Regulator: Central Drugs Standard Control Organisation (CDSCO), Directorate General of Health Services
GLP-1 drugs and peptides in India
In India, the national medicines regulator, CDSCO, decides which new medicines can be sold. Semaglutide and tirzepatide are approved and sold on prescription, and cheaper Indian copies of semaglutide arrived in March 2026. Peptides such as BPC-157 have no approval, and in 2026 the regulator began cracking down on illegal sales and sneaky advertising of weight-loss injections.
Last verified 2026-09-29 · how we verify
Official regulator siteGLP-1 medicines
Semaglutide: Wegovy has been approved for adult weight management since 20 April 2022, with Ozempic and Rybelsus approved for type 2 diabetes. Wegovy additions recommended by the expert committee in 2026 include weight management in adolescents aged 12 and over with obesity (March 2026, with a Phase IV study condition and prescription by an endocrinologist or paediatrician) and a conditional liver-disease (MASH) indication (April 2026). Novo's core Indian patent expired in March 2026 and many Indian generics followed. Tirzepatide is approved for type 2 diabetes and chronic weight management, and no generic was found. Liraglutide has been approved since 2010, and dulaglutide and exenatide also have older approvals. Orforglipron was recommended for import and marketing by the expert committee on 20 May 2026 and is listed as pending because the final permission was not confirmed. The Health Ministry states these drugs are sold by retail only on prescription from endocrinologists and internal medicine specialists (for some indications, cardiologists).
Peptides
Unapproved peptides such as BPC-157, TB-500, GHK-Cu, ipamorelin and CJC-1295 have no CDSCO marketing permission in the records reviewed. Under the New Drugs and Clinical Trials Rules, 2019 they cannot lawfully be made for sale or distribution as medicines, and section 18 of the Drugs and Cosmetics Act, 1940 allows drugs to be made, sold or distributed only under a licence and in line with the Act. Import for sale needs CLA permission; personal import is limited to rule 36 of the Drugs Rules, 1945. CDSCO's public notice dated 18 May 2026 states that injectable preparations do not fall under the definition of cosmetics and that no cosmetic may be used as an injection, so an injected product cannot be sold as a cosmetic; topical cosmetics are regulated separately under the Cosmetics Rules, 2020. In the sources reviewed CDSCO has not named BPC-157 in an enforcement notice, so the position rests on the general new-drug rule and is 'not approved' rather than a named ban. Sport: the World Anti-Doping Agency's 2026 Prohibited List, which anti-doping bodies apply, names BPC-157 (non-approved substances, S0), TB-500 (S2.3), ipamorelin, CJC-1295, sermorelin and tesamorelin (S2.2.4), AOD-9604 (S2.2.3), kisspeptin in males (S2.2.1) and MOTS-c (S4.4.1) as prohibited at all times.
Advertising rules
The Health Ministry said an advisory issued on 10 March 2026 told manufacturers to avoid surrogate advertising and indirect promotion, including disease-awareness campaigns and off-label promotion of GLP-1 drugs. On 27 March 2026 it asked State and UT Drug Controllers to monitor print, electronic, digital, social media and outdoor advertising and to act under the Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954 and the Drugs and Cosmetics Act, 1940, coordinating with the Advertising Standards Council of India where needed. Penalties reported include licence cancellation and prosecution. Separately, rule 106 of the Drugs Rules, 1945 says no drug may claim to prevent or cure the conditions listed in Schedule J, which include diabetes and obesity.
Every molecule in India
| Molecule | Status | What it means | Verified |
|---|---|---|---|
| Amycretin | Not approved | Not approved in India; Novo Nordisk's amycretin (code NNC0487-0111) is only in CDSCO-permitted Phase III trialsDetails →source | 2026-09-29 |
| AOD-9604 | Not approved | Not approved in India: no CDSCO marketing permission found for AOD-9604; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| BPC-157 | Not approved | Not approved in India: no CDSCO marketing permission found for BPC-157; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Bremelanotide (PT-141) | Not approved | Not approved in India: no CDSCO marketing permission found for bremelanotideDetails →source | 2026-09-29 |
| Cagrilintide (and CagriSema) | Not approved | Not approved in India; CagriSema is only in CDSCO-permitted Phase III trialsDetails →source | 2026-09-29 |
| CJC-1295 | Not approved | Not approved in India: no CDSCO marketing permission found for CJC-1295; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| DSIP (delta sleep-inducing peptide) | Not approved | Not approved in India: no CDSCO marketing permission found for DSIP; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Dulaglutide | Approved | Approved in India (Eli Lilly) for type 2 diabetes; the expert committee backed adding an age-10-and-over indication in 2024Details →source | 2026-09-29 |
| Ecnoglutide | Not approved | Not approved in India: no CDSCO marketing permission or Indian trial record found for ecnoglutideDetails →source | 2026-09-29 |
| Elamipretide (SS-31) | Not approved | Not approved in India: no CDSCO marketing permission found for elamipretideDetails →source | 2026-09-29 |
| Eloralintide | Not approved | Not approved in India; Lilly's eloralintide (LY3841136) is only in CDSCO-permitted Phase III trialsDetails →source | 2026-09-29 |
| Epitalon | Not approved | Not approved in India: no CDSCO marketing permission found for Epitalon; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Exenatide | Approved | Exenatide has an older CDSCO approval; whether it is still sold in India could not be confirmedDetails →source | 2026-09-29 |
| GHK-Cu (copper peptide) | Not approved | Not approved in India: no CDSCO marketing permission found for GHK-Cu; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Ipamorelin | Not approved | Not approved in India: no CDSCO marketing permission found for Ipamorelin; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Kisspeptin | Not approved | Not approved in India: no CDSCO marketing permission found for Kisspeptin; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| KPV | Not approved | Not approved in India: no CDSCO marketing permission found for KPV; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Liraglutide | Approved | Approved in India since 2010 (Victoza) for type 2 diabetes; a weight-management version was recommended for an Indian maker in 2025Details →source | 2026-09-29 |
| LL-37 | Not approved | Not approved in India: no CDSCO marketing permission found for LL-37; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Maridebart cafraglutide (MariTide) | Not approved | Not approved in India: no CDSCO marketing permission or Indian trial record found for maridebart cafraglutideDetails →source | 2026-09-29 |
| Mazdutide | Not approved | Not approved in India: no CDSCO marketing permission or Indian trial record found for mazdutideDetails →source | 2026-09-29 |
| Melanotan II | Not approved | Not approved in India: no CDSCO marketing permission found for Melanotan II; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| MOTS-c | Not approved | Not approved in India: no CDSCO marketing permission found for MOTS-c; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| NAD+ | Not approved | Not approved in India: no CDSCO marketing permission found for NAD+; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Orforglipron | Under review | Under review: CDSCO's expert committee recommended import and marketing permission for Lilly's oral orforglipron in May 2026Details →source | 2026-09-29 |
| Pramlintide | Not approved | Not approved in India: no CDSCO marketing permission found for pramlintideDetails →source | 2026-09-29 |
| Retatrutide | Not approved | Not approved in India; retatrutide is only in CDSCO-permitted Phase III trials run by Eli LillyDetails →source | 2026-09-29 |
| Selank | Not approved | Not approved in India: no CDSCO marketing permission found for Selank; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Semaglutide | Generics available | Approved in India (Novo Nordisk's Wegovy and type 2 diabetes products); Indian generics on sale since March 2026, prescription-onlyDetails →source | 2026-09-29 |
| Semax | Not approved | Not approved in India: no CDSCO marketing permission found for Semax; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Sermorelin | Not approved | Not approved in India: no CDSCO marketing permission found for Sermorelin; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Setmelanotide | Not approved | Not approved in India: no CDSCO marketing permission found for setmelanotideDetails →source | 2026-09-29 |
| Survodutide | Not approved | Not approved in India; survodutide (BI 456906) appears only in a CDSCO-permitted clinical trialDetails →source | 2026-09-29 |
| TB-500 (thymosin beta-4 fragment) | Not approved | Not approved in India: no CDSCO marketing permission found for TB-500; making or selling it as a medicine would be unapprovedDetails →source | 2026-09-29 |
| Tesamorelin | Not approved | Not approved in India: no CDSCO marketing permission found for tesamorelinDetails →source | 2026-09-29 |
| Tirzepatide | Approved, restricted | Approved in India (Mounjaro) for type 2 diabetes and weight management, prescription-only; no approved generic foundDetails →source | 2026-09-29 |
For experts
The regulatory detail
Approval: CDSCO, under the Drugs Controller General (India), is the Central Licensing Authority. Under the New Drugs and Clinical Trials Rules, 2019, a drug not approved by the CLA is a 'new drug' (rule 2(1)(w)) and cannot be imported or made for sale or distribution without permission (rules 74, 75 to 76 and 80). Applications go to Subject Expert Committees, whose published recommendations often attach conditions such as prescriber restrictions, Phase IV studies and post-marketing surveillance; the committee has also cleared synthetic-origin generic semaglutide company by company. Compounding: the Act excludes 'compounding or dispensing' in the ordinary course of retail business from the definition of manufacture, and licence conditions require a registered pharmacist to supervise compounding at licensed premises. There is no US-style regime for producing copies of drugs, and the documents reviewed do not address bespoke compounding of an unapproved peptide, so that point is left open. Personal import: rule 36 of the Drugs Rules, 1945 lets a passenger bring in small quantities for exclusive personal use as bona fide baggage (not more than 100 average doses of a single drug, declared to Customs if asked); other personal imports need a permit backed by a doctor's prescription. Coverage and price: the sources reviewed describe private cash-pay sale, with reported March 2026 launch prices for Indian generic semaglutide varying widely by company and strength; I found no verified description of public reimbursement. Enforcement: after a 10 March 2026 advisory against surrogate promotion, CDSCO ran an audit drive covering online pharmacy warehouses, wholesalers, retail outlets and wellness and slimming clinics, and on 27 March 2026 (posted publicly 18 May 2026) asked State Drug Controllers to monitor the supply chain and advertising under the Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954 and the Drugs and Cosmetics Act, 1940. A CDSCO public notice dated 18 May 2026 states that injectables are not cosmetics, and a counterfeit-semaglutide alert was reported in July 2026.
Official sources we monitor
- CDSCO Public Notices · HTML table (PDF links)
- CDSCO Subject Expert Committee recommendations · HTML table (PDF links)
- CDSCO Circulars · HTML table (PDF links)
- CDSCO Alerts · HTML table (PDF links)
- CDSCO Gazette Notifications · HTML table (PDF links)
- Press Information Bureau press releases (all ministries; filter for Health) · RSS
- The Gazette of India (eGazette) · HTML
Recent changes in India
2026-03-21
Generic semaglutide launches in India after Novo Nordisk's core patent expires
On 21 March 2026 several Indian drugmakers, including Dr Reddy's, Zydus, Alkem, Sun Pharma and Glenmark, launched generic semaglutide products, described as day-one entry on expiry of Novo Nordisk's core Indian semaglutide patent.
Sources (39)
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- 02Manufacturing and marketing of unapproved drug products containing Enclomiphene and its combinations (sets out the New Drugs rule for unapproved products)Central Drugs Standard Control Organisation (CDSCO) · 2026-08-10 · accessed 2026-09-29
- 03Public Notice dated 18 May 2026: injectable preparations do not fall under the definition of cosmeticsCentral Drugs Standard Control Organisation (CDSCO) · 2026-05-18 · accessed 2026-09-29
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