall be prepared in compliance with applicable usp standards for pharmaceutical compounding”, and separately “any facility that compounds sterile products shall comply with applicable usp standards.” Compounded injectables are sterile products, so USP is the operative standard behind any compounded GLP-1 a Tennessee practice administers.
Tenn. Comp. R. & Regs. 1140-07-.02(1); 1140-07-.04(1) · verified Sep 2, 2026 · regulatory monitoring, not legal advice
Related Tennessee rules
⚠️ read the applicability clause before assuming this reaches your practice. The chapter applies “to all pharmacy practice sites and pharmacists, pharmacy interns, pharmacy technicians and supportive personnel involved in the compounding and dispensing of sterile products.” It governs the pharmacy that supplies a med spa rather than the med spa itself — which is precisely why the diligence question in Tennessee is about the supplier.
Tenn. Comp. R. & Regs. 1140-07-.01 · verified Sep 2, 2026
⚠️ and the standard is waivable — by the board, not by the practice. “The Board of Pharmacy, upon a showing of good cause and in the best interest of the public health, safety and welfare, may waive the requirements of any applicable portion of usp standards”, and “all waiver requests … shall be submitted in writing”. a supplier claiming an exemption should be able to produce the Board’s written grant of it.
Tenn. Comp. R. & Regs. 1140-07-.02(2) · verified Sep 2, 2026
How other states answer this
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Related Tennessee questions
- Is an exam required before a patient can be treated in Tennessee?
- Can the pre-treatment exam be done by telehealth in Tennessee?
- Must someone be on site while a patient is treated in Tennessee?
Get Tennessee changes as they publish
We scan the Tennessee legislature and licensing boards daily, plus the FDA and the Federal Register. Free weekly Brief — what changed, in plain language, with the source.
Free · unsubscribe in one click · we never sell your address
← All Tennessee rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).