For two years, the phrase “semaglutide shortage” became shorthand for supply chaos.
Clinics scrambled to meet demand for GLP-1 medications used in diabetes and weight-management therapy.
Then, in February 2025, the FDA announced the shortage officially resolved.
But for hospital and pharmacy directors, the story didn’t end there, it entered a more complex chapter.
“Resolution doesn’t mean relaxation. It means re-alignment,” says a compliance officer from a multi-hospital system in Georgia.
The New Supply Reality
With branded semaglutide products like Ozempic® and Wegovy® returning to steady production, compounding policies are shifting.
The FDA now expects facilities to review the Drug Shortages List weekly and ensure compounded versions are only used when commercially unavailable.
Hospitals must verify that any compounding partner follows:
- Current USP <797> sterile-compounding standards
- Documentation for every GLP-1 lot (CoAs, potency, sterility)
- Clearly labeled, patient-specific or institutional-use batches
(See AllMedRx’s Compounded GLP-1 Medicines in 2025 for the clinical context behind these regulatory updates.)
Procurement and Compliance Checklist for Hospitals
1️. Confirm FDA Shortage Status: Only source compounded GLP-1s when the active ingredient appears on the FDA’s active shortage list.
2️. Audit Vendor Compliance: Request written policies on lot testing, expiration dating, and USP <797>/<800> alignment.
3️. Maintain Parallel Supply Options: Dual-source via branded distributors and 503B-aligned compounders for continuity.
4️. Review Documentation for Each Shipment: CoAs, batch records, temperature logs.
5️. Educate Clinical Staff: Clarify labeling, storage, and handling requirements for compounded vs. commercial products.
What This Means for Institutional Compounding
For 503B-aligned facilities like OutSourceWoRx, transparency and documentation define trust.
Hospitals are no longer looking for just supply; they’re demanding verifiable quality data for every vial that crosses their loading dock.
The Cost of Non-Alignment
Compounding outside FDA guidance or without validated documentation risks procurement penalties and reputational exposure.
In 2025, auditors increasingly ask:
“Was this medication necessary to compound, and is the documentation complete?”
Having proactive policies now means avoiding compliance issues later.
(Capital Worx’s Compliance as Alpha explains how strong documentation protects both providers and investors.)
The OutSourceWoRx Role in a Post-Shortage Market
OutSourceWoRx supports hospitals and clinics through:
- Rigorous batch-level testing for potency, sterility, and endotoxins.
- Digital documentation accessible for audits.
- Cold-chain validation ensuring product integrity on arrival.
- Proactive communication as FDA lists evolve.
This isn’t about competing with commercial products, it’s about providing compliant continuity when clinical demand surges faster than supply.
Final Takeaway
The GLP-1 era is moving from shortage management to compliance management.
Hospitals that align early with partners who prioritize transparency and traceability will avoid disruption, protect patients, and stay inspection-ready.
OutSourceWoRx continues to serve as a trusted ally, combining documentation discipline with responsive support for hospital pharmacy leadership.


