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WY · State regulatory reference

Wyoming.

Restrictive

Wyoming permits telemedicine, but its Board of Pharmacy has a significant, documented enforcement record against unauthorized GLP-1 compounding. In 2024 the Board ordered City Drug of Cheyenne to cease all compounding after finding it was compounding semaglutide without proper sterile-compounding capability (March), then summarily suspended the pharmacy's license (September) over a compounded semaglutide product dispensed with a false label; the October 2024 settlement imposed a three-year stayed suspension, a multi-year compounding ban, fines plus disgorgement of the pharmacy's semaglutide profits, and a required sale of the business. Telehealth practice runs under the Medical Practice Act (Wyo. Stat. §§ 33-26-101 et seq.), and compounding under Board of Pharmacy Rules Chapter 22 adopts the USP chapters (795/797/800/825) by reference.

Last reviewed · 2026-05-25 · verified entry
Agencies
TPC notes
Telehealth
A Wyoming-licensed physician may establish a relationship and prescribe non-controlled drugs via synchronous audio-video under the same standard of care as in person; controlled-substance prescribing requires a documented physician-patient relationship (Wyo. Stat. § 33-26-402(a)(xxxiii)).
Compounding
Board of Pharmacy Rules Chapter 22 adopts the USP compounding chapters (795/797/800/825) by reference; there is no distinctive statewide GLP-1 ban, but the Board has actively enforced against unauthorized semaglutide compounding — most visibly the 2024 City Drug summary suspension and settlement.
Sources
  1. 01 Wyoming State Board of Pharmacy — Laws (Rules Chapter 22, Compounding; USP incorporation by reference) ↗
  2. 02 Cowboy State Daily — Wyoming Board of Pharmacy City Drug semaglutide compounding suspension and settlement (Oct. 2024) ↗
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