Who actually makes compounded GLP-1s

Empower runs a 503A division alongside the largest 503B outsourcing facility registered with the FDA in the United States. The Houston company is cGMP-compliant. Compounded semaglutide and tirzepatide from it feed many of the biggest telehealth brands in the country.

Lakewood, Colorado is the base for this compounder, which now trades under the name Belmar Pharma Solutions. Founded in 1985 and nationally recognized, it runs both a 503A and a 503B facility, and its shipping licensure reaches all 50 states. PCAB accreditation is on file.

Orlando, Florida. Olympia holds dual 503A and 503B status, with FDA registration as an outsourcing facility. Sterile injectable compounds are its output, GLP-1 medications among them.

Kennesaw, Georgia. A family-owned operation at its 2007 founding, Innovation Compounding is a 503A pharmacy acquired by Revelation Pharma in January 2022. ACHC granted it PCAB accreditation in June 2024. Coverage reportedly runs to more than 45 states.

Gilbert, Arizona hosts Strive Pharmacy, a 503A compounder. It holds PCAB, NABP and LegitScript accreditation, and carries licenses in all 50 states. Several direct-to-consumer telehealth brands buy its compounded GLP-1 medications.

Absolute Pharmacy, a Lutz, Florida 503A, holds LegitScript Healthcare Merchant certification dated Sept 15, 2021, and may fulfill prescriptions in 49 states. A proprietary eRX software automates state-licensing checks for telehealth prescribers. Express compounded prescription fulfillment is the specialty: weight loss using semaglutide and tirzepatide, plus sleep, anxiety, fertility, hair loss, sexual health, and hormone replacement.

Shields Pharmacy, Dunedin, Florida: LegitScript-certified, PCAB-accredited for sterile and non-sterile compounding, with status Clear through 2/28/2027 on FL pharmacy license PH32060. Over 5,000 healthcare providers across all 50 states + Puerto Rico use its nationwide services, and turnaround it calls industry-leading runs roughly 48 hours. Veterinary, bio-identical hormone replacement and weight-management preparations are compounded. Shields Health Solutions is a separate company, a specialty pharmacy facilitator handling brand-medication insurance navigation; do not confuse them.

PCAB accreditation at MediVera Compounding Pharmacy covers sterile and non-sterile compounding both, a dual accreditation that fewer than 1% of US compounders hold. This Troy, MI 503A compounds semaglutide and tirzepatide with third-party testing for potency, sterility and endotoxin, and it ships to roughly 49 states.

Wells Pharmacy Network occupies two buildings in Ocala, Florida: a 503A pharmacy of 20,500 sq ft, plus an FDA-registered 503B outsourcing facility measuring 20,000 sq ft. The focus is hormone compounding, weight management, and wellness.

A 2020 FDA warning letter cited insanitary conditions at Hallandale Pharmacy, a Florida 503A compounder, which has relocated since. Sterile compounding is offered from Hallandale Beach, GLP-1 medications included.

State-licensed in Utah as a 503A compounder, Red Rock keeps locations in Springville and St. George. Sterile injectables come out of it, compounded semaglutide and tirzepatide among them.

Charlotte, North Carolina heads Revelation Pharma, a network of 503A and 503B compounding pharmacies that keeps growing by acquisition, having taken in multiple regional compounders. What it supplies is sterile compounds, GLP-1 medications included.

Irvine Sand Canyon Pharmacy Inc. owns Town Center Compounding & Rx Pharmacy, small and independent, holder of California compounding pharmacy license #99148, at Suite A-1, 72624 El Paseo, in Palm Desert, CA 92260. RECOMMENDED FOR REMOVAL: nothing found shows that it compounds GLP-1 medications, or that it ships across state lines.

Sultan Haroon and Maja Matthews founded Epiq Scripts, a Richardson, TX mail-order compounding pharmacy, in 2022. It presents itself as an API-driven, white-label 503A partner for telehealth brands, with high-volume prescription fulfillment, custom-branded packaging, nationwide UPS shipping, and custom compounding both sterile and non-sterile, GLP-1 medications included. Certification by LegitScript is attested in a 2025 LegitScript customer-spotlight Q&A featuring co-founder Haroon.

Nothing compounded here: this national mail-order pharmacy dispenses branded FDA-approved GLP-1 weight-loss medications. Cash pay starts near $149 per month for the oral Wegovy and Foundayo pills, and near $299 per month for injectable Wegovy, Zepbound and the Zepbound KwikPen. Patients with insurance may see the oral options fall as low as $25 per month. Shipping reaches all 50 states, with same-day delivery in thousands of cities. Amazon One Medical also runs a GLP-1 management program.

Atlanta, Georgia, 1999: that is where and when Pavilion Compounding Pharmacy started as a 503A. PCAB accreditation is held, and per the company website, licenses in 7 states. Compounded prescriptions are the business, among them GLP-1 medications and bioidentical hormone pellets sold as SteriPellets.

Peptide and hormone compounding are the specialties of Tailor Made Compounding, a 503A, and it has been notable as a supplier of compounded GLP-1 medications. Nicholasville, Kentucky is the address; earlier reports placing it in Lexington were wrong.

Costco Pharmacy, a national membership-warehouse retail pharmacy, dispenses branded FDA-approved GLP-1 medications rather than compounded ones. Novo Nordisk struck a direct deal with it: a self-pay member holding a valid prescription fills injectable Ozempic or Wegovy at roughly $349 per month, and pays as little as $149 per month for the oral Wegovy pill. The lowest two doses run about $199 per month for a new patient's first two months. A Sesame partnership discounts Ozempic and Wegovy too.

Branded FDA-approved GLP-1 medications only, never compounded ones, across this national retail pharmacy. Novo Nordisk's self-pay program puts branded semaglutide, sold as Wegovy or Ozempic, at self-pay prices of about $349/month for injections and roughly $149/month for oral tablets. A partnership with Eli Lilly adds single-dose vials of Zepbound (tirzepatide), dispensed at Walmart pharmacies nationwide or by home delivery. Its Better Care Services arm runs a GLP-1 care platform offering virtual care and nutrition support.

Texas-based, and the 503B arm of the FarmaKeio Pharmacy Network, registered with FDA. Sterile work is the output here, including combinations built on semaglutide and tirzepatide. It holds licenses across 49 states, Puerto Rico and the U.S. Virgin Islands. It is also litigating: FarmaKeio leads a suit, with the Outsourcing Facilities Association beside it, against FDA's decision to take tirzepatide off the shortage list.

Founded in 2003 at Egg Harbor Township, New Jersey, Curexa holds PCAB accreditation and LegitScript certification as a 503A. Prescriptions are compounded nationwide, and that includes GLP-1 weight-loss medications such as tirzepatide and semaglutide. Telehealth platforms name it frequently as their back-end fulfillment pharmacy.

Folcroft, PA, near Philadelphia, is home to Chemistry Rx. Accreditation comes from PCAB, ACHC and URAC, licensure covers all 50 states, and the business runs as a 503A compounding and specialty pharmacy. GLP-1 medications are compounded for telehealth partners. Marketing points to 503B-scale capabilities, but it is operated as a 503A compounder.

Open since 2018 at Suite 200, 7810 Eldorado Parkway, McKinney, TX 75070, Beaker is independent and does retail alongside sterile compounding. Output covers hormones, pediatric formulations, dermatology preparations, other specialty compounds, and GLP-1 medications in the form of semaglutide and tirzepatide. Reported coverage is 45+ states.

Walmart owns this national membership-warehouse retail pharmacy, which dispenses branded FDA-approved GLP-1 medications, not compounded ones. Once Novo Nordisk reached its self-pay agreement with the warehouse clubs, Sam's Club started filling the 1.5 mg starting dose of oral Wegovy at about $149 per month, within the broader $149-$299/month self-pay pricing for branded semaglutide. Plus members get free same-day pharmacy delivery.

Katy, Texas, at 1330 Pin Oak Rd, 77494. Striker Pharmacy LLC is a 503A sterile compounding pharmacy with LegitScript certification, Healthcare Merchant Certification ID 20748291. Its specialty is compounded GLP-1 therapies for licensed prescribers, meaning semaglutide and tirzepatide. The model is built around B2B: doctors and patients fill in separate intake forms, and medical practices can buy wholesale supply.

Palm Harbor, Florida, LegitScript-certified, 503A: Promise Pharmacy. Clinics and providers order patient-specific semaglutide and tirzepatide (GLP-1) from it. USP 795/797/800 standards are followed, and GLP-1 batches undergo third-party potency and sterility testing documented by Certificate of Analysis. The Florida Board of Pharmacy licenses it as a nonresident compounding pharmacy serving multiple markets in that state. Note: FDA shortage resolution restricts routine 503A compounding of GLP-1s that duplicate commercially available products.

Inside the Texas-based FarmaKeio Pharmacy Network, this is the patient-specific 503A compounding pharmacy. Custom formulations come sterile and non-sterile, among them semaglutide and tirzepatide combinations for weight management. Licensure across the broader network covers the U.S. Virgin Islands, Puerto Rico and 49 states.

For over 20 years Skip's Pharmacy, a Deerfield Beach, Florida 503A, has served the low-dose-naltrexone, autoimmune and MS communities. It also compounds GLP-1 weight-loss medications, semaglutide and tirzepatide included, for human and veterinary patients.

Stafford, Texas is the site of Casa Pharma RX, a licensed 503A sterile compounding pharmacy. Its cleanroom meets USP 797 and USP 800 standards, and APIs come exclusively from FDA-registered suppliers. Several GLP-1 telehealth platforms name it as a pharmacy partner; compounded semaglutide and tirzepatide are what it offers.

Franklin, TN, and among the largest 503A compounding pharmacies in Tennessee, DCA ships under license to 48 states. Its lines are pellet therapy, scar therapy, topical pain management, bio-identical hormone replacement, and sterile compounding. Novo Nordisk named the pharmacy in a 2023 lawsuit over compounded semaglutide; that case ended in a voluntary dismissal.

GLP-1 therapies, tirzepatide and semaglutide included, come out of SmartPharmaRX, a 503A licensed compounding pharmacy. Sterile preparations are made under cGMP-aligned protocols in accordance with USP 797, and aligned to USP 795 / 800 as well. Ahead of release, each preparation is tested for stability, endotoxin, potency and sterility. Where it is licensed stays vague: the public site says only 'select states' and enumerates none.

A 55,200 sq ft facility in Houston, Texas houses SouthEnd Pharmacy, LegitScript-certified and 503A, a sterile compounder whose licensed coverage spans 35+ states and which offers next-day cold-chain delivery. Semaglutide and tirzepatide are compounded with B6/pyridoxine. APIs are sourced only from manufacturers registered with the FDA, and every batch carries published Certificates of Analysis and potency reports.

ReviveRX, founded 2016 at 3831 Golf Dr., 77018, Houston, Texas, is a mail-order 503A that began compounding in 2018 and ships to 44 states plus Puerto Rico. It bills no insurance, working through a provider portal. Advertised categories: 'Weight Loss' and 'Peptide & Longevity' beside hormone, sexual wellness and dermatology preparations. Self-attested: FDA-registered vendor procurement, USP-compliant clean rooms both sterile and non-sterile, a 'successful FDA inspection.' No LegitScript or PCAB accreditation badge is displayed, and GLP-1 drug names sit behind the provider-portal login.

Houston, Texas. License #35264 from the Texas State Board of Pharmacy covers VialsRx, a 503A community sterile compounding pharmacy. Semaglutide and tirzepatide (GLP-1) are prepared under USP <797> sterile-compounding standards against an individual prescription, and shipping reaches all 50 states. Note: 503A pharmacies face restrictions on routinely compounding GLP-1 duplicates of commercially available products now that FDA shortages are over.

Fairfax, Virginia is home to TruMedsRx (TMRX), which is LegitScript-certified and runs a 503A mail-order sterile compounding operation, licensed in 48 states, its USP-compliant cleanroom facilities serving over 85,000 patients. Telehealth provider Enhance.MD names it publicly, with Rite-Away and Vios, as one of three 503A pharmacy partners supplying compounded GLP-1, meaning semaglutide and tirzepatide; reportedly it carries no disciplinary history. Note: restrictions now cover routine 503A compounding of GLP-1 copies of commercially available drugs, the FDA shortages having been resolved.

Tomball, Texas. GreenwichRx, also written Greenwich Rx, operates as a 503A sterile compounding pharmacy whose patient-specific GLP-1 work for weight loss covers semaglutide and tirzepatide. USP chapters 795, 797 and 800 are complied with, state licensure is maintained across the U.S., and premium-grade ingredients arrive through a partnership with PCCA, the Professional Compounding Centers of America. Note: since the FDA shortages ended, routine 503A production of GLP-1s that copy commercial products is restricted.

Austin, Texas, established in 2007: Stonegate Pharmacy, a 503A compounder. Its GLP-1 medications, semaglutide and tirzepatide, are made as once-weekly subcutaneous injectables and as sublingual rapid-dissolving tablets. A 2019 inspection noted sterile-practice deviations, and an FDA State Referral Letter followed in 2020.

Largo, Florida. Belcher Pharmaceuticals owns it, and FDA registers it both as a drug manufacturer and as a 503B outsourcing facility. Injectable semaglutide and tirzepatide were made here at scale for telehealth brands, Hims & Hers among them. That stopped voluntarily around April 2026, as FDA moved to strike both molecules from the 503B bulk-drug list.

Las Vegas, Nevada. Partell Specialty Pharmacy operates as a 503A compounding and specialty pharmacy, offering sterile and non-sterile compounding that takes in GLP-1 medications for telehealth partners.

Glendale, California. Enovex Compounding Pharmacy, a 503A, handles sterile and non-sterile compounding, and the GLP-1 medications it compounds go to telehealth weight-loss partners.

Valiant Pharmacy Holdings operates Valiant Rx, a 503A compounding pharmacy in Ypsilanti, Michigan. Sublingual and oral forms of semaglutide, tirzepatide and liraglutide are compounded there for telehealth weight-loss partners.

Prescriptions written on the telehealth platform Ro (ro.co) are filled by Roman Health Pharmacy LLC, the affiliated mail-order pharmacy. Ro patients nationwide receive medications from it, GLP-1 prescriptions included.

Hims & Hers acquired Apostrophe Pharmacy LLC in 2021, and the Gilbert, Arizona operation now runs as a subsidiary and dedicated mail-order pharmacy, providing prescription fulfillment for Hims & Hers customers.

Grand Prairie, Texas, where MedisourceRx runs a 503B outsourcing facility that Hims & Hers acquired in 2024. Its compounding serves primarily Hims & Hers customers, and that took in GLP-1 products through the shortage period.

Drug Depot Inc. trades as APS Pharmacy, a 503A compounding pharmacy in Palm Harbor, Florida with PCAB accreditation. It is listed as producing compounded semaglutide.

Christopher Quintana owns Optimal Balance Pharmacy, a 503A sterile compounder operating as OBPRX from Ste F&G, 2204 Cypress Creek Pkwy, Houston, TX 77090, NPI 1306535307. Inspections have come through the NABP Verified Pharmacy Program (VPP) and from the Texas State Board of Pharmacy. It is USP <795>/<797>/<800> compliant and sources API as a PCCA member. GLP-1 compounding is listed among its sterile-lab specialties, yet as of 2026-05-25 no specific products are enumerated on its public website. Published only as an image, the licensure map yields no explicit state list.

#1121, 1977 Alafaya Trail, Oviedo, FL 32765 is the headquarters address for Rush Pharmacy. Its website, datePublished 2023-05-11, sells customized compounded medications and supplements at all-inclusive pricing with 48-hour shipping, across hair growth, sexual wellness, hormone and weight management categories. Two claims disagree. Homepage marketing copy says licensure in all 50 states is 'pending,' so it does not hold that yet, while the embedded JSON-LD MedicalOrganization markup asserts '50-state' licensure. Bodyshop Wellness names it a pharmacy partner; listed here since 2026-05-28.

Rite-Away Pharmacy & Medical Supply covers San Antonio and Austin, Texas as a 503A doing sterile and non-sterile compounding. Telehealth provider Enhance.MD publicly names it, with Vios and TruMedsRx, as one of three 503A pharmacy partners for compounded GLP-1; reportedly it carries no disciplinary history. Services run to retail prescriptions, infusions, long-term care, medical supplies, compounding both sterile and non-sterile, and free delivery. Note: the FDA shortages are resolved, which restricts routine compounding at 503A level of GLP-1s that duplicate commercial products.

Wells Pharma of Houston is registered with the FDA as a 503B outsourcing facility in Houston, Texas. Through the GLP-1 shortage era it compounded sterile injectables for clinics and providers, semaglutide and tirzepatide among them. An FDA Form 483 came in March 2025; an FDA Warning Letter followed in November 2025, both over 503B-compliance and sterility-assurance deficiencies. Legally it stands separate from Ocala, Florida's Wells Pharmacy Network.

Medwise Pharmacy is a 503A retail compounder in Plantation, FL, which sits in Broward, South Florida. Compounded semaglutide and tirzepatide are marketed directly to patients for weight management, in injectable and oral form. No public PCAB accreditation was found when this was reviewed.

CLYR Health names The Pharmacy Hub, a 503A compounding pharmacy, as the partner dispensing its compounded semaglutide and tirzepatide. The address is Suite C, 15600 NW 15th Ave, Miami, FL 33169.

Operator: Right Value Drug Stores, LLC, Texas. Its 503B outsourcing facility, FDA-registered July 3, 2019: Suite 190, 8400 Esters Blvd, Irving, TX 75063. The patient-specific 503A trades in Denton, TX as Carie Boyd's Prescription Shop, also listed at 122 Grapevine Hwy, Hurst, TX under NPPES NPI 1205253085 and Texas pharmacy license 165; roots: a 1965 community pharmacy in the Dallas-Fort Worth area. Sole GLP-1 weight management product: sublingual semaglutide suspension in a SubMagna sublingual base, compounded exclusively from commercially available Rybelsus tablets, titrated from a 1 mg/day starting dose to about 1.5 mg/day. No public marketing of compounded tirzepatide was found. FDA Warning Letters of December 17, 2024 (503B compliance and labeling deficiencies, reference 694687) and September 20, 2021 (reference 610751, after a 2019 inspection) reduce confidence for telehealth-provider sourcing versus peers with no active FDA enforcement on file.

Tailstorm Health Inc. does business as Medivant Health and holds FDA registration as a 503B outsourcing facility in the Phoenix/Chandler area of Arizona. Sterile semaglutide and tirzepatide injections were compounded there. In April 2025 the FDA sent a warning letter citing cGMP and sterility violations, plus missing labeling on the company's GLP-1 products.

iPharma Pharmacy is a licensed 503A at 5400 Katy Fwy in Houston, TX, with certified clean rooms and a sterile-compounding lab. Compounding spans many areas: veterinary, dental, dermatology, HRT and weight loss. The weight-loss offering, though, is a proprietary in-house formula named 'iSlimWell'; no GLP-1 is advertised, neither semaglutide nor tirzepatide, and no pricing is published. Ordering happens by phone or in person. Licenses cover TX, AZ, IL, FL and NY, with sterile compounding in TX, AZ and NY.

Society of You names this compounder among the dispensing partners filling its compounded GLP-1 orders. Nothing else about the facility is disclosed.

Tempe, Arizona, licensed across all 50 states: Foothills Professional Pharmacy is a 503A compounder. Its focus is weight-management compounding plus white-label telehealth fulfillment, semaglutide and tirzepatide included. In 2020 the FDA issued it a Warning Letter over compounding without patient-specific prescriptions.

Several GLP-1 telehealth programs name Triad Rx, a Daphne, Alabama 503A, as a state-licensed compounding partner, and it produces compounded semaglutide and tirzepatide. Despite the resemblance, it is a distinct business from Triad Compounding Pharmacy in California.

Enhance MD's pharmacy disclosures name Vios Compounding Pharmacy, a 503A in Livonia, Michigan, as a partner for GLP-1 compounding and fulfillment.

The GLP-1 telehealth brand EllieMD names CloverX Pharmacy its dedicated fulfillment partner; this 503A produces personalized compounded semaglutide and tirzepatide.

Weight-loss and wellness compounding is the focus of Mycelium Pharmacy, a 503A based in the Fort Lauderdale area of Florida, which ships GLP-1 medications nationwide on behalf of telehealth partners.

La Habra, California. Listings put compounded semaglutide and tirzepatide among the output of Central Drugs Compounding Pharmacy, a 503A.

San Diego, California is the base for University Compounding Pharmacy, a 503A listed as a producer of compounded semaglutide.

SNF Holdings, LLC does business as Vios Compounding, a 503A in Livonia, Michigan. Its GLP-1 work covers semaglutide and tirzepatide, with injectable vials in 1 mL or 2.5 mL at 1 mg or 5 mg strength, plus GLP-1 oral strips and transmucosal films, each made against an individual prescription. April 2024 brought it a state referral letter from the FDA. Note: with FDA shortage status resolved, a 503A may no longer routinely compound GLP-1s copying products sold commercially.

Two FDA warning letters have landed on ProRx, an Exton, Pennsylvania outsourcing facility that is FDA-registered as a 503B: one in March 2025, one in April 2026. Voluntary recalls of compounded GLP-1 products have run past 50,000 vials, all for lack of sterility assurance. During the GLP-1 shortage it compounded sterile injections of semaglutide and tirzepatide at scale.

Align Pharmacy sells B2B as a compounding pharmacy, supplying physicians and clinics with customized pharmaceutical formulations, from alignpharmacy.com. Sterility and potency testing is run on all batches, and the results ship with each preparation. Its public footprint is thin and accreditation badges few, so this entry is data-only for now, pending fuller verification against primary sources.

Brian Williams, PharmD, founded Midtown Express Pharmacy, a Nashville, Tennessee non-sterile compounder, in 2012. Dunklau Pharmacy Holdings, LLC is the legal entity, and licensure covers 32 states. Work spans non-sterile compounded preparations, long-term care and retail, with LDN, hormone and oral weight-management formulations among them. Sterile injectables are NOT compounded here, so no injectable compounded semaglutide or tirzepatide is produced; only oral or sublingual non-injectable forms, if offered.

The regulatory history of Boothwyn Pharmacy, a 503A compounder in Kennett Square, Pennsylvania, is extensive: an FDA warning letter in 2018, a subpotency recall of compounded semaglutide in July 2025, a Pennsylvania fine of $1 million plus probation in 2025 over unlicensed compounding of roughly 30,000 doses of weight-loss drugs, then a further FDA warning letter in January 2026. It had compounded sterile semaglutide and tirzepatide injections. Voluntary suspension of GLP-1 production came in June 2025.

Washington's Department of Health ordered this one to stop. The Limited Stop Service order followed an inspection that reportedly turned up illegally imported bulk GLP-1 ingredient, and patients were moved elsewhere. Before that, the Kirkland 503A facility made injectable semaglutide and tirzepatide, some of it for the telehealth brand Mochi Health.