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Best Compounded GLP-1 Providers (2026)

Compounded GLP-1s are not FDA-approved. That single fact should shape how you choose a provider: because no regulator has evaluated the specific product you will inject, the quality signals available to you are indirect — who compounds it, under which regulatory category, what testing is performed, and whether the company will tell you any of that. This ranking weights those signals above price. Every provider here states clearly that compounded medications are not FDA-approved; that honesty was our minimum entry requirement.

Last updated August 5, 2026 · 6 providers ranked

How we ranked these providers

  • Does the provider name the compounding pharmacy that fills your prescription?
  • Is the pharmacy a 503A compounding pharmacy or a 503B outsourcing facility operating under cGMP requirements?
  • Does the provider publish what quality-control testing is performed on the product?
  • Does it state plainly and prominently that compounded medications are not FDA-approved?
  • Are cancellation and refund terms published before you buy?
  • Is pricing flat, or does it escalate as your dose increases?

We do not accept payment for placement in these rankings. Some links on this site are affiliate links, which may earn us a commission at no additional cost to you.

At a glance

#ProviderBest forPricingRating
1Cora HealthBest pharmacy disclosure$99-$225/month5/5
2Midi HealthBest regulatory footing$164-$460 per 4-week supply4/5
3Precision TelemedBest all-round compounded platform$179.99-$249.99/month5/5
4NexlifeBest independent certification$155-$215+/month4/5
5Fifty 410Best value with full disclosure$133-$199/month effective4/5
6Coby HealthMost transparent on total cost$159-$439/month4/5
#1 · Best pharmacy disclosure

Cora Health

Cora names Hallandale Pharmacy and VialsRx as its US-licensed 503A partners, publishes a prominent FDA disclaimer stating compounded medications are not therapeutically equivalent to Ozempic, Wegovy, Mounjaro or Zepbound, and maintains a published cancellation and refund policy. On the criteria that matter for compounded medication, it leads the field.

  • Named 503A pharmacy partners — rare in this market
  • Explicit FDA non-equivalence disclaimer
  • All-inclusive $99-$225/month with no membership fee
  • Flat rate that does not increase with dose
Watch out: 503A compounding does not carry the cGMP requirements 503B facilities follow.
#2 · Best regulatory footing

Midi Health

Midi states its compounded medications come from licensed, 503B-accredited pharmacies. 503B outsourcing facilities are FDA-registered and must follow current good manufacturing practice requirements — a materially stronger quality position than 503A compounding, even though the product still is not FDA-approved.

  • 503B-accredited pharmacy sourcing
  • No membership fee; full dose-by-dose price table published
  • Injectable and sublingual formulations available
  • Clinician-led visits with insurance-covered options for qualifying patients
Watch out: Specific 503B facilities are not named, and pricing climbs with dose.
#3 · Best all-round compounded platform

Precision Telemed

Names Rush Pharmacy (503A), prices flat across the whole 2mg-15mg progression, covers all 50 states, ships in 48 hours cold-chain, and offers genuinely penalty-free month-to-month cancellation. A complete package with nothing important hidden.

  • Named 503A pharmacy partner: Rush Pharmacy
  • Flat $179.99/month maintenance; full program $199 then $249.99
  • All 50 states covered
  • Pause or cancel anytime, no penalties
Watch out: Refund policy is linked but its terms are not shown on the product page.
#4 · Best independent certification

Nexlife

Nexlife is LegitScript-certified — an independent, continuously monitored certification that many GLP-1 telehealth operations do not hold — and publishes the specific quality-control assays its pharmacy runs: potency, sterility, pH and endotoxicity. It also states plainly that its products are not FDA-approved.

  • LegitScript-certified telehealth platform
  • Published third-party testing: potency, sterility, pH, endotoxicity
  • Semaglutide from $165/month, tirzepatide from $215/month, as low as $155 on 12-month plans
  • FSA and HSA accepted on all plans
Watch out: Requires 30 days' notice to cancel, and does not name its pharmacy.
#5 · Best value with full disclosure

Fifty 410

Fifty 410 states its medication is compounded by independent FDA-registered 503A and 503B pharmacies, references specific pharmacy programs in its help centre, publishes the disclaimer that compounded medications are not FDA-approved finished drug products, and delivers the lowest effective per-month pricing we found.

  • Tirzepatide from $133/month on a 3-month prepaid program
  • States 503A and 503B FDA-registered pharmacy sourcing
  • Free overnight or 2-day refrigerated shipping
  • No payment until a provider approves you
Watch out: The full course ships upfront, transferring tolerance risk entirely to you.
#6 · Most transparent on total cost

Coby Health

Coby publishes the whole dose ladder rather than an entry price, states its FDA position clearly, names its state exclusions, and requires no subscription. You will know exactly what titration costs before you start.

  • Full published ladder: $239 at 2.5mg to $439 at 12.5mg+
  • Same-dose multi-month bundles from $179/month
  • No subscription or membership required
  • State exclusions published: AR, LA, MS, NM
Watch out: No refunds after shipment, $50 post-issuance cancellation fee, 30-day cancellation notice.

Also worth considering

TeleSlim Clinic

Names its pharmacy with a full street address — the most specific disclosure in our review — with board-certified obesity medicine physicians.

Omnia TeleHealth

Names Belmar Pharma Solutions as its compounding partner and will e-prescribe to any pharmacy nationwide instead of locking you in.

CoraDoc

References FDA-registered 503B outsourcing facilities where applicable, with a full refund if declined or if you cancel pre-shipment.

Belle Health

Lowest entry pricing with no subscription — but does not name its pharmacy and imposes no BMI gate.

Belmar Pharma Solutions

The best-credentialed compounder we reviewed — 503A and 503B licences, NABP accreditation, LegitScript certification and a California Sterile License. Named by Omnia TeleHealth.

Hallandale Pharmacy

The PCAB-accredited compounder named by Cora Health and referenced by Fifty 410, publishing its exact GLP-1 formulations and concentrations.

Olympia Pharmaceuticals

FDA-registered 503B outsourcing facility with an affiliated 503A pharmacy, LegitScript approved and shipping nationwide.

Empower Pharmacy

The compounder itself — PCAB-accredited 503A and FDA-registered 503B facilities, with a documented history of FDA scrutiny worth reading before you accept a platform that uses it.

Fitish RX

Publishes unusually specific shipping logistics and refund timelines, though with an all-sales-final policy.

Frequently asked questions

What is the difference between a 503A and a 503B pharmacy?

A 503A compounding pharmacy prepares medications against individual patient prescriptions and is regulated primarily by state boards of pharmacy. A 503B outsourcing facility registers with the FDA, can produce larger batches without patient-specific prescriptions, and must comply with current good manufacturing practice (cGMP) requirements. Neither produces an FDA-approved drug, but 503B operates under considerably more manufacturing oversight. If a provider tells you its pharmacy is 503B-accredited, that is a meaningful positive.

Are compounded GLP-1s safe?

They carry risks that FDA-approved products do not: no FDA review of the specific formulation, variability between compounders, and — as the FDA has publicly warned — a market that has included fraudulent products with false label information. That said, the same active ingredients are involved, and reputable providers use accredited pharmacies with third-party testing. Reduce your risk by choosing providers that name the pharmacy, publish testing, and disclose 503A/503B status.

Why do some compounded GLP-1s include B6, B12 or niacinamide?

Compounders frequently combine semaglutide with cyanocobalamin or methylcobalamin (forms of B12), or tirzepatide with niacinamide or pyridoxine (B6). These combinations are part of what makes the product a compounded preparation rather than a copy of an approved drug. There is limited clinical evidence that the added vitamins improve weight-loss outcomes — discuss with your prescriber what, if anything, the addition is meant to do for you.

Should I ask for a certificate of analysis?

Yes. A certificate of analysis (COA) documents potency and sterility testing for the batch you received. Providers with confident supply chains will generally provide one on request. If a provider will not name its pharmacy or supply a COA, treat that as a meaningful signal.

Medical disclaimer

This ranking is for informational purposes only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with real risks and contraindications, and only a licensed clinician who has evaluated you can decide whether any medication is appropriate. Pricing, medication availability, pharmacy partners and policies change frequently and vary by state — verify everything directly with the provider before purchasing.

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CoreAge Rx

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  • Same-day shipping available
  • Most comprehensive support program

Prescription required. Consult with licensed healthcare provider.