Wyoming.
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.