Green List to Block Illegal GLP-1 Imports: FDA

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FDA has launched a new “green list” import alert aimed at preventing unapproved and potentially unsafe GLP-1 drug ingredients from entering the U.S. The move comes as demand surges for drugs such as semaglutide and tirzepatide, which are FDA-approved for weight management and Type 2 diabetes. The agency notes that some patients have turned to compounded versions of the drugs, which are not FDA-approved and have raised safety concerns.

Under the new policy, only GLP-1 active pharmaceutical ingredients (APIs) sourced from facilities that the FDA has inspected or reviewed and found to comply with U.S. standards will be placed on the “green list.” APIs from all other sources may be detained without physical examination at the border, an agency notice says.  

FDA says it previously identified “serious concerns with compounded versions of semaglutide and tirzepatide, including dosing errors, use of unapproved salt forms and adverse events — some requiring hospitalization.” It adds that it will continue to monitor the market, collaborate with state regulators, and pursue enforcement actions against violators in order to protect the integrity of the U.S. drug supply chain.

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