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Last reviewed: May 31, 2026
Next scheduled review: June 30, 2026
Reviewed by: Dr. Sam Saberian, Lead Medical Researcher
Medical review by Alen A. Schwartz, MD · Edited by Julliana Edwards · Last updated 2026-06-10
Recent regulatory actions affecting semaglutide
2024-12
Wegovy label expanded for cardiovascular risk reduction
FDA approved Wegovy (semaglutide 2.4 mg) for cardiovascular risk reduction in adults with overweight/obesity and established cardiovascular disease, based on SELECT trial results showing 20% MACE reduction.
Novo Nordisk submitted FLOW trial data to support a kidney indication for semaglutide. FLOW (NEJM 2024, PMID 38785189) showed 24% reduction in major kidney/CV events in T2D + CKD patients.
2024-04
FDA warning letters on unapproved semaglutide salt forms
FDA issued warning letters targeting compounders dispensing semaglutide sodium and semaglutide acetate salt forms. The agency emphasized that only the peptide base form is acceptable, and salt forms are unapproved active ingredients.
2023-11
SELECT cardiovascular outcomes trial published in NEJM
SELECT trial published in New England Journal of Medicine (PMID 37952131). Semaglutide 2.4 mg produced 20% reduction in MACE over a median 39.8 months in non-diabetic adults with overweight/obesity + established CVD.
2023-10
FDA: Semaglutide remains in 'no shortage' status
Following Novo Nordisk supply expansion, FDA confirmed that semaglutide is no longer on the official drug shortage list, raising questions about ongoing 503A and 503B compounding eligibility under FDCA Section 503A and 503B.
2021-06
Wegovy receives FDA approval for chronic weight management
FDA approved Wegovy (semaglutide 2.4 mg) for chronic weight management in adults with obesity (BMI ≥30) or overweight (BMI ≥27) with at least one weight-related comorbidity, based on the STEP trial program.
Updated 2026-06-10. Shortage status, compounder rules, and zepbound/mounjaro access.
Important medical and regulatory disclosure:
Compounded semaglutide and compounded tirzepatide are not FDA-approved. They are not the same as Ozempic, Wegovy, Mounjaro, or Zepbound. Compounded medications may be prescribed only when clinically appropriate after review by a licensed medical provider. GLP-1 Editorial does not provide medical advice, prescribe medication, manufacture medication, or operate a pharmacy.