← All FDA warning letters

FDA Warning Letter · #716475

Eli Lilly and Company: FDA Warning Letter (September 9, 2025)

Eli Lilly and Company received this warning letter on September 9, 2025, from FDA’s Center for Drug Evaluation and Research (CDER). What it cites, and FDA’s own words where we matched them against the letter, are summarized below.

Issued September 9, 2025Status: activeCenter for Drug Evaluation and Research (CDER)On this register since August 16, 2026
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

Primary Source

View the original FDA letter on fda.gov →

https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/eli-lilly-and-company-716475-09092025

Summary

Company
Eli Lilly and Company
Letter number
#716475
Issue date
September 9, 2025
Subject
False & Misleading Claims/Misbranded

What FDA cited

FDA's letter of September 9, 2025 cites Eli Lilly and Company for false or misleading claims about the drugs it sells, under the subject line "False & Misleading Claims/Misbranded". The GLP-1 drugs it names: tirzepatide.

In FDA’s words:
FDA has determined that the video is false or misleading. Thus, the video misbrands Zepbound and makes the distribution of the drug in violation of the Federal Food, Drug, and Cosmetic Act (FD&C Act). 21 U.S.C. 352(a), (n); 321(n); 331(a). … The video, which features a reporter introducing Dr. Lee and Ms. Pacheco as representatives from Eli Lilly, contains claims and representations about obesity and the benefits of Zepbound but fails to communicate any risk information.

How this letter sits against the other 159

Our reading, from the 160 letters on this register — not part of the FDA’s document.

The FDA issued 59 of the 160 letters on this register on the same day, September 9, 2025, the largest single action in our records. This company was part of a sweep rather than singled out. That does not make the letter less serious, but it does mean the agency was acting against a practice across the market, not against one seller's conduct alone.

This is not the only letter to this operator. We hold 3 for the same company, all dated September 9, 2025. A repeat letter is a materially stronger signal than a first one: it means the agency wrote once and then wrote again, and again. Read them together rather than one at a time.

A warning letter is the agency putting a company on notice, not a court finding and not a ban. What it is worth to you is in what it alleges, so read the original on fda.gov rather than the fact that one exists.

The FDA objected to how this firm described compounded tirzepatide. For what actually differs from the brand drug: Compounded tirzepatide vs Zepbound: same molecule, different product.

FDA’s letter of September 9, 2025 to Elite Health Center also cites its recipient for false or misleading claims about the drugs it sells.

What FDA warning letters mean

It is the agency writing to a company to say it believes something that company is doing breaks the Federal Food, Drug, and Cosmetic Act — usually a claim on a website, a labeling choice, or how a drug is being made. The company has about fifteen working days to write back.

Read carefully what it is not. It is not a recall, not a criminal charge, and not a court deciding anyone broke the law. It is the regulator opening a file. Companies frequently answer a letter, fix what was cited, and carry on trading, and when FDA accepts that it can issue a close-out letter. We do not track close-outs, so the presence of a letter on this page tells you what FDA said on one date — not where the matter stands today. Ask the company; they will usually tell you, and how they answer is informative in itself.

Across this market the same three citations recur: claiming a compounded product is equivalent to an approved one, labeling that misleads, and compounding from bulk substances FDA has not cleared under sections 503A and 503B. If you are reading a letter here, it is probably one of those.

Where to get GLP-1 online, safely: sellers our editors have checked

These are telehealth sellers our editors have checked. For each one we hold a price, the form the drug comes in, and the states it reaches.

No insurance needed · vetted by our editors

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

8.5

Gala

Moving between compounded and brand without changing seller

8.1

Sesame Care

Oral orforglipron alongside the injectables

7.2

Oak

A choice of compounded injections, oral semaglutide and brand-name GLP-1s from one cash-pay checkout

Other warning letters in our database

View the full database →

Editorial Disclaimer

This is a public communication from a regulator, and by itself it settles nothing about whether the company broke any law. Corrective action is a common response, and a fair number of letters end in a close-out. Read the whole thing on fda.gov through the link above rather than taking our excerpt as the full picture.

Glossary

The words sellers use, defined. Tap any term.