FDA Peptide Regulation Tracker: What Changed and When
A dated changelog of US peptide compounding rules: Category 2 removals, the July 2026 FDA advisory vote, and the still-pending GLP-1 503B call.
The short version
US rules on compounding research peptides like BPC-157 and TB-500 moved several times in 2026, and the story is not finished. This page is a dated changelog of what FDA and HHS did, in order. It also explains the two lists that decide whether a pharmacy can lawfully compound a given peptide. I update it as new primary-source information appears, and I say when something reported elsewhere is not yet confirmed against an FDA document.
- Removal from Category 2 is not approval. It only lifts a "significant safety risk" flag; a substance still has to be added to the 503A Bulks List before a pharmacy can lawfully compound it.
- An advisory committee vote is a recommendation, not a rule. FDA and HHS still have to act on it through formal rulemaking.
- No primary FDA or Federal Register document yet confirms a final 503A listing for the reviewed peptides, or a final 503B call on semaglutide, tirzepatide and liraglutide.
- Compounding peptides and buying them as "research use only" vials are different legal questions with different rules.
US rules on compounding research peptides moved several times in 2026, and the changes don’t fit in one sentence. This page is a dated changelog: what happened and in what order, with the marketing spin taken out. Each row is sourced to FDA or the Federal Register wherever I could verify it there.
Changelog
Newest first.
| Date | What changed | Source |
|---|---|---|
| Ongoing, as of 22 Sept 2026 | No Federal Register document has been published adding BPC-157, KPV, TB-500, MOTS-c, Semax or Epitalon to the 503A Bulks List, and none has recorded a final decision on the 503B GLP-1 proposal. Both matters remain open. | Searched federalregister.gov; zero matching documents found |
| 23-24 July 2026 | FDA’s Pharmacy Compounding Advisory Committee (PCAC) met at FDA White Oak to evaluate BPC-157 (free base/acetate), KPV, TB-500 and MOTS-c on 23 July, and Emideltide/DSIP, Semax and Epitalon on 24 July, for possible addition to the 503A Bulks List. For BPC-157 the committee voted 8-6, with one abstention, to recommend adding it (ABC News). Outlets and law firm alerts reported votes in favor for most of the other peptides. I could not confirm those vote counts against a primary FDA document - see the callout below. | FDA meeting page |
| 26 June 2026 | FDA extended the public comment period on the 503B GLP-1 proposal to 30 July 2026. | Federal Register, 91 FR 38719 |
| 1 May 2026 | FDA’s proposal not to include semaglutide, tirzepatide or liraglutide on the 503B Bulks List was formally published in the Federal Register, with an original comment deadline of 30 June 2026. | Federal Register, 91 FR 23431 |
| 30 April 2026 | FDA announced the proposal to exclude semaglutide, tirzepatide and liraglutide from the 503B Bulks List, stating it found no clinical need for outsourcing facilities to compound them from bulk substances. | FDA press announcement |
| 22 April 2026 | Effective date on FDA’s bulk-substances safety-risk page: BPC-157, TB-500, MOTS-c, injectable GHK-Cu, Melanotan II, Semax, PEG-MGF, KPV, DSIP (Emideltide) and Epitalon moved out of the active Category 2 table and into a separate table of nominations withdrawn by the nominators. The page keeps FDA’s original safety-risk language alongside. | FDA - Category 2 bulk drug substances page |
Category 1 vs. Category 2: what the labels mean
When a bulk substance is nominated for the 503A Bulks List, FDA sorts the nominations it is actively evaluating into two buckets:
- Category 1: nominated with enough supporting information for FDA to evaluate, and not flagged for a specific safety concern. FDA states it does not generally intend to take enforcement action against compounding with a Category 1 substance while its bulks-list rulemaking is pending. The other conditions of section 503A still apply.
- Category 2: FDA has identified a possible significant safety risk. FDA states it would consider enforcement action against a compounder using a Category 2 substance.
Neither category is the 503A Bulks List itself, and neither is FDA approval. They show where a nomination sits in FDA’s own review, not what a pharmacy is permitted to do.
US legal status - Unapproved drug
None of the peptides discussed on this page are FDA-approved drugs. Removal from Category 2 changes their standing in FDA's internal review process; it does not change their approval status.
What “removed from Category 2” does and does not mean
Vendors have framed the April 2026 change as the peptides being “cleared” or “approved.” FDA’s own page does not say that. The change is narrower. The nominations for these ten-plus substances were withdrawn by the people who nominated them. FDA moved them out of the active Category 2 table into a separate table that preserves the original safety-risk description. A withdrawn nomination is not a finding of safety. It is also not the same as being added to the list a pharmacy actually checks before compounding.
That list is the 503A Bulks List, set by rule at 21 CFR 216.23. To be lawfully compoundable under section 503A, a substance needs to be on it, be a component of an already-approved drug, or have a USP/NF monograph. None of the substances discussed on this page were on that list as of this page’s publish date.
The 503A Bulks List vs. the 503B Bulks List
These are two different lists, governing two different kinds of compounding. Headlines often just say “the Bulks List”, so check which one they mean:
- 503A governs traditional, typically patient-specific compounding by a licensed pharmacy or physician.
- 503B governs larger-scale compounding by registered “outsourcing facilities,” which may compound in advance of a prescription. A substance can only go on the 503B list if FDA finds a clinical need for outsourcing facilities to use it in bulk form. That is a different legal test from 503A’s.
That is why semaglutide, tirzepatide and liraglutide are a 503B story, and BPC-157, TB-500 and the rest of the PCAC-reviewed peptides are a 503A story. They move through different processes on different timelines.
Why this matters for a reader, not just a pharmacist
- A “research use only” vial bought online is not compounding at all, and none of this changes its legal status. See Research Peptides and US Law for that separate question.
- A compounded prescription from a licensed pharmacy is only lawful if the ingredient is eligible under 503A or 503B. As of this page’s publish date, that does not include any of the peptides in the July 2026 PCAC review.
- An advisory committee recommendation is not a rule. Even a unanimous vote does not change what a pharmacy may lawfully compound until FDA and HHS complete rulemaking.
For the broader safety picture, including what is documented about these substances in humans, see Are Peptides Safe?
Related guides
- Research Peptides and US Law: What the Label Means
- Are Peptides Safe? Risks by Category, and the Law
- BPC-157: What the Research Shows
- Best GLP-1 for weight loss: the approved options compared
- FDA-Approved Peptides: The Complete List
Common questions
Is BPC-157 legal now?
BPC-157 is not an FDA-approved drug, and its removal from Category 2 in April 2026 did not change that. The removal means FDA no longer flags it as a specific significant-safety-risk substance, because the nominations were withdrawn. It is still not on the 503A Bulks List as of this page's publish date, so it is not yet eligible for lawful compounding under section 503A. It is still sold to consumers as an unapproved research chemical.
Did the FDA advisory committee vote to approve BPC-157, TB-500 and the other peptides?
The Pharmacy Compounding Advisory Committee met on 23 and 24 July 2026 to evaluate BPC-157, KPV, TB-500, MOTS-c, Emideltide/DSIP, Semax and Epitalon for the 503A Bulks List. For BPC-157 it voted 8-6, with one abstention, to recommend adding it (ABC News). News outlets and law firm alerts reported votes in favor for most of the other peptides. I have found no FDA transcript, minutes or Federal Register notice with those vote counts. The vote is advice, not approval. FDA has not published a final decision and has not added any of these substances to the 503A Bulks List.
What is the difference between the 503A Bulks List and Category 2?
They are opposite ends of the same review process. The 503A Bulks List (21 CFR 216.23) lists the substances a pharmacy may compound from bulk under section 503A. Category 2 is a separate list, published in FDA guidance, of nominated substances FDA has identified as possibly presenting significant safety risks. Nomination, review, removal from Category 2 and formal addition to the Bulks List are four separate regulatory steps.
Will compounded semaglutide and tirzepatide be banned?
On 30 April 2026 FDA proposed not to include semaglutide, tirzepatide or liraglutide on the 503B Bulks List, the separate list that governs bulk compounding by outsourcing facilities. The comment period was extended to 30 July 2026. As of this page's publish date I found no Federal Register document recording a final determination. The proposal does not affect the FDA-approved injectable pens for these drugs either way.
How often is this page updated?
This is a living tracker. I add a dated row to the changelog table whenever I can verify a change against a primary FDA or Federal Register source, rather than rewriting the page each time.
Are peptides controlled by the FDA?
Not as one single category. FDA controls peptides through several separate mechanisms, depending on the compound and how it is sold. Approved peptides are prescription drugs. Nominated substances sit on its Category 1 or Category 2 compounding-safety lists. Bulk substances either are or are not on the 503A or 503B Bulks List that a pharmacy must check before compounding. One peptide can be an FDA-approved branded drug while an unapproved "research use only" version of the same molecule is sold online outside that control. See the changelog above for where each reviewed peptide currently sits.
Is BPC-157 hard on your liver?
There is no FDA-reviewed clinical safety data on this, because BPC-157 is not an FDA-approved drug and has not been through the trials that would produce it. Its removal from FDA's Category 2 table in April 2026 followed a nomination withdrawal, not a safety finding either way. The page still carries FDA's original safety-risk description. For what is documented about BPC-157 in humans, see Are Peptides Safe? at /safety/.
Which peptide does Joe Rogan take?
The one peptide Joe Rogan has named in a statement confirmed by two sources is BPC-157. In July 2021 he said on his podcast that it cleared elbow tendonitis within two weeks. He also said he had an NAD drip, which is not a peptide, while ill with COVID-19. Neither statement says what he takes now; see /joe-rogan-peptides/. BPC-157, KPV, TB-500 and MOTS-c are among the substances FDA's Pharmacy Compounding Advisory Committee reviewed for the 503A Bulks List in July 2026. None is an FDA-approved drug, and as of this page's publish date none has been added to that list, so none is currently eligible for lawful pharmacy compounding. They are sold online as unapproved research chemicals. See the changelog above for where each one sits, and Are Peptides Safe? at /safety/ for what is documented about them.
Are any peptides FDA-approved?
Yes. More than forty peptide medicines have current or historical FDA approval, including semaglutide (Ozempic, Wegovy), tirzepatide (Mounjaro, Zepbound), tesamorelin (Egrifta), bremelanotide (Vyleesi), teriparatide (Forteo) and abaloparatide (Tymlos). None of the research peptides tracked on this page, such as BPC-157 or TB-500, is FDA-approved. The full list is at /fda-approved-peptides/.
References (8 sources)
Bibliographic detail is fetched from PubMed, not written by me - so a citation here cannot drift from the paper it names. Study design comes from PubMed's own tags rather than my judgement.
- 1.The Joe Rogan Experience #1683 (with Andrew Huberman), 14 July 2021, episode transcript: Rogan describes elbow tendonitis cleared after starting BPC-157.- Podscripts (episode transcript)other
- 2.FDA - Certain Bulk Drug Substances for Use in Compounding That May Present Significant Safety Risks (the Category 2 list and the withdrawn-nominations table; content current as of 04/22/2026, refetched 2026-09-22).- US Food and Drug Administrationregulatory
- 3.FDA - Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act (content current as of 05/14/2026, refetched 2026-09-22; confirms the page does not itself enumerate the current Bulks List, which is set by rule at 21 CFR 216.23).- US Food and Drug Administrationregulatory
- 4.FDA - July 23-24, 2026 Meeting of the Pharmacy Compounding Advisory Committee (meeting page; as fetched 2026-09-22 it lists the agenda and briefing materials but posts no vote tally or minutes).- US Food and Drug Administrationregulatory
- 5.FDA - Press Announcement, April 30, 2026: FDA Proposes to Exclude Semaglutide, Tirzepatide, and Liraglutide on 503B Bulks List.- US Food and Drug Administrationregulatory
- 6.Federal Register, May 1, 2026 (91 FR 23431) - List of Bulk Drug Substances for Which There Is a Clinical Need Under Section 503B: FDA's proposal not to include semaglutide, tirzepatide or liraglutide, original comment deadline June 30, 2026.- Office of the Federal Registerregulatory
- 7.Federal Register, June 26, 2026 (91 FR 38719) - extension of the comment period on the same 503B notice to July 30, 2026.- Office of the Federal Registerregulatory
- 8.ABC News, 23 July 2026 - FDA advisory committee votes to add popular peptide BPC-157 to drug compounding list (8-6, one abstention).- ABC Newsnews