Here is what we can and cannot confirm. TruMedsRx operates as a 503A compounding pharmacy out of Fairfax, VA. 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 TruMedsRx located?

TruMedsRx works out of Fairfax, VA, and holds licenses to ship into 0 US states.

What does TruMedsRx produce?

Alongside its other compounded preparations, TruMedsRx makes compounded semaglutide and compounded tirzepatide. Being a 503A 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 · Fairfax, VA · 503A

TruMedsRx Review

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.

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503ALegitScript

Location: Fairfax, VA

Phone: 833-580-8777

Website: trumedsrx.com

States licensed: 0

6.0

★★★☆☆3/5

Our own score · methodology

GLP-1 Partners We Score Highest

None of these fill through TruMedsRx. 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.

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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 →

Provider	Starting price	Best for
7.9Oak	$119/mo	Semaglutide at $119/month, 37% under the register median	Get started →
6.5Direct Meds	$249/mo	Compounded semaglutide at $249/month	Get started →
8.8Found	$99/mo	Tirzepatide at $169/month, 37% under the register median	Get started →
7.7Breeze Meds	$199/mo	Knowing which pharmacy fills the vial — it names Belmar Pharmacy	Get started →

Read review Oak →Read review Direct Meds →Read review Found →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.

LegitScript

LegitScript's Healthcare Merchant certification. An outside firm checks the pharmacy's licensure, whether it insists on a prescription, and how it advertises. Most ad platforms refuse to sell placement without it, so it doubles as a commercial gate.

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

TruMedsRx 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 TruMedsRx. 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 compounding10/10

Years operating5/10

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

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.