LETTER TO SECRETARY RUBIO • SEPTEMBER 17, 2026
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THE CONTEXT
The attorneys general open their letter by commending the National Security Council and the Administration for strengthening the resilience of America’s pharmaceutical supply chains. The President’s August 2025 Executive Order on the Strategic Active Pharmaceutical Ingredients Reserve recognizes that drug ingredients are a strategic national-security vulnerability—and the White House notes that only about 10 percent of these ingredients, by volume, are made in the United States. Knock-off GLP-1 ingredients from China are an emerging threat that fits squarely within that concern.
THE ISSUE
“If the government cannot verify the true source, chain of custody, and downstream use of these ingredients in real time, a Green List can quickly become a laundering channel rather than a safeguard.”
— Letter from 20 state attorneys general to Secretary Rubio
KEY FACTS
~10%
Share of drug ingredients for U.S. medicines that are made domestically, according to the White House.
Fentanyl ties
Axios reports that Chinese firms tied to fentanyl precursor supply chains are now selling weight-loss peptides in the U.S.
Caught too late
The Harbin scheme was caught by an on-site inspection—not by the Green List’s border safeguards.
Heparin, 2007
Contaminated heparin from China killed or harmed many Americans. The letter warns this follows the same pattern.
THE ASK
The coalition asks how the National Security Council can help ensure the federal government treats this as a national-security threat—not merely a drug-regulatory matter—and that states get the information they need to protect patients:
1.
What federal agencies know about foreign GLP-1 and peptide supply chains and their ties to fentanyl producers
2.
What warning signs state attorneys general should be watching for
3.
How state and federal partners can better share information before this market grows further out of control
Sent September 17, 2026, to Secretary of State Marco Rubio by the Attorneys General of Alabama, Arkansas, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Dakota, Ohio, Oklahoma, South Carolina, Tennessee, Utah, and West Virginia.
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