30 Warning Letters to Telehealth Companies Over GLP-1 Marketing

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FDA has issued 30 Warning Letters to telehealth companies for making false or misleading claims about compounded GLP-1 medications on their Web sites. “Compounded drugs can be important for overcoming shortages or meeting unique patient needs—but compounders should not try to compound drugs in a way that circumvents FDA’s approval process,” FDA commissioner Marty Makary is quoted in a release as saying. “It’s a new era. We are paying close attention to misleading claims being made by telehealth and pharma companies across all media platforms—and taking swift action.”

Makary says the latest salvo of letters is part of FDA’s ongoing crackdown on misleading direct-to-consumer pharmaceutical advertising, launched 9/2025. Over the past six months, the agency says has sent thousands of letters to pharmaceutical and telehealth firms, surpassing the total number of such warnings issued in the previous decade.

The agency identified key violations in the latest letters, including:

  • Claims implying compounded GLP-1 products are equivalent to FDA-approved drugs
  • Advertising drug products under the telehealth company’s own brand or trademark without clarifying the source, giving the impression the company is the compounder

FDA emphasizes that compounded drugs are not FDA-approved, meaning their safety, effectiveness, and quality are not reviewed before marketing. Compounded drugs also differ from generic drugs, which do undergo FDA approval.

This latest action underscores the agency’s increasing scrutiny of telehealth and digital marketing practices as compounded drugs gain popularity among patients seeking treatments like GLP-1 receptor agonists for weight loss or diabetes management.

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