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A once-weekly dual GIP and GLP-1 receptor agonist used for type 2 diabetes and chronic weight management.

Key takeaway

Tirzepatide activates two incretin hormone receptors, GIP and GLP-1, which influence insulin secretion, appetite, and digestion.

At a glance

FDA statusIn an FDA-approved drug
503A compoundingEligible for 503A compounding (component of an approved drug)
Body areasMetabolism & weight, Gut
Through ScriptMatesPrescribable by licensed providers
Open questions1 noted below

What is tirzepatide?

Tirzepatide activates two incretin hormone receptors, GIP and GLP-1, which influence insulin secretion, appetite, and digestion.

It is the active ingredient in FDA-approved products for type 2 diabetes and chronic weight management. Partner pharmacies list compounded versions, including combinations with B12 or glycine.

Dosage forms

FDA-approved Mounjaro and Zepbound are solutions for subcutaneous injection. Compounded preparations are not FDA-approved.

Is tirzepatide FDA-approved?

Active ingredient of FDA-approved Mounjaro (type 2 diabetes) and Zepbound (chronic weight management). Compounded tirzepatide is not itself FDA-approved.

Can it be prescribed through ScriptMates?

Eligible for 503A compounding (component of an approved drug). A 503A partner pharmacy lists this peptide, and it has a lawful 503A compounding pathway.

What we could not confirm

  • Approved tirzepatide is no longer in shortage, so 503A limits on compounding essentially copies apply. Whether a formulation qualifies is a prescriber and pharmacy determination.

Sources

  1. Drugs@FDA: Mounjaro (tirzepatide)
  2. Drugs@FDA: Zepbound (tirzepatide)
  3. FDA: Concerns with unapproved GLP-1 drugs used for weight loss

Checked October 27, 2026. FDA updates these pages, so confirm before relying on them.