Is Roman Health Pharmacy legit?

Here is what we can and cannot confirm. Roman Health Pharmacy operates as a Mail-Order compounding pharmacy out of New York, NY. Its authority to operate rests on a state board of pharmacy license and nothing further. No recent public FDA enforcement action has reached our records, and that is not the same as none existing. Enforcement history moves, so put the current standing to your state board of pharmacy before you fill anything.

Where is Roman Health Pharmacy located?

Roman Health Pharmacy works out of New York, NY, and holds licenses to ship into 0 US states.

What does Roman Health Pharmacy produce?

Alongside its other compounded preparations, Roman Health Pharmacy makes compounded medication across other categories. Being a Mail-Order pharmacy, it compounds only against a prescription written for one named patient, with the state board of pharmacy watching.

What separates a 503A pharmacy from a 503B?

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 standard for sterile compounding. Neither route produces an FDA-approved drug.

Compounding Pharmacy · New York, NY · Mail-Order

Roman Health Pharmacy Review

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.

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

Mail-Order

Location: New York, NY

Website: ro.co

States licensed: 0

6.0

★★★☆☆3/5

Our own score · methodology

Telehealth Brands That Fill Through This Pharmacy

Each brand below has been reported to route some or all of its compounded GLP-1 orders to Roman Health Pharmacy. Arrangements like these are commercial, and they get changed without announcement.

6.7/ 10

Ro

Best for: knowing which pharmacy fills the vial — it names Roman Health Pharmacy LLC

★★★☆☆3.4/5

Editorial score · methodology

$149/mo

BrandOrforglipron

Get Started Read full Ro review →

GLP-1 Partners We Score Highest

None of these fill through Roman Health 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

7.7

Try Ageless

Semaglutide at $119/month, 37% under the register median

Starting price: $119/mo

Get started →Read review Try Ageless →

8.8

Found

Tirzepatide at $169/month, 37% under the register median

Starting price: $99/mo

Get started →Read review Found →

8.3

Telos Rx

Starting below a standard dose, with microdose tiers

Starting price: $49/mo

Get started →Read review Telos Rx →

7.0

MyDrHank

An oral route if you will not self-inject

Starting price: $35/mo

Get started →Read review MyDrHank →

Provider	Starting price	Best for
7.7Try Ageless	$119/mo	Semaglutide at $119/month, 37% under the register median	Get started →
8.8Found	$99/mo	Tirzepatide at $169/month, 37% under the register median	Get started →
8.3Telos Rx	$49/mo	Starting below a standard dose, with microdose tiers	Get started →
7.0MyDrHank	$35/mo	An oral route if you will not self-inject	Get started →

Read review Try Ageless →Read review Found →Read review Telos Rx →Read review MyDrHank →

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.

Past the state pharmacy license, we could not verify any outside accreditation for this pharmacy.

What It Compounds

Semaglutide

Not compounded here

Tirzepatide

Not compounded here

States Licensed

Roman Health 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

Our records hold no public FDA enforcement action and no recall against Roman Health Pharmacy. Read that as the edge of what we found rather than as a clearance. Enforcement arrives after the fact, so check with the FDA, and with your own state board, yourself.

How GLP Watchdog Scored This Pharmacy

Accreditation held6/10

Standing with regulators9/10

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.

High confidence · Last verified 2026-07-16 via research · How we check provider data

Frequently Asked Questions

Glossary

The words sellers use, defined. Tap any term.

Semaglutide · Drugs and brands
Tirzepatide · Drugs and brands
Compounded GLP-1 · Pharmacy and drug forms
503A pharmacy · Pharmacy and drug forms
503B outsourcing facility · Pharmacy and drug forms
PCAB accreditation · Pharmacy and drug forms
Off-label use · Insurance and regulatory
FDA Drug Shortage List · Insurance and regulatory

Where to fill semaglutide Back to the register

Sources & methodology — as of August 2026

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