In September 2023 the FDA added nineteen peptides, among them BPC-157, TB-500, CJC-1295, ipamorelin, MOTS-c and injectable GHK-Cu, to Category 2 of its list of bulk drug substances nominated for compounding. Category 2 is reserved for substances the agency considers to raise significant safety concerns, and placement discourages pharmacies from compounding with them. [1][2]
On 27 February 2026 the Secretary of Health and Human Services said publicly that roughly fourteen of the nineteen would be moved toward compounding-eligible status. On 15 April 2026 the agency gave notice that twelve peptide substances would be removed from Category 2 because their nominations had been withdrawn, and published a Federal Register notice convening the Pharmacy Compounding Advisory Committee on 23–24 July 2026 and again before the end of February 2027. [1][3]
Removal from Category 2 is not approval and not a listing; the substances returned to an unresolved status pending committee review. The April removals did not include CJC-1295 or ipamorelin acetate, whose 503A nominations had already been withdrawn in September 2024; ipamorelin acetate remains in Category 2 for 503B outsourcing facilities. Removal from a category is not eligibility: a withdrawn substance stays outside the 503A bulks list until a rule adds it. [1][2][4]
SOURCES
- Orrick. FDA announces removal of 12 peptides from Category 2 and schedules PCAC meetings. 16 Apr 2026. Legal analysis. https://www.orrick.com/en/Insights/2026/04/FDA-Announces-Removal-of-12-Peptides-from-Category-2-and-Schedules-PCAC-Meetings
- FDA. Certain bulk drug substances for use in compounding that may present significant safety risks. Updated 22 Apr 2026. Regulatory document.
- Goodwin. FDA signals potentially evolving stance toward compounding of certain peptides. May 2026. Legal analysis. https://www.goodwinlaw.com/en/insights/blogs/2026/05/fda-signals-potentially-evolving-stance-toward-compounding-of-certain-peptides
- AJMC. Peptide regulation debate intensifies after FDA advisory panel's controversial vote. 25 Sep 2026. News feature. https://www.ajmc.com/view/peptide-regulation-debate-intensifies-after-fda-advisory-panel-s-controversial-vote
CHANGELOG · 5 Oct 2026 FIRST PUBLISHED · CORRECTIONS ARE ADDED HERE, NEVER HIDDEN