GLP Watchdog

Compounding Pharmacy · Nashville, TN · 503A

Midtown Express Pharmacy Review

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.

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503AState pharmacy license
Location: Nashville, TN
States licensed: 0
4.0
★★☆☆☆2/5

Our own score · methodology

GLP-1 Partners We Score Highest

None of these fill through Midtown Express Pharmacy. They are the compounded GLP-1 partners at the top of our own scoring, here in case you would rather start with a service we have taken through signup ourselves.

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

Cash-pay pricing · HSA/FSA accepted · every partner checked by our editors

7.8

Oak

Semaglutide at $119/month, 37% below the typical price

Starting price: $119/mo

Get started →Read review Oak →
6.4

Bodybuilding Health+

Seeing what it charges before you answer any medical questions

Starting price: $179/mo

Get started →Read review Bodybuilding Health+ →
8.0

Lttl

Starting below a standard dose, with microdose tiers

Starting price: $119/mo

Get started →Read review Lttl →
6.4

Direct Meds

Compounded semaglutide at $249/month

Starting price: $249/mo

Get started →Read review Direct Meds →

Accreditations and Standards

Sterile compounding in this country runs on one rulebook, General Chapter <797> of the United States Pharmacopeia[4]. Depending on what is being made, the finished preparation is then tested for sterility under USP <71>[5] and for bacterial endotoxins under USP <85>[6]. Every pharmacy on this page owes those standards already. What follows is what this one has added on top.

State pharmacy license
The home state board of pharmacy has issued a license. Every pharmacy in the country needs one to open its doors, so treat this as the floor rather than a distinction.

What It Compounds

Semaglutide
Not compounded here
Tirzepatide
Not compounded here

States Licensed

Midtown Express Pharmacy publishes no state-by-state licensure list, so we cannot tell you whether it is licensed where you live. Put that question to your own state board of pharmacy before you fill anything here.

What Regulators Have on File

2024-07-XX
Named in Novo Nordisk Inc. v. Dunklau Pharmacy Holdings LLC dba Midtown Express (M.D. Tenn. 2024). Complaint alleged trademark infringement on Ozempic claims.
2026-05-23
Non-sterile compounding only — cannot produce injectable semaglutide/tirzepatide.

How GLP Watchdog Scored This Pharmacy

Accreditation held6/10
Standing with regulators5/10
States licensed0/10
GLP-1 compounding0/10
Years operating5/10

We research every score ourselves. The methodology page sets out how each part is weighted.

Low confidence · Last verified 2026-05-23 via pharmacy-directory-cross-state-audit-2026-05-23 · How we check provider data

Frequently Asked Questions

Here is what we can and cannot confirm. Midtown Express Pharmacy operates as a 503A compounding pharmacy out of Nashville, TN. Its authority to operate rests on a state board of pharmacy license and nothing further. Our records carry 2 documented regulatory action(s), listed further down this page.
Midtown Express Pharmacy works out of Nashville, TN. We have not recorded its state license list, which is not the same as it holding none — confirm shipping to your state with the pharmacy or your state board.
Alongside its other compounded preparations, Midtown Express Pharmacy makes compounded medication across other categories. Being a 503A pharmacy, it compounds only against a prescription written for one named patient, with the state board of pharmacy watching.
Two things separate them: who inspects, and how much may be made at once. A 503B outsourcing facility registers with the FDA itself, works to current Good Manufacturing Practices (cGMP), submits to FDA inspection, and may make compounded medication in batches with no named patient attached. A 503A pharmacy cannot do that. It fills a prescription written for one patient, answers mainly to its state board of pharmacy, and works to the USP <797> standard for sterile compounding. Neither route produces an FDA-approved drug.

Glossary

The words sellers use, defined. Tap any term.

Where to fill semaglutideBack to the register
Sources & methodology — as of September 2026
  1. 1.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  2. 2.FDA — 503B Outsourcing Facility Registration and Requirements— U.S. Food & Drug Administration.
  3. 3.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  4. 4.USP General Chapter <797> — Pharmaceutical Compounding: Sterile Preparations— United States Pharmacopeia.
  5. 5.USP General Chapter <71> — Sterility Tests— United States Pharmacopeia.
  6. 6.USP General Chapter <85> — Bacterial Endotoxins Test— United States Pharmacopeia.
  7. 7.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.