Regulatory radar · med spas & injectors
One missed rule can cost you your license.
MedSpaRadar watches all 50 state legislatures, the FDA, and the Federal Register for GLP-1 and peptide compounding, and scope-of-practice changes. Plain language. What changed, and exactly what to do — before it costs you.
Scanned 455 · 121 material changes31 states on record + federal11 feeds behind these itemslatest Sep 3, 2026sources last scanned Sep 9, 2026
Free weekly Brief · members get the exact what-to-do for their states as soon as we publish · unsubscribe anytime
- MONITORFEDSep 3, 2026
FDA import refusal: Implant, Dermal, Collagen for Aesthetic Use (Austria)
- CAUTIONFEDAug 27, 2026
FDA Warning Letter: Pharmaceutics International, Inc. (Drugs)
- CAUTIONOHAug 26, 2026
OH HB377: Regards use of light-based medical devices for hair removal
- MONITORFEDAug 19, 2026
FDA recall (Class II): Semaglutide 2.5mg (1mg/mL), Glycine 12.5 mg (5mg/mL), 2.5 mL Sterile Multi-Dose Vial, Rx Only, For Subcutaneous Injecti…
- MONITORFEDSep 3, 2026
FDA import refusal: Implant, Dermal, for Aesthetic Use in the Hands (Sweden)
- MONITORFEDSep 3, 2026
FDA import refusal: Implant, Dermal, Collagen for Aesthetic Use (South Korea)
A live sample of the published record.
Peptide & GLP-1 Federal Standing
As of Jul 23, 2026 · source-linked
| LiraglutideGLP-1 | 503B | On FDA’s 503B clinical-need list — under review |
| SemaglutideGLP-1 | 503B | On FDA’s 503B clinical-need list — under review |
| TirzepatideGLP-1 | 503B | On FDA’s 503B clinical-need list — under review |
| BPC-157Peptide | PCAC | Under review — not compoundable |
| CJC-1295Peptide | PCAC | Under review — not compoundable |
| EmideltidePeptide | PCAC | Under review — not compoundable |
Each standing links to its government source; where only trade-press reporting exists, it’s marked reported until the FDA primary record posts. Monitoring, not legal advice.
A real snapshot from the live pipeline — refreshed on every deploy, never a mockup.
The deliverable
The document your attorney wants on file
The Peptide & GLP-1 Status Pack is the current federal standing of every tracked substance — 503A/503B bulks status, PCAC reviews, FDA actions — each linked to its primary source and dated. When a PCAC review moves a substance, the standing changes and the record updates.
The rules move faster than you can track
GLP-1 compounding restrictions, good-faith-exam rules, medical-director requirements, and nurse scope-of-practice are changing state by state. A single missed change can mean:
License suspension or revocation
Operating outside a new scope or supervision rule.
FDA warning letters & enforcement
Compounding a drug that just moved off the shortage list.
State board discipline
A good-faith-exam or delegation requirement you didn’t see.
Fines & forced shutdowns
Advertising or registration rules enacted mid-session.
Doing this yourself means reading thousands of bills across all 50 state legislatures, plus the Federal Register and FDA, the amendment log for the regulations themselves, the court dockets and the state boards — every week. That’s the job we do for you.
Regulations by state
Every state on one grid, every cell a judged citation
Compounded GLP-1, fees to a non-clinical owner, esthetician microneedling, and what it costs to open. Each cell names the statute or board rule, links to the publisher, and carries the date the sentence was checked against that document. No yes/no paraphrases.
Open the grid →- jurisdictions with a cited record
- 51 of 51
- answer all 4 buyer questions
- 40
- answers judged against their source
- 193 of 193
- most recent verdict
- Sep 9, 2026
Enforcement radar
It’s already happening
Real FDA & FTC enforcement — recalls, warning letters, and FTC actions — hitting GLP-1 and compounded products. If the supplier your spa uses lands here, it’s your problem too.
Monitored daily · sources last scanned Sep 9, 2026newest action Aug 27, 2026
- WARNING LETTERAug 27, 2026
FDA Warning Letter: Pharmaceutics International, Inc. (Drugs)
- WARNING LETTERAug 24, 2026
FDA Warning Letter: Peak Performance Peptides (Drugs)
- WARNING LETTERAug 24, 2026
FDA Warning Letter: Peptide Partners, LLC (Drugs)
How it works
01
We watch everything
All 50 state legislatures, the FDA, and the Federal Register — scanned daily for the terms that matter to aesthetic practices — plus 39 primary sources polled every 2 hours, including the Federal Register's public-inspection desk, the 21 CFR amendment log, federal court dockets, drug-label revisions, and state medical, nursing and pharmacy boards.
02
AI reads & scores it
Every change is summarized in plain language and scored for impact, and where there is something to do it carries a specific instruction. Anything that can reach your inbox is approved by a person first. Two high-volume federal record feeds — import refusals and inspection citations — publish straight to the feed; they can never email you.
03
You get the alert
Material changes land in your feed and The MedSpaRadar Brief, each linked to its primary source. Nothing to read, nothing to miss.
Check us
Don’t take our word for any of it
Every source we poll is named with the exact endpoint we read. The pipeline’s status is public. The scoring rules are written down, including the two cases where our own engine got it wrong. No login for any of it.
Every source we watch →
Named, with the endpoint and license for each — and the gaps we don’t cover.
Is it still running? →
Per-source poll status, published daily. A quiet source and a broken one look different here.
How we decide what matters →
The tiers, the gates, and what we refuse to send you.
Who built this →
The entity behind it, and the rules it operates under.
What you get
Plain-language alerts
No legalese. What changed across the states & FDA, and why it matters to your practice.
Wedge-focused
GLP-1 & peptide compounding, 503A/503B, scope-of-practice, supervision, good-faith-exam, medical-director rules.
All 50 legislatures, plus the primary federal record
We watch every state legislature plus the FDA & Federal Register (incl. FDA drug-shortage status), and read 40 primary sources directly — the public-inspection desk where federal documents are filed before they publish, the regulatory text itself, court dockets, drug labels, and state boards. Watching a source is not the same as sending you an alert: not every state has had a med-spa-relevant change yet, and you see the ones that have, as they surface.
Primary-source links
Every alert links straight to the bill or federal notice. Verify in one click.
The MedSpaRadar Brief
A weekly email digest of everything that moved — read in two minutes.
Built to never cry wolf
A wrong compliance alert is worse than none. Anything that can email you is approved by a person first, and uncertain items are held rather than sent.
Membership
What members get
The free Brief tells you what changed. Membership tells you exactly what to do about it — for your practice, the moment we publish it.
The exact “what to do” on every alert
Not just what changed — the concrete step for your practice, on every alert.
Alerts the moment we publish
Emailed as soon as a change in your states (or a national one) is published here — not held for the weekly digest.
Your personalized Compliance Brief
A printable, source-linked document — the changes touching your state + the what-to-do + the review checklists. Hand it to your medical director or keep it on file.
GLP-1 Compounding Intelligence
The full legality picture in one view — FDA shortage status, recalls, FTC actions, federal + state.
Compliance checklists
GFE, medical director, delegation, FTC advertising — what to confirm with counsel.
The complete archive
Members see the full regulatory record, not just the recent window.
Scanned 455 · 121 material changes31 states on record + federal11 feeds behind these itemslatest Sep 3, 2026sources last scanned Sep 9, 2026
Founding cohort
Lock $99/month — for as long as you’re a member.
We’re opening MedSpaRadar to the first 50 practices at the founding rate. Lock it in now and your price never moves — even when it goes to $149 for everyone after you.
or $990/year (2 months free) — also locked for life
One corporate-practice or scope-of-practice misstep can be ruinous: in California, a non-compliant med spa can be charged under Bus. & Prof. Code §2417.5 with penalties up to $500,000 — plus license revocation and a cease-and-desist that closes your doors. MedSpaRadar catches the change before it becomes one — for the price of a single filler syringe a month.source
- Your personalized Compliance Brief — the changes touching your states + the what-to-do + the review checklists, in one printable document you can hand to your medical director
- The full “what to do” on every alert — the exact step for your practice, not just what changed
- The moment we publish a change in YOUR states — not held for the weekly digest
- GLP-1 Compounding Intelligence — the full legality picture (FDA shortage status, recalls, FTC, federal + state) in one place
- Compliance checklists — GFE, medical director, delegation, FTC advertising
- API access to the same data for your own systems — internal use, no call required
- Founding bonus: the GLP-1 & Scope-of-Practice Audit Pack — free, yours to keep
30-day money-back guarantee · cancel anytime · secure Stripe checkout
Founding cohort open — first 50 practices lock this rate for life
Just one state?
Solo-State — your state, watched.
A dated, source-linked Compliance Brief for your state — the changes that touch your practice, the exact what-to-do, and the review checklists, in one document you can print and hand over. Kept current by watching your state daily, plus federal and nationally-significant alerts. Upgrade to All-Access anytime.
Launch rate through September 30, 2026 — then $39/mo.
Start before it closes and your rate stays $29 for as long as you’re a member — or $290/yr (2 months free).
Every plan includes all federal FDA, FTC & Federal Register coverage. The label is what we hold that is specific to that state — we scan all 50 state legislatures daily and add state items as they surface.
Scoped to your state · cancel anytime · secure Stripe checkout
One-time packs
The document on file
Source-linked, dated compliance documents for your state — buy once, yours to keep. Included free with All-Access.
Packs always include the federal record; the count is state-specific changes on record.
State Compliance Snapshot
Every published med-spa & injectable change for your state — federal + national too — with the what-to-do, source-linked.
$49 one-time
Get the Snapshot — $49Peptide & GLP-1 standings
The current federal standing of every substance we track, with the citation behind each one and the change history. This is a free page, not a pack — there is no version of it worth charging you for.
Open the tracker — freeMedical Director Pack
Delegation, supervision, good-faith exam, ownership and the disciplinary landscape for your state — statute-cited, plus who on your staff may perform which procedure and up to what limit.
$197 one-time
Get the Pack — $197Advisors & groups
For attorneys, consultants & multi-location groups
Hand each client a dated, source-linked compliance document with your firm’s name on it — kept current by monitoring every state they practise in. Licensed for client work.
By quote
Priced on the practices you advise and the states they operate in.
- Every state we monitor, across every client you advise
- A per-client-state Compliance Brief — a dated, source-linked document you can hand to the client
- Your firm's name on that brief, not ours
- Seats for your colleagues — each with their own sign-in and their own alerts, sharing one client roster
- Licensed for client work: use it on behalf of the practices you advise, not just your own
- The same statute-cited rules library and substance tracker behind the rest of the product
- API access to the same corpus for your own systems — internal use, included, no call required
No card, no checkout · we scope it on the call
Advising one practice? All-Access covers every state for a single practice.
FAQ
GLP-1 compounding & med-spa compliance questions
Straight answers on the rules that move fastest — compounding, scope of practice, supervision, and the FDA shortage list. Monitoring, not legal advice.
Is MedSpaRadar free, and how much does it cost?
There is a free tier, two subscription levels, and one-time reports. Free: subscribe with your email for the weekly MedSpaRadar Brief and see what changed across everything we watch — all 50 state legislatures, the FDA, and the Federal Register. Solo-State ($29/month — a launch rate through September 30, 2026, then $39) watches a single state daily with the full what-to-do on every change in it, plus federal and nationally-significant alerts. All-Access ($99/month founding for the first 50 practices, then $149) covers every state we monitor and adds your personalized, printable Compliance Brief, the GLP-1 Compounding Intelligence view, and the compliance checklists. Prefer to buy once? The $49 State Compliance Snapshot needs no subscription and is credited toward one if you subscribe within 30 days. Monitoring, not legal advice.
Do I have to subscribe, or can I buy a one-time report?
You can buy once — no subscription required. The $49 State Compliance Snapshot is an instant, source-linked report of every published med-spa and injectable change for your state, with the federal record included; if you subscribe within 30 days, the $49 is credited toward it. There is no longer a paid Peptide & GLP-1 pack: the federal standing of every substance we track, with the citation behind each one and its change history, is free on /tracker, and we withdrew the paid pack rather than charge for a page you can already read. All-Access members get the Snapshot included for their states. Monitoring, not legal advice.
How is MedSpaRadar different from AmSpa, a compliance consultant, or Google Alerts?
They do different jobs, and most practices want more than one of them. MedSpaRadar is continuous monitoring: it reads all 50 state legislatures plus the FDA and Federal Register every day, and polls 40 further primary sources every 2 hours — the regulatory text itself, federal court dockets, drug labels and state licensing boards — scores each change for its impact on aesthetic practices, has a human review it, and tells you in plain language what changed and what to do, linked to the primary source. A trade association is membership, education, events and a peer community. A consultant or attorney applies the rules to your specific facts, which is something we will never do — we are not a law firm and this is not legal advice. Google Alerts match keywords; they do not parse bills or FDA actions for med-spa relevance. MedSpaRadar is the layer that tells you a rule moved, so you can take it to the people above. See our side-by-side comparison with AmSpa membership for published prices and what each includes.
Can med spas legally compound or sell semaglutide and tirzepatide?
It depends on two things that change frequently: whether the drug is on the FDA shortage list, and your state’s rules. Under federal law (sections 503A and 503B), a compounder generally may not make a copy of a commercially available drug — being on the FDA shortage list has been the main exception that allowed compounded semaglutide and tirzepatide. When the FDA declared those shortages resolved, the basis for compounded versions narrowed sharply. MedSpaRadar tracks FDA shortage status and state action daily so you know when it changes. This is regulatory monitoring, not legal advice.
Can med spas compound peptides like BPC-157, KPV, or TB-500?
It depends on whether the peptide is on the FDA’s 503A Bulks List — and as of the July 2026 Pharmacy Compounding Advisory Committee (PCAC) meetings, none of the headline peptides are. PCAC recommended further review of BPC-157, KPV, TB-500, and MOTS-c, but a recommendation is not a legal status change: FDA is not bound by it, and actually permitting 503A compounding requires notice-and-comment rulemaking, commonly 8–12 months. So these remain not compoundable under 503A today. FDA has separately scheduled a further PCAC meeting by the end of February 2027 for five more peptides (GHK-Cu, Melanotan II, LL-37, Dihexa, PEG-MGF). We track each substance’s current standing, with its government source and date, on the MedSpaRadar substance tracker. This is regulatory monitoring, not legal advice.
Where can I check the current FDA compounding status of a specific peptide or GLP-1?
The MedSpaRadar substance tracker lists every peptide and GLP-1 we monitor with its current federal standing — 503A Bulks List status, PCAC review history, and any state overlay — each linked to the government document it came from and dated. Where an outcome has so far only been reported by trade press (as with the July 2026 PCAC votes), it is marked "reported" until FDA’s primary record posts, so the tracker never overstates its own sourcing. It is free to view. Monitoring, not legal advice.
What is the FDA drug shortage list, and why does it matter for GLP-1s?
The FDA drug shortage list is a primary factor in whether compounding pharmacies (503A) and outsourcing facilities (503B) may prepare copies of a drug such as semaglutide or tirzepatide. When a GLP-1 comes off the shortage list, that basis for compounding generally ends — often after a short wind-down period. We monitor the list and alert you as soon as a GLP-1’s status changes.
What is the difference between 503A and 503B compounding?
503A pharmacies compound patient-specific prescriptions; 503B outsourcing facilities make larger batches under tighter FDA oversight and cGMP standards. For GLP-1s, both pathways generally hinge on FDA shortage status. The distinction drives which compounded products a med spa can legally source and from whom — so a change to either pathway can affect your supply overnight.
Do I need a medical director or supervising physician to run a med spa?
In most states, yes. Aesthetic procedures like injectables and lasers are considered the practice of medicine, which typically requires a physician owner, a medical director, or a supervising/delegating physician relationship. The specifics — ownership rules, delegation, chart review, and how often the physician must be involved — vary by state and change through legislation, which is exactly what MedSpaRadar tracks.
What is a good-faith exam requirement for med spas?
A good-faith exam (GFE) is a clinical evaluation required before a patient is treated — for example before Botox or filler — to establish a valid provider-patient relationship and a treatment order. States increasingly regulate who may perform the GFE and whether it can be done over telehealth. New GFE rules are one of the most common scope-of-practice changes we surface.
Can a nurse, NP, or PA inject Botox or filler without a doctor present?
It varies widely by state. Some states grant nurse practitioners broad independent authority; others require a delegating or supervising physician, an established good-faith exam, or physician availability. Because these scope-of-practice rules change through state legislation and licensing-board action, the safe answer is state-specific — and it moves. MedSpaRadar monitors all 50 states and DC for exactly these changes.
How does a med spa stay compliant with constantly changing regulations?
The practical challenge is awareness: rules change through hundreds of state bills plus FDA and Federal Register activity every session, and a single missed change can put a license or the business at risk. MedSpaRadar monitors all of those sources daily, scores each change for impact, and tells you in plain language what changed and what to do — so compliance starts with knowing first.
Which states and agencies does MedSpaRadar monitor?
We scan all 50 state legislatures plus Washington, DC via LegiScan daily, plus federal activity from the U.S. Federal Register and the FDA — including the FDA drug-shortage database, the key signal for GLP-1 compounding legality. On top of that, a monitoring service reads 40 primary sources directly every 2 hours: 13 federal, including the Federal Register's public-inspection desk, the 21 CFR amendment log, FDA MedWatch, recalls, health-fraud alerts, criminal-enforcement announcements, federal court dockets and drug-label revisions; and 27 state — medical, osteopathic, pharmacy and nursing boards, professional-licensing offices, and attorneys general across 21 states: Alabama, Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Massachusetts, Minnesota, Montana, New Jersey, New York, North Carolina, North Dakota, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin. That is the monitoring scope — what we read, not what we send. Not every state has had a med-spa-relevant change yet, so you see the states that have (federal alerts apply everywhere). Every alert links directly to its primary source so you can verify it in one click.
Does MedSpaRadar alert me on everything it monitors?
No, and that is deliberate. Monitoring is what we read; alerts are what we send, and the second is much smaller than the first. We poll 40 primary sources every 2 hours on top of the legislative and federal sweep, and store every item with the publisher's own payload and the time we first saw it. Most of what that catches is real, sourced, and irrelevant to a practice — single-shipment border records, routine facility citations, agency notices about other industries. A human reviews what is material before anything is published, and publishing is itself a separate decision from emailing. A wider net means fewer things missed, not more things in your inbox.
How fast will I know about a regulatory change?
We do not publish a speed figure, because we have not measured one over a long enough window to stand behind it — and an invented number is exactly the kind of claim this product exists not to make. What we can tell you is the method: sources are scanned daily, a monitoring tier polls 40 primary sources every 2 hours, and that tier includes the Federal Register's public-inspection desk, where federal documents are filed ahead of the date they publish under. Material changes are reviewed by a person and published to your feed and the weekly MedSpaRadar Brief. Every alert is human-reviewed before publishing, because a wrong compliance alert is worse than none.
Can I get MedSpaRadar data into my own systems — is there an API?
Yes. There is a free, public tier that needs no subscription: peptide and GLP-1 substance standings, per-state coverage posture, and freshness metadata, documented at medsparadar.com/api. Any paid plan additionally includes API access to the cited rules corpus and the changes feed for the states that plan covers — you issue the key yourself from your dashboard, no sales call. That key is licensed for internal use: pointing your own dashboard, matter-management system, or a recurring internal check at it. Redistributing the corpus inside something you hand a third party — a client report, a portal, a product you sell — is a separate redistribution licence, scoped with us first. Every response carries its own attribution, including the LegiScan CC BY 4.0 line. Monitoring, not legal advice.
Is MedSpaRadar legal or compliance advice?
No. MedSpaRadar is regulatory monitoring, not legal, medical, or compliance advice. We surface relevant changes early and link you to the primary source so you and your counsel can act on them. Always verify against the primary source and consult qualified counsel before making compliance decisions.
Who is MedSpaRadar for?
Med-spa owners, injectors, nurse practitioners, medical directors, and practice managers — anyone who offers GLP-1 weight-loss programs, injectables, or other aesthetic services and cannot afford to miss a scope-of-practice or compounding change that affects their license or their business.
See the rules change in the live regulatory feed →
Stop reading bills. Start getting answers.
Let MedSpaRadar watch the states, the FDA, and the Federal Register so you can run your practice.
Monitoring, not legal advice.