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When it comes to the top compounding pharmacies in the United States, many are one-site, small pharmacies that serve their immediate communitiesmeaning theyre restricted to selling and mailing prescriptions within their state of licensure

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Mounjaro/Zepbound (tirzepatide), approved dual GLP-1/GIP agonist for type 2 diabetes and obesity Recent Highlights: In April 2026, the FDA approved orforglipron (Foundayo), making it one of the first oral GLP-1 pills that can be taken any time of day and that has no food or water restrictions

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