Peptide Legal-Status Tracker

In 2026 the FDA began reversing its 2023 peptide restrictions — but "coming back" is two separate legal tracks, most coverage confuses them, and the official list still hasn't published. This tracker keeps the score, row by row, source by source.

The two tracks, in one breath: Getting off the FDA's Category 2 restricted list is step one. Being affirmatively cleared for 503A pharmacy compounding (the PCAC review) is step two — and votes can come tied to narrow medical indications. Neither step makes a peptide an FDA-approved drug. The research-use-only (RUO) market is a third lane entirely: legal to sell for lab research, never approved for human use.
PeptideCategory 2 statusPCAC review (503A)503A compoundingRUO market
BPC-157
Body Protection Compound
Removed
Off the Category 2 list effective 2026-04-23
Reviewed 2026-07-23
Voted 8–6 to recommend Category 1 — tied to a proposed ulcerative colitis indication, not general use
Pending FDA final action; narrow indication likely Available
KPV
Lysine-Proline-Valine tripeptide
Restoration announced
Among the ~14 announced for return (Feb 2026); individual effective date unconfirmed
Reviewed 2026-07-23
Reviewed; vote outcome pending formal publication
Pending Available
TB-500
Thymosin beta-4 fragment
Restoration announced
Among the ~14 announced for return (Feb 2026); individual effective date unconfirmed
Reviewed 2026-07-23
Reviewed; vote outcome pending formal publication
Pending Available
MOTS-c
Mitochondrial-derived peptide
Restoration announced
Among the ~14 announced for return (Feb 2026); individual effective date unconfirmed
Reviewed 2026-07-23
Reviewed; vote outcome pending formal publication
Pending Available
DSIP (Emideltile)
Delta sleep-inducing peptide
Restoration announced
Among the ~14 announced for return (Feb 2026); individual effective date unconfirmed
Reviewed 2026-07-24
Reviewed; vote outcome pending formal publication
Pending Available
Semax
ACTH(4-10) analog
Restoration announced
Among the ~14 announced for return (Feb 2026); individual effective date unconfirmed
Reviewed 2026-07-24
Reviewed; vote outcome pending formal publication
Pending Available
Epitalon
Epithalamin tetrapeptide
Restoration announced
Among the ~14 announced for return (Feb 2026); individual effective date unconfirmed
Reviewed 2026-07-24
Reviewed; vote outcome pending formal publication
Pending Available
Five additional peptides
Names pending PCAC agenda publication
Varies
Scheduled for a PCAC meeting before end of February 2027
Scheduled before 2027-02-28 Pending
~5 peptides staying restricted
Names pending FDA formal list
Remaining on Category 2
The announced restoration covers ~14 of 19; the remainder stay restricted
Not scheduled No

Confidence labels: rows marked "announcement-level" rest on the Feb 2026 HHS announcement and reporting, not a published FDA list. Every row updates the day primary documents drop. Sources per row are in the dataset; key ones: Pharmacy Times · AJMC · Holt Law

The timeline so far

Why we cover this market at all

Millions of people already buy these compounds in the RUO gray market with Reddit threads as their only guide. We think plain-language legal status, honest risk framing, and named sources beat pretending the market doesn't exist. Our line: we report on this market, we never sell into it — no affiliate links to RUO vendors, ever, per our editorial policy.

Nothing here is medical or legal advice. Compounded peptides are not FDA-approved drugs; RUO compounds are not approved for human use. Coming next in this hub: what "research use only" legally means, how the 503A pathway works, and how to read a certificate of analysis.