Compounding Pharmacy · Est. 2007 · Austin, TX · 503A

Stonegate Pharmacy Review

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.

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503A
Location: Austin, TX
States licensed: 0
6.0
★★★☆☆3/5

Our own score · methodology

GLP-1 Partners We Score Highest

None of these fill through Stonegate 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

No insurance needed · HSA/FSA eligible · vetted by our editors

7.9

Oak

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

Starting price: $119/mo

Get started →Read review Oak
6.5

Direct Meds

Compounded semaglutide at $249/month

Starting price: $249/mo

Get started →Read review Direct Meds
8.8

Found

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

Starting price: $99/mo

Get started →Read review Found
7.7

Breeze Meds

Knowing which pharmacy fills the vial — it names Belmar Pharmacy

Starting price: $199/mo

Get started →Read review Breeze 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.

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

What It Compounds

Whether any pharmacy may compound semaglutide or tirzepatide at all turns on where the reference product sits on the FDA Drug Shortage List. When a drug comes off that list the door closes, and it has closed before[7].

Semaglutide
Compounds semaglutide
Tirzepatide
Compounds tirzepatide

States Licensed

Stonegate 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

2020-09-21
FDA State Referral Letter issued to Stonegate Pharmacy, LP (Austin, TX) following a July-Aug 2019 inspection that observed deviations from appropriate sterile practice standards that could lead to drug contamination.

How GLP Watchdog Scored This Pharmacy

Accreditation held6/10
Standing with regulators5/10
States licensed0/10
GLP-1 compounding10/10
Years operating9/10

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

Medium confidence · Last verified 2026-06-04 via manual · How we check provider data

Frequently Asked Questions

Glossary

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Sources & methodology — as of August 2026
  1. 1.FDA — Compounding and the 503A Pharmacy FrameworkU.S. Food & Drug Administration.
  2. 2.FDA — 503B Outsourcing Facility Registration and RequirementsU.S. Food & Drug Administration.
  3. 3.PCAB — Pharmacy Compounding Accreditation Board StandardsAccreditation Commission for Health Care (ACHC) / PCAB.
  4. 4.USP General Chapter <797> — Pharmaceutical Compounding: Sterile PreparationsUnited States Pharmacopeia.
  5. 5.USP General Chapter <71> — Sterility TestsUnited States Pharmacopeia.
  6. 6.USP General Chapter <85> — Bacterial Endotoxins TestUnited States Pharmacopeia.
  7. 7.FDA — Drug Shortages Database (current shortage listings)U.S. Food & Drug Administration.