# We Read FDA's Register of Compounding Facilities. 43 of 100 Have Never Been Inspected.

By Ruth Calder, Enforcement Editor (https://glpwatchdog.org/authors/ruth-calder) | Published: 2026-08-14 | Updated: 2026-11-06

Canonical page: https://glpwatchdog.org/research/fda-outsourcing-facility-register

> Original analysis of FDA's published 503B register: 100 facilities, 43 never inspected, and why that headline number is the misleading one.

## Key points

- FDA's 503B register held 100 outsourcing facilities on its October 29, 2026 list.
- Forty-three of them, or 43%, carry the label "Not yet inspected".
- Only seven of those 43 have been registered for three years or more, and none for five.
- All 57 inspected facilities were last inspected in 2025 or 2026.
- A 503A pharmacy is licensed by a state board and never appears here, so absence is not a red flag.

If a compounded GLP-1 arrives at your door, some pharmacy made it, and you are entitled to know which one and whether anyone has ever walked through the building. For one half of the compounding market there is a federal answer, published and free. We pulled the whole register and went through it.

## What the register is

FDA maintains a list of every facility registered under section 503B of the Food, Drug, and Cosmetic Act. These are outsourcing facilities, the larger compounders that make medication in batches. For each one it publishes the name, the city and state, the date it first registered, the date it most recently re-registered, and the date it was last inspected.[1] As of the October 29, 2026 FDA list (pulled November 6), it held **100 facilities**.

> **Not being on this list means nothing on its own.** The other route, 503A, covers pharmacies compounding for one patient against one prescription, and those are licensed by state boards rather than registered with FDA ([503A vs 503B, compared](https://glpwatchdog.org/research/503a-vs-503b-compounding-pharmacies)). A perfectly ordinary 503A compounder is correctly absent here. If a seller’s pharmacy is not on the federal register, the question that follows is which state licenses it, not whether it is hiding.

## Forty-one of the ninety-eight have never been inspected

FDA does not bury this. The inspection column says, in plain words, **“Not yet inspected”**, and on the October 29, 2026 list it said it for **43 of the 100**, or 43% of the register. That is the number most people would publish, and on its own it is misleading.

## The distribution says something different

We checked how long each uninspected facility had been registered. Almost all of them are recent. Of the 43 never inspected as of that list, only **seven** have been on the register for three years or more, four of them by a few weeks, and **none** for five. The rest registered within the last three years, and 27 of the 43 within the last two.

*Never inspected, longest on the register (FDA data, pulled November 6, 2026)*

| Facility | Location | Registered since | Years |
| --- | --- | --- | --- |
| Bennett Pharmaceuticals of America LLC | Hudson, WI | April 19, 2022 | 4.6 |
| Denver Solutions, LLC, dba Leiters Health | Buena, NJ | July 1, 2022 | 4.4 |
| McGuff Pharmaceuticals, Inc. dba McGuff Outsourcing Solutions | Santa Ana, CA | January 11, 2023 | 3.8 |
| Signature Rx | Delray Beach, FL | October 13, 2023 | 3.1 |
| Apocus, Inc. | San Antonio, TX | October 17, 2023 | 3.1 |
| Wedgewood Connect Ohio, LLC | Albany, OH | October 19, 2023 | 3.0 |
| Xseer Pharmaceuticals, Inc. | Los Angeles, CA | October 21, 2023 | 3.0 |

Read the other way round, the register looks like an agency keeping up rather than one that has lost track. Of the 57 facilities inspected on that list, **all 57 were last inspected in 2025 or 2026**. None has gone more than two years since an inspector was there.

> **Why we are saying this rather than the scarier version.** “43% of federally registered compounders have never been inspected” is a true sentence we could have run as a headline. It would also have left you with a false impression, because the number is mostly made of facilities that registered in the last two years. A figure with the qualification stripped off is the thing this site exists to catch, and that applies to our own writing first.

## Where they are

On the October 29, 2026 list, the register concentrates in a handful of states: **Texas (17)**, **Florida (16)**, **New Jersey (8)** and **California (8)** hold almost half of it between them. That matters mainly because a facility’s state is the thing you can look up next.

## How to use this as a buyer

1. **Ask which pharmacy fills the prescription, by name.** Most sellers we track do not publish this. An unnamed pharmacy is a finding in itself.
2. **Look for that name on the federal register.** If it is there, you can see when it registered and when it was last inspected.
3. **If it is not there, ask which state board licenses it.** That is the right follow-up, not an accusation, because 503A pharmacies belong to state boards.
4. **Treat “not yet inspected” as context, not a verdict.** On this register it usually means recently registered.

A few sellers hand you the name for step one, which leaves you to run steps two and three yourself. [Oria Meds](https://glpwatchdog.org/reviews/oria-meds) and [JumpstartMD](https://glpwatchdog.org/reviews/jumpstartmd) both name PerfectRx. [Vitara RX](https://glpwatchdog.org/reviews/vitara-rx) names Manifest Pharmacy in South Carolina as its 503A partner, and [TrueMe](https://glpwatchdog.org/reviews/trueme) names CarePoint Infusion Pharmacy in Texas. [Elara MD](https://glpwatchdog.org/reviews/elara-md) answers the question in its FAQ, where it names Strive Pharmacy in Gilbert, Arizona.

Smaller and regional practices do it too. [RegenCen](https://glpwatchdog.org/reviews/regencen), a Michigan and Florida hormone practice, names Belmar in Colorado. [Red Mountain Weight Loss](https://glpwatchdog.org/reviews/red-mountain-weight-loss) sends prescriptions to Nationwide Compounding Rx in Scottsdale, [VitaFusions IV](https://glpwatchdog.org/reviews/vitafusions-iv) ships from New Solutions Functional Wellness Pharmacy, and [Meli Health](https://glpwatchdog.org/reviews/meli-health) names Rush Pharmacy.

Among newer sellers, [BMI Doctors](https://glpwatchdog.org/reviews/bmi-doctors) gives its compounding partner, Beaker Pharmacy, with a McKinney, Texas street address and phone number. [Leanefy](https://glpwatchdog.org/reviews/leanefy) answers “Who is our partner Pharmacy?” with Integrity Compounding Pharmacy in Sandy Springs, Georgia. [Male Excel](https://glpwatchdog.org/reviews/male-excel) names Anazao Health Corp. in Tampa. [Ness](https://glpwatchdog.org/reviews/ness) lists four partners, Belmar, Strive, [Epiq Scripts](https://glpwatchdog.org/pharmacies/epiq-scripts) and [Casa Pharma Rx](https://glpwatchdog.org/pharmacies/casa-pharma-rx), each with a phone number.

[CAPO Health](https://glpwatchdog.org/reviews/capo-health) names The Pharmacy Hub in Miami as its partner pharmacy, with a street address and phone number. [Dose](https://glpwatchdog.org/reviews/dose) lists the same pharmacy among its partners. [ZestRx](https://glpwatchdog.org/reviews/zestrx) gives Strive Pharmacy’s Gilbert, Arizona address for its current pharmacy.

Some pharmacies sit on both sides of the line. [Empower Pharmacy](https://glpwatchdog.org/reviews/empower-pharmacy) in Houston runs a 503A pharmacy and an FDA-registered 503B outsourcing facility, and makes compounded semaglutide and tirzepatide for clinics and telehealth sellers. So the register tells you about one of its two sites, and the label tells you which one made your vial.

> We record which sellers name a dispensing pharmacy and which do not, in the [seller register](https://glpwatchdog.org/reviews). As of October 2026, 159 of the 610 sellers we track name one.

## Frequently asked questions

### Does my compounded GLP-1 come from a 503B outsourcing facility?

Often not. 503B facilities compound in batches; a lot of telehealth GLP-1 supply comes from 503A pharmacies compounding against individual prescriptions. Both are lawful routes. The only way to know which one applies to you is to ask the seller which pharmacy fills the prescription.

### Is a pharmacy that is not on FDA's register unlicensed?

No, and reading it that way is the most common mistake with this list. 503A pharmacies are licensed by state boards of pharmacy and do not register with FDA as outsourcing facilities. Absence from the federal register tells you the facility is not a 503B, and nothing more.

### Should “not yet inspected” worry me?

By itself, no. We checked the registration dates behind that label: of the 43 facilities carrying it on the October 29, 2026 list, only seven have been registered for three years or more, and none for five. In most cases it reflects a recent registration rather than an overdue inspection.

### How current is this?

The figures on this page come from a pull of FDA's published register on November 6, 2026 (FDA's list dated October 29, 2026). FDA updates the register itself; the date each facility last re-registered and was last inspected is published alongside each entry, so you can check any single facility against the source at any time.

## References

1. U.S. Food and Drug Administration Registered Outsourcing Facilities. FDA Human Drug Compounding. 2026. https://www.fda.gov/drugs/human-drug-compounding/registered-outsourcing-facilities
2. U.S. Food and Drug Administration Human Drug Compounding Laws. FDA Human Drug Compounding. 2026. https://www.fda.gov/drugs/human-drug-compounding/compounding-laws-and-policies

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Cite as: GLP Watchdog, Ruth Calder, "We Read FDA's Register of Compounding Facilities. 43 of 100 Have Never Been Inspected.", published 2026-08-14, updated 2026-11-06. https://glpwatchdog.org/research/fda-outsourcing-facility-register

Canonical HTML page: https://glpwatchdog.org/research/fda-outsourcing-facility-register

Medical disclaimer: Nothing here is medical advice. We report on this subject; we do not treat anyone. Whether to begin a medication, supplement, or treatment, whether to adjust it, and whether to stop are questions for a clinician licensed to answer them, who knows your history.