Peptide Market Report 2026
Axion Research Peptides · Data study · September 2026

The research-peptide market in the United States and Brazil, measured

Prices per milligram across 12 vendors, who actually publishes a lot-matched third-party certificate, what customs and regulators intercept, and where FDA and ANVISA stand today on compounding BPC-157, TB-500, MOTS-c, Semax and Epithalon.

Published 11 Sep 2026Prices observed 10–11 Sep 2026227 cited sourcesResearch use only · not medical advice

By Daniel Teixeira, Chief Operating Officer, Axion Research Peptides. Media contact: press@axionresearchpeptides.com.

01Key findings

18%of suspect GLP-1 API shipments into the US were stopped by FDA (44 of 239, Sep 2023–Jan 2025)
130,609GLP-1 pens seized by Brazil's Receita Federal in the first half of 2026, up from 8 in all of 2023
11.4 momedian lag between an FDA approval and the ANVISA registration of the same drug (11 pairs)
6 of 7peptides the FDA advisory committee voted to recommend for the 503A bulks list in July 2026, against FDA staff
1 of 5Brazilian vendors that publishes a lot-matched certificate from a named third-party lab
$32Min crypto paid to gray-market peptide vendors in Q1 2026, from about $1M per quarter in 2024

Three things stand out. First, the two markets are diverging in product: GLP-1 analogues have almost disappeared from US research-peptide storefronts after the 2024–2026 FDA warning letters, while in Brazil they are the center of an informal market that analysts size at roughly half of all GLP-1 spending. Second, certificate practice, not price, is the real dividing line between vendors: most publish a purity claim, few publish a lot-matched document from a named laboratory, and peer-reviewed testing has found vials at a fraction of the claimed purity. Third, the regulators are moving in opposite orders. The FDA cut compounded tirzepatide first and semaglutide second; ANVISA banned compounded semaglutide and left tirzepatide compounding open under stricter rules.

Disclosure. This report is published by Axion Research Peptides and its Brazilian branch, Axion Peptides (axionbiolab.com). Axion is listed first in both vendor tables by the publisher's choice, not by measured market share; every price and certificate claim about Axion is held to the same evidence standard as the competitors', and the gaps found on Axion's own pages are recorded in section 11.

02United States market overview

The US research-peptide channel sells lyophilized peptides labelled "for research use only" directly to consumers, outside the FDA approval system. Two of the largest vendors of the 2023–2025 period are gone: Peptide Sciences closed on 6 March 2026 and Amino Asylum went offline after an FDA action in June 2025. The live vendors below were selected by visibility in independent comparison articles and community discussion; no audited traffic data exists for this channel.

VendorPurity claimThird-party lab namedLot-matched COA publicSells GLP-1sCertificate policy, as found on site
Axion Research Peptides publisher
axionresearchpeptides.com
≥99% HPLC, stated on every product page; site also claims Mass Spectrometry identity confirmation and LAL endotoxin testing <0.5 EU/mgnot namednoyesNot published per lot before purchase. The CoA page states the batch-specific CoA is 'available on request - contact our team with your order number a…
Core Peptides
corepeptides.com
>99%, stated in the spec block of essentially every product pageVanguard LaboratoryyesnoLot-specific CoA PDFs are published directly on product pages before purchase for many SKUs (confirmed on GHK-Cu 50 mg, AOD-9604, PE-22-28 and several…
Swiss Chems
swisschems.is
≥99% purity guaranteed, stated across product pages and the Quality Assurance pageJanoshik AnalyticalinconsistentnoInconsistent on the vendor's own site. Product pages carry a 'Check Lab Report' link and the FAQ says CoAs are published on an Independent Test Result…
Limitless Life Nootropics
limitlesslifenootropics.com
≥99% HPLC for the 'Premium Lyophilized' tier and ≥98.5% for the 'Non-Lyophilized' tier (FAQ page)not namedyesnoPublic per-lot CoAs published directly on each product page as individual linked PDFs covering purity, sterility and endotoxin per lot number. This wa…
Biotech Peptides
biotechpeptides.com
99% or higher, verified by HPLC-MS per the About pagenot namedyesnoPublic per-batch CoAs on individual product pages before purchase, either as a Download CoA PDF (TB-500, GHK-Cu, MOTS-c, Semax, Epithalon) or embedded…
Peptide Warehouse
peptide-warehouse.com
No blanket company-wide percentage. Site copy states purity is documented per batch on the corresponding Certificate of Analysis, i.e. a per-lot figure rather than an advertised number.not namedyesyesPublic, batch-specific 'View Certificate of Analysis (PDF)' link directly on each product page, no login required
Sports Technology Labs
sportstechnologylabs.com
Company-wide minimum stated as 96-99% for peptides and ≥98% for SARMs, plus a specific batch-tested percentage printed on each product page: BPC-157 99.43%, TB-500 99.67%, MOTS-c 99.66%, Semax 99.00%, Epitalon 95.32%, NAD+ 99.3% HPLCMZ BiolabsyesnoPublic, batch-linked CoA PDFs on the product page and in a dedicated /coas/ index, explicitly with no login required

Purity figures are vendor claims. A 2024 peer-reviewed study (J Med Internet Res) measured a semaglutide vial from an online seller at 7.70% against a 99% claim; treat every number in the second column accordingly.

Market context and enforcement, 2024–2026

03Brazilian market overview

Brazil has no legal category for research peptides sold to individuals. ANVISA's 2 July 2026 alert states that injectable peptides sold on social media and websites are irregular, that no company had even applied to regularize them, and that "research use only" labelling does not permit sale for human use. The market nevertheless exists, sells in reais over Pix, and is growing on the back of the GLP-1 wave.

VendorPurity claimThird-party lab namedLot-matched COA publicSells GLP-1sCertificate policy, as found on site
Axion Peptides (axionbiolab.com) publisher
axionbiolab.com
Site-wide: 'Materiais com pureza >=97%, verificados por HPLC'. Per-product spec sheets state 'Pureza: >=98% por HPLC' for most SKUs (MOTS-C listed at >=97%). Vendor claim.Frontage LaboratoriesyesyesPublishes a per-lot COA. Homepage promises 'certificado de analise (COA) por lote e rastreabilidade completa'. Product pages carry a Certificado de An…
Peptideos BR (brpeptideos.com)
brpeptideos.com
Declines to publish a blanket percentage. Site states 'Pureza e uma propriedade do lote, nao do composto'; the analytical method and the manufacturer-declared percentage come with the COA. Vendor claim.not namednonoPer-lot, on request only. Every vial is identified by lot number; the chemical-analysis document is supplied by the manufacturer when the buyer quotes…
Peptideos do Brasil (peptideosdobrasil.com.br)
peptideosdobrasil.com.br
Site-wide marketing claim '99,9% de Pureza Garantida' in the page title and on the homepage. No HPLC figure or method is given per product. Vendor claim.not namednonoNo COA published and no per-lot document offered on the storefront as seen. No lab named.
Royal Vitta (royalvitta.com)
royalvitta.com
No purity percentage published. Positions on provenance instead: 'curadoria de procedencia', products 'originais, lacrados e rastreados'. Vendor claim.not namednonoNo COA published, no per-lot document offered, no lab named.
Peptideos Brazil (peptideosbrazil.com)
peptideosbrazil.com
'Pureza >= 99%, HPLC verificado' on the homepage; each product description repeats 'Pureza >= 99% verificada por HPLC, conforme documentacao do lote'. Vendor claim.not namednonoProduct copy refers to 'documentacao do lote' but no COA, lot number or certificate is published, and no request channel for one is offered. No lab na…

The two largest resellers by catalogue size carry no GLP-1 analogues at all (checked item by item across 209 and 161 listings); the other three, including Axion, do.

Market context and enforcement, 2024–2026

04Price index across suppliers

Every observed price was converted to price per milligram so that vial sizes can be compared. "Median" is the median across vendors that sell the compound; "Axion index" is Axion's price per mg as a percentage of that median (below 100 = cheaper than the median vendor). Sizes differ between vendors, and smaller vials cost more per mg, which the index does not correct for.

Median, USD/mgAxion Research Peptides
United States, USD per mg, 6 vendors, observed 10–11 Sep 2026. Bars are the median across vendors; dots mark Axion.
Median, BRL/mgAxion Peptides
Brazil, BRL per mg, 5 vendors, observed 10–11 Sep 2026. Semaglutide, tirzepatide and epithalon at 10 mg or less were sold only by Axion, so their median is a single vendor.

United States, USD per mg

CompoundVendorsMedian $/mgRange $/mgAxion $/mgAxion index
BPC-1576$9.45$6.00 – $11.40$8.5090
TB-5006$11.70$4.24 – $14.00$8.5073
GHK-CU6$1.22$1.10 – $1.60$1.60131
MOTS-C6$10.80$7.00 – $11.60$11.00102
SEMAX5$2.52$2.12 – $8.00not sold
EPITHALON5$3.76$2.32 – $5.20not sold
NAD+5$0.36$0.14 – $0.48$0.1438
SEMAGLUTIDE1$22.00$22.00 – $22.00not sold
TIRZEPATIDE1$6.33$6.33 – $6.33$6.33100
RETATRUTIDE2$14.18$9.67 – $18.70$9.6768

Brazil, BRL per mg

CompoundVendorsMedian R$/mgRange R$/mgAxion R$/mgAxion index
BPC-1574R$73.25R$48.00 – R$79.09R$48.0066
TB-5003R$99.99R$52.00 – R$109.09R$52.0052
GHK-CU4R$13.41R$8.00 – R$16.20R$8.0060
MOTS-C5R$79.09R$55.00 – R$103.50R$60.0076
SEMAX3R$79.99R$40.00 – R$79.99R$40.0050
EPITHALON1R$37.00R$37.00 – R$37.00R$37.00100
NAD+3R$2.38R$1.20 – R$2.38not sold
SEMAGLUTIDE1R$74.00R$74.00 – R$74.00R$74.00100
TIRZEPATIDE1R$61.00R$61.00 – R$61.00R$61.00100

Two structural gaps in Brazil are worth stating: no vendor sells retatrutide below 40 mg, and semax or epithalon at 10 mg exist at one vendor only, because competitors start at 30 to 50 mg. Brazilian prices per mg run roughly 6 to 9 times the US figure at the 11 September 2026 exchange rate of R$5.10, a premium that reflects import risk, customs seizures and the absence of a legal channel rather than a difference in product.

05Importation and enforcement numbers

Neither country publishes a count of research-peptide imports. What exists is enforcement data, congressional testimony, freedom-of-information releases and analyst estimates. Each row below carries its type: official for government documents, news for reported figures, estimate for analyst or academic estimates.

Of 239 semaglutide and tirzepatide API shipments from entities with no FDA-listed product, 44 were stopped and 195 entered the US market (Sep 2023–Jan 2025, testimony to the House Oversight Committee).
GLP-1 pens seized by Brazil's Receita Federal: 8 (2023), 2,823 (2024), 32,911 (2025), 130,609 (first half of 2026). Log scale.

United States

MetricValuePeriodTypeSrc
Suspect GLP-1 API shipments from entities with no FDA-listed product (of 2,465 studied)2,465 shipments studied; 239 problematic shipments from entities with no semaglutide or tirzepatide product listed with FDASeptember 2023 to January 2025official65
Of those, stopped by FDA vs. entered the market44 stopped, 195 entered the U.S. market shipmentsSeptember 2023 to January 2025official65
Bulk semaglutide imported into the US268 kg across 159 shipments (123 with usable quantity data)March 2023 to September 2024estimate66
Chinese facilities marketing bulk semaglutide ever inspected by FDAunder 25 percent percent of facilities inspected since they began marketing the productMarch 2023 to September 2024 analysis windowestimate66
Individual peptide parcels seized, Port of Cincinnati5000 individual shipments (stated as 'over 5,000')December 2025 through 2026-03-25official67
Unapproved weight-loss drugs seized in one week, Cincinnati16740 units (Ozempic, semaglutide, retatrutide, tirzepatide)one week, reported 2025-08-06official68
FDA adverse-event reports, compounded semaglutide/tirzepatide775 reports (stated as 'more than 775')as of February 2025official65
FDA warning letters to online sellers of compounded GLP-1smore than 55 warning letters2025-09-16news69
Second wave of warning letters to telehealth sellers30 warning letterssent 2026-02-20, made public 2026-03-03news70
Crypto paid to gray-market peptide vendors32000000 USD in Q1 2026, up 159 percent from USD 12 million the prior quarterQ1 2026official71
Projected annual crypto run rate, gray-market peptides100000000 USD annualised run rate2026 projectionestimate71
Change in per-buyer spending on purity testing-88 percent change per buyer, falling to about USD 8 per buyerbetween Chainalysis 'Era 2' and 'Era 3', through Q1 2026official71
US adults who have ever taken a GLP-118 percent of adultsfielded 2025-10-27 to 2025-11-02, n=1,350official72
US adults currently taking a GLP-112 percent of adults, about 1 in 8fielded 2025-10-27 to 2025-11-02, n=1,350official72
State peptide legislation enactedLouisiana Senate Bill 253 (2026 Regular Session), peptides and compounding pharmacies, effective 2026-08-01 state law2026official73

A correction to a common claim: FDA Import Alert 66-41 covers unapproved new drugs generally and never names peptides. The peptide-specific instrument is Import Alert 66-80, which detains GLP-1 bulk substances unless the manufacturer is on a roughly 20-firm "Green List".

Brazil

MetricValuePeriodTypeSrc
GLP-1 pens seized by Receita Federal, by year2023: 8 units; 2024: 2,823; 2025: 32,911; first half of 2026: 130,6092023 to first half of 2026official74
Value of pens seized47000000 BRLfirst half of 2026official74
Composition of H1 2026 seizurestirzepatida 100,373 units, about 77 percent; Lipoless 19,159; retatrutida 7,834first half of 2026official74
Seizures by state, cumulativeParana 90,646 units worth BRL 28.1 million; Mato Grosso do Sul 10,060; Sao Paulo 7,4012023 to first half of 2026, cumulativeofficial74
Highway police seizures of pens and vialsabout 46,000 units across 311 occurrences, Parana 17,472January to May 2026official74
GLP-1 API imported for compounding130 kg, enough for about 25 million dosessecond half of 2025official75
ANVISA inspections and interdictions11 inspections, 8 companies interdicted inspections and interdictions2026, through early Aprilofficial75
Pending GLP-1 pen registrations at ANVISA17 applicationsas of 2026-04-06official75
Death notifications linked to GLP-1 pens (causality not established)65 notifications, suspected, causality not established2018-12-01 to 2025-12-07official76
Adverse-event notifications in VigiMed2436 notifications, of which 145 were pancreatitis2018-12-01 to 2025-12-07official76
Formal GLP-1 market14600000000 BRL in the twelve months to April 2026, up 110 percent year over yeartwelve months to April 2026official77
Unmonitored / parallel GLP-1 market12500000000 BRL in the same twelve months, taking the total to about BRL 27 billiontwelve months to April 2026estimate77
Projected 2030 compositionabout BRL 61 billion total: 40 percent branded, 17 percent generic or similar, 43 percent unmonitored or parallel BRL and percent2030 projectionestimate77
Online orders of GLP-1 medicines1360000 orders, up 149.3 percent, worth BRL 2.35 billionfirst half of 2026official78
Personal-use import ceiling (RDC 81/2008)10000 USD per importin forceofficial79
Brazil's GLP-1 market in the twelve months to April 2026: R$14.6 billion formal (IQVIA) against an estimated R$12.5 billion unmonitored channel (Itaú BBA), about 46% of total spending.

Global reference points

MetricValuePeriodTypeSrc
Global peptide therapeutics market size140900000000 USD in 20252025estimate80
Global peptide therapeutics market forecastUSD 164.0 billion in 2026 rising to USD 294.6 billion by 2033, CAGR 8.7 percent USD and percent2026 to 2033estimate80
Global GLP-1 drug sales132000000000 USD in 2025, up 33.5 percent year over year2025news81
WHO medical product alert on falsified OzempicMedical Product Alert No. 2/2024, covering falsified semaglutide detected in multiple regions global alert2024-06-19official82

06ANVISA ruling timeline

Selected from 40 dated instruments and events compiled for this report. Note that many gov.br pages were offline under Brazilian electoral-period rules while this was researched; where the primary page was unavailable, the pharmacy councils, the official gazette or Agência Brasil are cited.

  1. Portaria SVS/MS 344/1998 published Portaria SVS/MS n 344, de 12/05/1998 110
    Creates the Brazilian controlled-substance lists A1-A3, B1-B2 and C1-C5. List C5 covers anabolizantes; C1 covers other substances under special control requiring a Receita de Controle Especial with retention of one copy. This is the backbone regime later invok
  2. Lei 9.965/2000 restricts sale of anabolic steroids and anabolic peptides Lei n 9.965, de 27 de abril de 2000 111
    Dispensing or sale of medicines in the therapeutic group of esteroides ou peptideos anabolizantes requires presentation and retention by the pharmacy of a carbon copy prescription with prescriber identification, CRM/CRO, CPF, address, phone, patient name and a
  3. RDC 67/2007 sets Good Compounding Practices Resolucao RDC n 67, de 08 de outubro de 2007 112
    Establishes Boas Praticas de Manipulacao de Preparacoes Magistrais e Oficinais para Uso Humano em farmacias, with general requirements in Annex I and specific annexes II-VI covering, among others, sterile preparations and low-therapeutic-index substances. This
  4. ANVISA approves Victoza (liraglutida) for type 2 diabetes Registro de medicamento novo, Novo Nordisk 86
    First GLP-1 receptor agonist marketed in Brazil, for glycemic control in type 2 diabetes only. ANVISA later stressed that no evidence had been submitted for weight loss with Victoza, which is why Saxenda needed its own registration.
  5. ANVISA approves Ozempic (semaglutida) for type 2 diabetes Registro de produto biologico novo, Novo Nordisk Farmaceutica do Brasil Ltda; bula aprovada pela ANVISA em 06/08/2018 92
    First semaglutide product in Brazil, weekly prefilled pen, as monotherapy when metformin is inappropriate or in combination. The ANVISA news item announces the registration; the approved label carries the 06/08/2018 ANVISA approval date. Sources agree on 2018
  6. ANVISA approves Wegovy (semaglutida 2,4 mg) for obesity and overweight Registro de medicamento, Novo Nordisk. One source dates the enabling DOU resolution to 29/12/2022 with the approval taking effect in January 2023 96
    First weekly GLP-1 analog approved by ANVISA for people with obesity, or overweight with at least one weight-related comorbidity, at BMI thresholds of 30 and 27 kg/m2. Commercial launch in Brazil only came in August 2024, about 19 months after approval. Source
  7. ANVISA approves Mounjaro (tirzepatida) for type 2 diabetes Registro de medicamento novo, Eli Lilly 98
    First dual GIP/GLP-1 agonist registered in Brazil, weekly injection for glycemic control in type 2 diabetes. Commercial availability only started in May 2025 after CMED pricing, at 2,5 mg and 5 mg.
  8. ANVISA bans compounded hormone implants for aesthetic, muscle-gain and sports-performance purposes, and issues a health alert Resolucao-RE n 3.915, de 18/10/2024, and Alerta GGMON n 04/2024 114
    Prohibits compounding, sale and use of implantable hormone preparations based on steroids, anabolic steroids or androgenic hormones for those purposes, across all compounding pharmacies. Substances named include gestrinona, testosterona and oxandrolona. ANVISA
  9. ANVISA registers Awiqli (insulina icodeca), first weekly insulin in the world Registro de produto biologico novo, Novo Nordisk Farmaceutica do Brasil Ltda. DOU de 05/03/2025, registro de 07/03/2025 106
    Weekly basal insulin approved in Brazil for diabetes mellitus in adults, covering both type 1 and type 2 per the ONWARDS programme. ANVISA approved it about 12.6 months before the FDA, which had issued a Complete Response Letter in July 2024 and ultimately app
  10. ANVISA puts GLP-1 agonists under prescription-retention control Resolucao RDC n 973/2025 (amending RDC 471/2021) and Instrucao Normativa n 360/2025, both published in the DOU n 77 of 24/04/2025; in force 60 days later, from 2025-06-24, with 180 days for labelling changes 115
    Medicines based on semaglutida, liraglutida, dulaglutida, tirzepatida and lixisenatida, alone or in combination, now require a prescription in two copies, valid 90 days, with one copy retained by the pharmacy, following the antimicrobial model. Movements must
  11. ANVISA extends Mounjaro (tirzepatida) to chronic weight management Ampliacao de indicacao terapeutica, publicada em 09/06/2025 100
    Adds weight loss and weight maintenance in adults with BMI at or above 30 kg/m2, or at or above 27 kg/m2 with at least one weight-related comorbidity. The manufacturer has 180 days to update labels. This is the Brazilian equivalent of the US Zepbound indicatio
  12. Nota Tecnica 200/2025 effectively bans compounded semaglutida and tightens tirzepatida compounding Nota Tecnica n 200/2025/SEI/GIMED/GGFIS/DIRE4/ANVISA, created 25/08/2025, published with Despacho 97/2025 116
    Compounding pharmacies may only use GLP-1 active ingredients whose use is proven in a medicine already registered by ANVISA. Biotechnology-derived ingredients may only be imported from the same manufacturer registered in Brazil, and synthetic semaglutida could
  13. ANVISA registers Ozivy, the first synthetic semaglutide pen made in Brazil Registro de medicamento novo, EMS 118
    Weekly synthetic semaglutide pen for type 2 diabetes in adults, explicitly not a generic and not a biological generic, since it is produced by chemical synthesis rather than biotechnology. Its existence is what unlocked synthetic semaglutide supply in Brazil,
  14. ANVISA alert: injectable research peptides sold online are irregular in Brazil Comunicado de esclarecimento, Checamos series 119
    States that BPC-157, TB-500, GHK-Cu, CJC-1295 and ipamorelina are not registered with ANVISA in any category. They are not medicines, since medicines require detailed clinical evidence of safety and efficacy; they are not dietary supplements, since no suppleme
  15. ANVISA registers five more synthetic semaglutide pens Registros de medicamento novo 121
    Owozy (Avita Care), Seemasun (Sun Farmaceutica), Zempneo (Brainfarma), Semavy (Cosmed) and Orsema (Ranbaxy), all synthetic semaglutide for insufficiently controlled type 2 diabetes, registered by comparison with the biological Ozempic plus clinical evaluation
  16. ANVISA registers the first liraglutide generics Registros publicados no DOU de 08/09/2026, EMS 122
    Olire for obesity and Lirux for type 2 diabetes, generics of Saxenda and Victoza, with registrations valid to 2036.
The one date that matters most for research peptides. There is no ANVISA resolution scheduling BPC-157, TB-500, GHK-Cu, CJC-1295 or ipamorelin. The agency's position is the 2 July 2026 alert: unregularized as medicine, supplement or cosmetic; no injectable supplement or cosmetic exists in Brazil; "research use only" does not authorize sale. Enforcement runs through seizure, prescription control (RDC 973/2025) and public communication, not scheduling.

07How ANVISA behaves after the FDA

For 14 peptide and biologic drugs we paired the FDA approval date with the ANVISA registration date. Eleven pairs are computable; the median lag is 11.4 months, 12.8 months for the GLP-1 subset alone.

Months from FDA approval to ANVISA registration. Negative = ANVISA first. Pegvaliase (67 months) is the outlier; insulin icodec is the counterexample where ANVISA led by 12.6 months with a broader label.
DrugFDAANVISALag, months
Teriparatida (Forteo), recombinant PTH 1-34 peptide2002-11-26 832003-03-20 843.7
Liraglutida 1,8 mg, type 2 diabetes (Victoza)2010-01-25 852010-03 861.6
Dulaglutida (Trulicity), type 2 diabetes2014-09-18 872015-08-31 8811.4
Liraglutida 3,0 mg, obesity (Saxenda)2014-12-23 892016-02-29 9014.2
Semaglutida injetavel, type 2 diabetes (Ozempic)2017-12-05 912018-08-06 928.0
Semaglutida oral 3-14 mg, type 2 diabetes (Rybelsus)2019-09-20 932020 94
Semaglutida 2,4 mg, obesity (Wegovy)2021-06-04 952023-01 9619.4
Tirzepatida, type 2 diabetes (Mounjaro)2022-05-13 972023-09-25 9816.4
Tirzepatida, obesity (Zepbound in the US, Mounjaro label extension in Brazil)2023-11-08 992025-06-09 10019.0
Semaglutida 2,4 mg, MASH with moderate to advanced fibrosis (Wegovy)2025-08-15 1012025-12-15 1024.0
Pegvaliase (Palynziq), phenylketonuria2018-05-24 1032023-12-22 10467.0
Insulina icodeca (Awiqli), weekly basal insulin, ANVISA approved first2026-03-26 1052025-03-07 106-12.6
Semaglutida oral 25 mg, obesity (oral Wegovy), ANVISA pending2025-12-22 107pending 108
Orforglipron (Foundayo), oral GLP-1 for obesity, no ANVISA filing located2026-04-01 109pending

Patterns

Published analyses

08FDA vs ANVISA today

Topic
United States (FDA)
Brazil (ANVISA)
Legal frame for compounding
FDCA 503A (patient-specific, state pharmacies) and 503B (outsourcing facilities); bulk substances must be on an approved list, the component of an approved drug, or USP-monographed.
RDC 67/2007 good compounding practices; substance-level control via Portaria 344/1998 lists; GLP-1s under prescription retention since RDC 973/2025.
Compounded semaglutide
Shortage declared over 21 Feb 2025; 503A cutoff 22 Apr 2025, 503B 22 May 2025; Fifth Circuit affirmed for FDA on 27 Aug 2026; proposed exclusion from the 503B bulks list pending.
Effectively banned by Nota Técnica 200/2025 (25 Aug 2025) until a synthetic-API product was registered; Ozivy registered 26 May 2026, five more pens 29 Jul 2026.
Compounded tirzepatide
Enforcement discretion ended first (Feb–Mar 2025), before semaglutide.
Still permitted for synthetic API under stricter import and quality rules, the reverse of the US order.
Retatrutide
Investigational; FDA told state boards on 31 Mar 2025 it may not be compounded under 503A or 503B.
Unapproved; Lilly signals a Q1 2027 filing; 7,834 retatrutide units seized in H1 2026.
BPC-157, TB-500, MOTS-c, Semax, Epithalon
Off every FDA list since April 2026 after nominators withdrew; still not compoundable; PCAC recommended all five for the 503A list in July 2026, FDA decision expected 2027.
Not scheduled; declared irregular in every category by the 2 July 2026 alert; no company has applied to regularize any of them.
Research-use-only sales to consumers
Unapproved new drug; warning letters (Swiss Chems Dec 2024, Wholesale Peptide Jun 2026, five letters Aug 2026), a 70-month prison sentence (Paradigm Peptides, Jul 2026), CBP parcel seizures.
Irregular; seizure orders, ANVISA inspections (8 companies interdicted in 2026), police operations against social-media sellers.
Imports of GLP-1 API
Import Alert 66-80: detention without physical examination unless the maker is on the Green List.
130 kg imported for compounding in H2 2025, enough for about 25 million doses, per ANVISA.
Falsified product alerts
Consumer advisories; 30 then 25 warning letters to telehealth sellers in 2026.
Acts on its own surveillance: falsified Ozempic lots seized since 2023, falsified Mounjaro lot 30 Jul 2026.

09FDA and 503A compounding, compound by compound

The premise most articles still repeat, that BPC-157 and its peers sit in "Category 2, significant safety risk", is out of date. On 29 September 2023 the FDA placed 19 substances (18 peptides plus ibutamoren) in 503A Category 2. In 2025 and 2026 the nominators withdrew those nominations and the FDA removed the substances from Category 2, twelve of them effective on or about 22 April 2026, expressly because the nominations were withdrawn, not on a new safety finding. Removal does not make them compoundable: they were never in Category 1, so today they satisfy none of the three statutory bases in 503A(b)(1)(A). Then, on 23–24 July 2026, the Pharmacy Compounding Advisory Committee voted to recommend six of seven peptides for the bulks list, against the FDA staff position on every one. The recommendation is non-binding and no rulemaking has begun.

Compound503A status, 11 Sep 2026PCAC vote, Jul 2026Detail
BPC-157Category 18-6 with 1 abstentionOn no FDA list. Nomination withdrawn, removed from 503A Category 2 effective on or about 2026-04-22. Not in Category 1. PCAC voted to recommend inclusion on the 503A bulks list, but rulemaking has not begun, so compoundi… 129 130 131
TB-500Off all lists8-6 with 1 abstentionOn no FDA list. Nomination withdrawn, removed from 503A Category 2 effective on or about 2026-04-22. PCAC recommended inclusion; no rulemaking. Compounding remains unlawful as of 2026-09-11. 129 130 132
MOTS-cOff all lists7-5 with 2 abstentionsOn no FDA list. Nomination withdrawn, removed from 503A Category 2 effective on or about 2026-04-22. PCAC recommended inclusion; no rulemaking. Compounding remains unlawful as of 2026-09-11. 129 130 133
SemaxOff all lists8-5On no FDA list. Nomination withdrawn, removed from 503A Category 2 effective on or about 2026-04-22. PCAC recommended inclusion; no rulemaking. Compounding remains unlawful as of 2026-09-11. 129 130 134
EpitalonOff all lists7-5 with 1 abstentionOn no FDA list. Nomination withdrawn, removed from 503A Category 2 effective on or about 2026-04-22. PCAC recommended inclusion; no rulemaking. Compounding remains unlawful as of 2026-09-11. 129 130 134
GHK-CuCategory 1scheduledSPLIT BY ROUTE, and the only compound in this set whose status visibly changed twice in 2026. Non-injectable routes: CATEGORY 1 ('GHK-Cu (except for injectable routes of administration)'), being added back after a partia… 131 129 130
Kisspeptin-10Category 2none503A CATEGORY 2 - UNCHANGED SINCE 2023. The only peptide from the September 2023 batch still in Category 2. FDA would consider enforcement action against a compounder using it. 129 131 130
Melanotan IIOff all listsscheduledOn no FDA list. Nomination withdrawn, removed from 503A Category 2 effective on or about 2026-04-22. PCAC consultation committed before end of February 2027. Compounding unlawful as of 2026-09-11. 129 130 135
IpamorelinCategory 2noneSPLIT STATUS. For 503A: on no list; nomination withdrawn, removed from 503A Category 2; compounding unlawful. For 503B: STILL IN 503B CATEGORY 2, unchanged since 2023. Not scheduled for any PCAC meeting. 129 136 131
CJC-1295Off all listsnoneOn no FDA list. Nomination withdrawn, removed from 503A Category 2. NOT scheduled for any PCAC meeting. Compounding unlawful as of 2026-09-11, with no pathway in motion. 129 130 131
SelankOff all listsnoneOn no FDA list. Nomination withdrawn, removed from 503A Category 2. NOT scheduled for any PCAC meeting. Compounding unlawful as of 2026-09-11, with no pathway in motion. 129 130 131
AOD-9604Off all listsnoneOn no FDA list. Nomination withdrawn, removed from 503A Category 2. NOT scheduled for any PCAC meeting. Compounding unlawful as of 2026-09-11, with no pathway in motion. 129 130 131
Thymosin alpha-1Off all listsnoneOn no FDA list. Nomination withdrawn, removed from 503A Category 2. NOT scheduled for any PCAC meeting. Compounding unlawful as of 2026-09-11, with no pathway in motion. 129 130 131
SermorelinCategory 1noneNOT on any 503A interim category list - not Category 1, not Category 2, not Category 3 - and never placed in Category 2 in 2023. Sermorelin is widely compounded in practice and is reported to meet one of the three statut… 131 129 137
TesamorelinNever listednoneNOT on any 503A interim category list and never was. Tesamorelin is the active ingredient of an FDA-approved drug (Egrifta), so as a bulk substance it can satisfy 503A(b)(1)(A)(ii) as a component of an approved drug. Sel… 131 138 139
PT-141Never listednoneNOT on any 503A interim category list, and never was. Bremelanotide is the active ingredient of an FDA-APPROVED drug (Vyleesi), which is a different legal situation from every withdrawn-nomination peptide above: a bulk s… 131 129 138
NAD+Category 1none503A CATEGORY 1 - the most permissive status of any substance in this study. FDA lists 'Nicotinamide Adenine Dinucleotide (NAD)' and separately 'Nicotinamide Adenine Dinucleotide Disodium Reduced (NADH)' in Category 1. F… 131 140 137
RetatrutideNever listednoneNOT on any FDA list and categorically ineligible. Retatrutide is an investigational drug with no FDA approval, no USP monograph and no place on either bulks list. FDA has told state regulators in terms that it may not be… 141 142 143

The framework in nine points

GLP-1 compounding, 2025–2026

  1. FDA declared the SEMAGLUTIDE shortage resolved for all doses of Ozempic and Wegovy by Declaratory Order. Transition periods: 503A until 2025-04-22, 503B until 2025-05-22. 144
  2. OFA filed its second suit, over semaglutide: No. 4:25-cv-00174 (N.D. Tex., Judge Pittman). The complaint alleged FDA's no-shortage finding was arbitrary and capricious and cited roughly 2 million US patients on compounded semaglutide between November 2023 and November 2024 against Novo's 1.2 million Wegovy patients. 145
  3. FDA letters to NABP and FSMB (from Edisa Gozun, PharmD, Division of Compounding II) stating that compounding with retatrutide is prohibited under both 503A and 503B. Relayed to all state board executive officers by NABP memo on 2025-04-03. This is the bridge between the GLP-1 story and the research-peptide story. 141
  4. Judge Pittman DENIED OFA's preliminary injunction and its request for a stay in the tirzepatide case; the order was entered under seal. OFA filed an interlocutory appeal 2025-03-10 (5th Cir. No. 25-10385, docketed 2025-03-13), then voluntarily dismissed it (terminated 2025-05-02) once final judgment was entered. 147
  5. Court DENIED OFA's preliminary injunction in the semaglutide case. 149
  6. Eli Lilly filed four suits in N.D. Cal. against Mochi Health, Fella Health (Fella & Delilah), Willow Health Services and Henry Meds, alleging deceptive marketing of mass-produced compounded tirzepatide as 'personalized' and improper corporate practice of medicine. Mochi was alleged to have switched patients to tirzepatide plus n… 150
  7. FDA publicly reiterated that 503A enforcement discretion for compounded semaglutide had expired. 151
  8. Judge Pittman ruled for FDA on the merits in the semaglutide case and DISMISSED WITH PREJUDICE. OFA appealed; the appeal was docketed at the Fifth Circuit as No. 25-10758 on 2025-06-20. Final judgment for FDA in the tirzepatide case produced 5th Cir. No. 25-10600, docketed 2025-05-12 (district-court final-judgment date UNVERIFIE… 152
  9. 38 bipartisan state and territory attorneys general, co-led by South Carolina, Colorado, Illinois and Tennessee, urged FDA to act against illegally sold GLP-1 active ingredients: 'online retailers are illegally selling the active ingredients of GLP-1 drugs directly to consumers, without a prescription. These retailers claim that… 154
  10. FDA launched a GLP-1 API 'Green List' and established Import Alert 66-80: GLP-1 APIs from facilities FDA has inspected and found compliant are exempt, and all other GLP-1 APIs are subject to detention without physical examination. FDA had inspected or remotely assessed 48 GLP-1 API manufacturing sites and deemed 21% noncompliant… 155
  11. FDA issued warning letters to JulyMD and GLP-1 Solution, signed by CDER Director George Tidmarsh, over compounded GLP-1 claims. Days later FDA issued its first mass wave of warning letters to online sellers and telehealth marketers of compounded GLP-1s on 2025-09-16. The count of that wave is DISPUTED across sources ('more than … 156
  12. Trump administration announced deals with Eli Lilly and Novo Nordisk to cut obesity-drug prices, including a TrumpRx.gov platform launching January 2026, with starting doses of Wegovy and Zepbound at $350/month trending to $245/month over two years. Novo then cut NovoCare direct-to-consumer cash prices for Wegovy and Ozempic to … 158
  13. Novo launched oral Wegovy (semaglutide pill) at $149/month self-pay. Hims & Hers launched a compounded ORAL semaglutide product priced against it on 2026-02-05. 161
  14. FDA press release 'FDA Intends to Take Action Against Non-FDA-Approved GLP-1 Drugs', naming Hims & Hers, saying FDA will use 'all available compliance and enforcement tools' explicitly including seizure and injunction, and listing prohibited claims such as calling compounded products generic or equivalent, 'same active ingredien… 162
  15. HHS General Counsel Mike Stuart announced a referral of Hims & Hers to DOJ for potential FDCA and Title 18 violations. Hims & Hers said it would stop offering the compounded oral semaglutide pill on 2026-02-07. Novo Nordisk sued Hims & Hers in D. Del. on 2026-02-09 over U.S. Patent No. 8,129,343; HIMS fell about 18%. 163
  16. FDA issued 30 warning letters to telehealth companies (sent 2026-02-20, published 2026-03-03) over false and misleading compounded GLP-1 claims. Two cited violations were new: implying sameness with FDA-approved products, and obscuring sourcing by branding the compounded drug with the telehealth firm's own name or trademark so i… 165
  17. Novo dismissed its Hims & Hers suit as part of a commercial deal: Hims will sell branded oral and injectable Wegovy and Ozempic and stop advertising compounded GLP-1s, with Novo reserving the right to refile. HIMS shares rose about 36%. 166
  18. FDA updated its GLP-1 compounding policy page, clarifying the 503A(b) 'essentially a copy' test: same API, same or similar or easily substitutable strength, same route of administration, with an exception only where a prescriber determines and documents a change producing a 'significant difference' for an identified individual p… 124
  19. Judge Jacqueline Scott Corley (N.D. Cal.) partly denied Mochi's motion to dismiss in Eli Lilly v. Mochi Health Corp., No. 3:25-cv-03534, letting Lilly proceed on Lanham Act and California Unfair Competition Law claims while dismissing the civil conspiracy claim with leave to amend (second amended complaint due 2026-05-08). 169
  20. FDA PROPOSED TO EXCLUDE semaglutide, tirzepatide and liraglutide from the 503B bulks list, finding no clinical need. This would close the remaining large-scale outsourcing-facility pathway. Commissioner Marty Makary: 'When FDA-approved drugs are available, outsourcing facilities cannot lawfully compound using bulk drug substance… 171
  21. M.D. Fla. dismissed Novo Nordisk v. Brooksville Pharmaceuticals for failure to show consumer injury under the Florida Drug and Cosmetic Act - one of the few compounder wins. Exact date UNVERIFIED (reported as May 2026). 173
  22. FDA warning letter to Altru Telehealth, LLC (Oakland, MD) over compounded semaglutide and tirzepatide claims, including that it 'combines the FDA approved active ingredient semaglutide with a body safe vitamin such as B12', that it 'offers the same results but at a fraction of the cost of brand names such as Ozempic, Mounjaro & … 174
  23. Third wave: FDA published 25 warning letters to telehealth and compounding companies over compounded semaglutide, tirzepatide and, in one case, liraglutide marketing. FDA's guidance page 'FDA to Telehealth Companies: What to Know When Promoting Compounded Drugs', listing five prohibited marketing practices, was last updated 2026… 175
  24. FDA published 17 revised draft product-specific guidances for generic peptide products and withdrew its prior synthetic-peptide ANDA guidance as no longer reflecting 'FDA's current scientific thinking'. This matters for the compounding fight because it is FDA signalling a preference for approved generic peptides over compounded … 177
  25. Import Alert 66-80 revised, with product codes for semaglutide (61P[][]72), tirzepatide (61P[][]74) and peptides N.E.C., plus an updated Green List. This is the current version as of 2026-09-11. 178
  26. THE FIFTH CIRCUIT AFFIRMED FOR FDA IN BOTH APPEALS - semaglutide No. 25-10758 and tirzepatide No. 25-10600 - holding FDA 'followed the statutory framework, applying the statutory definition of shortage to the evidence before it.' CourtListener shows 25-10600 terminated 2026-08-27. CAVEAT: the opinion PDF at ca5.uscourts.gov woul… 179
  27. WHERE THINGS STAND 2026-09-11. No new GLP-1 shortage: semaglutide and tirzepatide injection remain off FDA's shortage list (removed December 2024 and February 2025) and have not been re-listed. Compounded semaglutide and tirzepatide are still widely sold, but the only lawful 503A basis left is genuinely patient-specific compound… 124
  28. NEGATIVE FINDING worth recording: no FTC enforcement action, consent order or warning-letter campaign specifically targeting compounded GLP-1 sellers in 2025-2026 was found. The advertising enforcement documented here is FDA and HHS, plus the DOJ referral - not FTC. Also UNVERIFIED: FDA's 2026-02-06 announcement threatens seizur…

10What happens next

Applying the median lag from section 7 to the FDA timeline gives a rough expectation for Brazil: if the FDA accepts the July 2026 recommendations during 2027, the earliest an ANVISA reaction on the same substances would be expected is 2028, and the historical pattern suggests it would arrive as communication and control measures before any positive listing.

11Methodology and limits

Research use only. Nothing in this report is medical advice, and none of the compounds discussed is approved for human use in either country outside the specific approved products named.

12Sources

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