Can a med spa in Texas offer compounded semaglutide or tirzepatide?
Facility · part of The Practice Perimeter
Short answer
Yes — a Texas pharmacy may deliver a reasonable quantity of a compounded drug to a practitioner for office use, with no patient-specific prescription needed; because these injectables are sterile, the pharmacy must hold a sterile-compounding license.
⚠️ Texas permits office-use compounding outright, which few states DO. “A pharmacy may dispense and deliver a reasonable quantity of a compounded drug to a practitioner for office use by the practitioner in accordance with this chapter.” There is no commercial-availability condition and no patient-specific prescription requirement — the limit is the phrase “reasonable quantity”.
Tex. Occ. Code § 562.152 · verified Sep 2, 2026 · regulatory monitoring, not legal advice
Related Texas rules
The conditions sit on the pharmacy, not the practice. To dispense and deliver a compounded drug for office use a pharmacy must verify the source of the raw materials; comply with applicable united states pharmacopoeia guidelines including the testing requirements, and with HIPAA; comply with all applicable competency and accrediting standards as determined by the board; and comply with board rules “including rules regarding the reporting of adverse events by practitioners and recall procedures for compounded products”. That last clause reaches back to the practice: adverse-event reporting is a practitioner duty imposed through the pharmacy’s rules.
Tex. Occ. Code § 562.153 · verified Sep 2, 2026
⚠️ and injectables are sterile, which is its own license. “a pharmacy may not compound and dispense a sterile preparation unless the pharmacy holds a license as required by board rule.” Compounded semaglutide is a sterile preparation, so the office-use permission above runs only through a pharmacy holding that separate sterile-compounding license — the first thing to ask a supplier for.
Tex. Occ. Code § 562.156(a) · verified Sep 2, 2026
How other states answer this
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- Alaska
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- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
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- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
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- Maine
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- Michigan
- Minnesota
- Mississippi
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- Ohio
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- Oregon
- Pennsylvania
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- South Carolina
- South Dakota
- Tennessee
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Related Texas questions
- Is an exam required before a patient can be treated in Texas?
- Can the pre-treatment exam be done by telehealth in Texas?
- Who may perform the pre-treatment exam in Texas?
- Must someone be on site while a patient is treated in Texas?
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