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## Key Takeaways - **Tirzepatide is FDA-approved** under two brand names: **Mounjaro** (for type 2 diabetes, approved May 2022) and **Zepbound** (for chronic weight management, approved November 2023).[1][2] - Because it's FDA-approved, compounding pharmacies face strict limitations — the FDA's position is that compounding an approved drug is generally not permitted unless a documented shortage exists or a patient has a specific documented need that the branded product can't meet.[3] - The FDA declared tirzepatide shortages resolved in late 2024, which triggered enforcement actions against compounding pharmacies that had been producing it during the shortage period.[4] - Buying tirzepatide online from unregulated or foreign sources is illegal under US federal law, regardless of whether you have a prescription for the branded product