Compounding Pharmacies for GLP-1 Medications

Empower Pharmacy is the largest FDA-registered 503B outsourcing facility in the United States and also operates a 503A division. Headquartered in Houston, Empower supplies compounded semaglutide and tirzepatide to many of the nation's largest telehealth brands and is cGMP-compliant.

Belmar Pharmacy (now operating as Belmar Pharma Solutions) is a nationally recognized compounding pharmacy headquartered in Lakewood, Colorado. Founded in 1985, Belmar operates both 503A and 503B facilities and is licensed to ship to all 50 states. PCAB-accredited.

Olympia Pharmaceuticals is a dual 503A/503B compounding pharmacy based in Orlando, Florida. It is FDA-registered as a 503B outsourcing facility and produces sterile injectable compounds including GLP-1 medications.

Innovation Compounding is a 503A pharmacy in Kennesaw, Georgia, founded in 2007 as a family-owned operation. Acquired by Revelation Pharma in January 2022. PCAB accreditation granted June 2024 via ACHC. Reportedly serves over 45 states.

Strive Pharmacy is a 503A compounding pharmacy based in Gilbert, Arizona that supplies compounded GLP-1 medications to several direct-to-consumer telehealth brands. PCAB-, NABP-, and LegitScript-accredited and licensed in all 50 states.

Absolute Pharmacy is a LegitScript Healthcare Merchant-certified (Sept 15, 2021) 503A compounding pharmacy in Lutz, Florida, licensed for prescription fulfillment in 49 states. Operates proprietary eRX software that automates state-licensing checks for telehealth prescribers. Specializes in express compounded prescription fulfillment for weight loss (semaglutide, tirzepatide), sexual health, hormone replacement, fertility, hair loss, sleep, and anxiety.

Shields Pharmacy is a LegitScript-certified, PCAB-accredited sterile and non-sterile compounding pharmacy in Dunedin, Florida (FL pharmacy license PH32060, status Clear through 2/28/2027). Offers nationwide compounding services across all 50 states + Puerto Rico to over 5,000 healthcare providers, with an industry-leading ~48-hour turnaround. Compounds weight-management, bio-identical hormone replacement, and veterinary preparations. (Not to be confused with Shields Health Solutions, a specialty pharmacy facilitator for brand-medication insurance navigation.)

Wells Pharmacy Network is a compounding pharmacy in Ocala, Florida operating both a 20,500 sq ft 503A pharmacy and a 20,000 sq ft FDA-registered 503B outsourcing facility. Focuses on wellness, weight management, and hormone compounding.

Hallandale Pharmacy is a Florida 503A compounding pharmacy in Hallandale Beach offering sterile compounding, including GLP-1 medications. The pharmacy received an FDA warning letter in 2020 for insanitary conditions and has since relocated.

Red Rock Pharmacy is a Utah-based 503A state-licensed compounding pharmacy with locations in Springville and St. George. Produces sterile injectables including compounded semaglutide and tirzepatide.

Revelation Pharma is a growing network of 503A and 503B compounding pharmacies headquartered in Charlotte, North Carolina. The network has acquired multiple regional compounding pharmacies and supplies sterile compounds including GLP-1 medications.

Town Center Compounding & Rx Pharmacy is a small independent compounding pharmacy located at 72624 El Paseo, Suite A-1, Palm Desert, CA 92260, owned by Irvine Sand Canyon Pharmacy Inc. California compounding pharmacy license #99148. RECOMMENDED FOR REMOVAL — no evidence this pharmacy compounds GLP-1 medications or ships interstate.

Epiq Scripts is a Texas-based mail-order compounding pharmacy headquartered in Richardson, TX, founded in 2022 by Sultan Haroon and Maja Matthews. It positions itself as a white-label, API-driven 503A pharmacy partner for telehealth brands, offering high-volume prescription fulfillment, non-sterile and sterile custom compounding (including GLP-1 medications), custom-branded packaging, and nationwide UPS shipping. LegitScript-certified per a 2025 LegitScript customer-spotlight Q&A with co-founder Sultan Haroon.

Amazon Pharmacy is a national mail-order pharmacy that dispenses FDA-approved branded GLP-1 weight-loss medications (not compounded). It carries the oral Wegovy and Foundayo pills with cash-pay pricing starting around $149 per month, and injectable Wegovy, Zepbound, and the Zepbound KwikPen with cash-pay pricing starting around $299 per month. Insured patients can pay as low as $25 per month for the oral options. Medications ship to all 50 states, with same-day delivery available in thousands of cities. Amazon also runs a GLP-1 management program through Amazon One Medical.

Pavilion Compounding Pharmacy is a PCAB-accredited 503A pharmacy founded in 1999 in Atlanta, Georgia. Licensed in 7 states (per company website). Specializes in compounded prescriptions including bioidentical hormone pellets (SteriPellets) and GLP-1 medications.

Tailor Made Compounding is a 503A pharmacy located in Nicholasville, Kentucky (not Lexington as previously reported) specializing in peptide and hormone compounding. The pharmacy has been a notable supplier of compounded GLP-1 medications.

Costco Pharmacy is a national membership-warehouse retail pharmacy that dispenses FDA-approved branded GLP-1 medications (not compounded). Through a direct deal with Novo Nordisk, self-pay members with a valid prescription can fill injectable Ozempic or Wegovy for roughly $349 per month, and the oral Wegovy pill for as little as $149 per month; new patients can access the lowest two doses for about $199 per month for the first two months. Costco also offers discounted access to Ozempic and Wegovy through a partnership with Sesame.

Walmart Pharmacy is a national retail pharmacy that dispenses FDA-approved branded GLP-1 medications (not compounded). Through Novo Nordisk's self-pay program it offers branded semaglutide (Wegovy/Ozempic) at self-pay prices roughly $149/month for oral tablets and about $349/month for injections, and through a partnership with Eli Lilly it dispenses single-dose vials of Zepbound (tirzepatide) at Walmart pharmacies nationwide or via home delivery. Walmart also runs a GLP-1 care platform with virtual care and nutrition support through its Better Care Services.

FarmaKeio Outsourcing is the FDA-registered 503B arm of the FarmaKeio Pharmacy Network, a Texas-based custom compounding operation that produces sterile formulations including semaglutide and tirzepatide combinations. FarmaKeio is licensed in 49 states plus Puerto Rico and the U.S. Virgin Islands and is a lead plaintiff, alongside the Outsourcing Facilities Association, in litigation challenging the FDA's removal of tirzepatide from the drug shortage list.

Curexa Pharmacy is a PCAB-accredited and LegitScript-certified 503A compounding pharmacy in Egg Harbor Township, New Jersey, founded in 2003, that compounds prescriptions nationwide including GLP-1 weight-loss medications such as semaglutide and tirzepatide. It is a frequently named back-end fulfillment pharmacy for telehealth platforms.

Beaker Pharmacy is an independent retail and sterile compounding pharmacy located at 7810 Eldorado Parkway, Suite 200, McKinney, TX 75070. Opened in 2018. Compounds GLP-1 medications (semaglutide and tirzepatide) along with hormones, dermatology preparations, pediatric formulations, and other specialty compounds. Reportedly serves 45+ states.

Sam's Club Pharmacy is a national membership-warehouse retail pharmacy (Walmart-owned) that dispenses FDA-approved branded GLP-1 medications (not compounded). Following Novo Nordisk's self-pay agreement with warehouse clubs, Sam's Club began dispensing the oral Wegovy 1.5 mg starting dose for about $149 per month, with free same-day pharmacy delivery for Plus members, alongside the broader $149-$299/month branded semaglutide self-pay pricing.

Striker Pharmacy LLC is a LegitScript-certified 503A sterile compounding pharmacy in Katy, Texas (1330 Pin Oak Rd, 77494) specializing in compounded GLP-1 therapies (semaglutide and tirzepatide) for licensed prescribers. Operates a B2B-focused model with separate intake forms for doctors and patients; offers wholesale supply for medical practices. LegitScript Healthcare Merchant Certification ID 20748291.

Promise Pharmacy is a LegitScript-certified 503A compounding pharmacy headquartered in Palm Harbor, Florida that compounds patient-specific semaglutide and tirzepatide (GLP-1) for clinics and providers. It follows USP 795/797/800 standards, performs third-party potency and sterility testing on GLP-1 batches with Certificate of Analysis documentation, and is licensed by the Florida Board of Pharmacy as a nonresident compounding pharmacy serving multiple Florida markets. Note: routine 503A compounding of GLP-1s that copy commercially available products is restricted now that the FDA shortages are resolved.

FarmaKeio Custom Compounding is the 503A patient-specific compounding pharmacy within the Texas-based FarmaKeio Pharmacy Network, offering custom sterile and non-sterile formulations including semaglutide and tirzepatide combinations for weight management. The broader FarmaKeio network is licensed in 49 states plus Puerto Rico and the U.S. Virgin Islands.

Skip's Pharmacy is a 503A compounding pharmacy in Deerfield Beach, Florida that has served the MS, autoimmune, and low-dose-naltrexone communities for over 20 years and compounds GLP-1 weight-loss medications including semaglutide and tirzepatide for human and veterinary patients.

Casa Pharma RX is a 503A licensed sterile compounding pharmacy in Stafford, Texas, operating a state-of-the-art cleanroom built to USP 797 and USP 800 standards. Sources APIs exclusively from FDA-registered suppliers and offers compounded semaglutide and tirzepatide as a named pharmacy partner for several GLP-1 telehealth platforms.

DCA Pharmacy is one of the largest 503A compounding pharmacies in Tennessee, located in Franklin, TN, and licensed to ship to 48 states. Specializes in bio-identical hormone replacement, topical pain management, scar therapy, pellet therapy, and sterile compounding. Named in a 2023 Novo Nordisk lawsuit over compounded semaglutide; the case was voluntarily dismissed.

SmartPharmaRX is a 503A licensed compounding pharmacy compounding sterile preparations in accordance with USP 797 (with USP 795 / 800 alignment) and cGMP-aligned protocols. Compounds GLP-1 therapies including tirzepatide and semaglutide, with each preparation tested for sterility, potency, endotoxin, and stability before release. Specific state license footprint is described as 'select states' but not enumerated on the public site.

SouthEnd Pharmacy is a LegitScript-certified 503A sterile compounding pharmacy in Houston, Texas, with a 55,200 sq ft facility offering next-day cold-chain delivery and licensed coverage across 35+ states. Compounds semaglutide and tirzepatide with B6/pyridoxine, sources APIs only from FDA-registered manufacturers, and publishes Certificates of Analysis and potency reports on each batch.

ReviveRX is a 503A mail-order compounding pharmacy in Houston, Texas (3831 Golf Dr., 77018) founded in 2016 with compounding operations launched in 2018. Ships to 44 states plus Puerto Rico; provider-portal model, no insurance billing. Advertises 'Weight Loss' and 'Peptide & Longevity' among its compounded-medication categories alongside hormone, sexual wellness, and dermatology preparations. Self-attests FDA-registered vendor procurement, USP-compliant sterile/non-sterile clean rooms, and a 'successful FDA inspection,' but does NOT display LegitScript or PCAB accreditation badges. Specific GLP-1 drug names are gated behind provider-portal login.

VialsRx is a 503A community sterile compounding pharmacy in Houston, Texas, licensed by the Texas State Board of Pharmacy (license #35264). It prepares compounded semaglutide and tirzepatide (GLP-1) per individual prescription under USP <797> sterile-compounding standards and ships to all 50 states. Note: routine 503A compounding of GLP-1s that copy commercially available products is restricted now that the FDA shortages are resolved.

TruMedsRx (TMRX) is a LegitScript-certified 503A mail-order sterile compounding pharmacy headquartered in Fairfax, Virginia, licensed in 48 states and serving over 85,000 patients through USP-compliant cleanroom facilities. It is one of three publicly named 503A pharmacy partners (with Rite-Away and Vios) used by telehealth provider Enhance.MD for compounded GLP-1 (semaglutide and tirzepatide), and reportedly has no disciplinary history. Note: routine 503A compounding of GLP-1s that copy commercially available products is restricted now that the FDA shortages are resolved.

GreenwichRx (Greenwich Rx) is a 503A sterile compounding pharmacy in Tomball, Texas that compounds patient-specific semaglutide and tirzepatide (GLP-1) for weight loss. It complies with USP chapters 795, 797, and 800, partners with the Professional Compounding Centers of America (PCCA) for premium-grade ingredients, and maintains state licensure across the U.S. Note: routine 503A compounding of GLP-1s that copy commercially available products is restricted now that the FDA shortages are resolved.

Stonegate Pharmacy is a 503A compounding pharmacy in Austin, Texas, established in 2007, that compounds GLP-1 medications including semaglutide and tirzepatide as once-weekly subcutaneous injectables and sublingual rapid-dissolving tablets. It received an FDA State Referral Letter in 2020 after a 2019 inspection noted sterile-practice deviations.

Optimal Balance Pharmacy (operating as OBPRX) is a 503A sterile compounding pharmacy at 2204 Cypress Creek Pkwy Ste F&G, Houston, TX 77090. NPI 1306535307. Owner Christopher Quintana. Inspected by the Texas State Board of Pharmacy and via the NABP Verified Pharmacy Program (VPP); USP <795>/<797>/<800> compliant; PCCA member for API sourcing. The pharmacy lists GLP-1 compounding among its sterile-lab specialties but does not publicly enumerate specific products on its public website as of 2026-05-25. The licensure map is published as an image only; the explicit state list is not extractable from the public site.

Rush Pharmacy is a compounding pharmacy headquartered at 1977 Alafaya Trail #1121, Oviedo, FL 32765. The website (datePublished 2023-05-11) markets customized compounded medications and supplements with 48-hour shipping and all-inclusive pricing across weight management, hormone, hair growth, and sexual wellness categories. The marketing copy on the homepage states the pharmacy is 'pending licensure in all 50 states' (not yet licensed in all 50 states) even though the embedded JSON-LD MedicalOrganization markup claims '50-state' licensure. Named pharmacy partner of Bodyshop Wellness (added to WLR 2026-05-28).

Rite-Away Pharmacy & Medical Supply is a 503A sterile and non-sterile compounding pharmacy serving San Antonio and Austin, Texas. It is one of three publicly named 503A pharmacy partners (with Vios and TruMedsRx) used by telehealth provider Enhance.MD for compounded GLP-1, and reportedly has no disciplinary history. Services include retail prescriptions, sterile and non-sterile compounding, infusions, medical supplies, long-term care, and free delivery. Note: routine 503A compounding of GLP-1s that copy commercially available products is restricted now that the FDA shortages are resolved.

Wells Pharma of Houston is an FDA-registered 503B outsourcing facility in Houston, Texas that compounded sterile injectables including semaglutide and tirzepatide for clinics and providers during the GLP-1 shortage era. It received an FDA Form 483 in March 2025 and an FDA Warning Letter in November 2025 for sterility-assurance and 503B-compliance deficiencies. It is a separate legal entity from the Wells Pharmacy Network of Ocala, Florida.

Carie Boyd Pharmaceuticals is a Texas-based compounding pharmacy operated by Right Value Drug Stores, LLC. The company runs an FDA-registered 503B outsourcing facility at 8400 Esters Blvd, Suite 190, Irving, TX 75063 (registered with FDA as an outsourcing facility on July 3, 2019), plus a 503A patient-specific compounding pharmacy doing business as Carie Boyd's Prescription Shop in Denton, TX (also referenced at 122 Grapevine Hwy, Hurst, TX per NPPES NPI 1205253085, Texas pharmacy license 165). The 503A pharmacy roots trace to a community pharmacy founded in 1965 in the Dallas-Fort Worth area. For GLP-1 weight management, Carie Boyd markets a sublingual semaglutide suspension compounded exclusively with commercially available Rybelsus tablets in a SubMagna sublingual base (starting dose 1 mg/day, titrated to ~1.5 mg/day); no public marketing was found for compounded tirzepatide. The company received an FDA Warning Letter on December 17, 2024 (reference 694687) citing 503B compliance and labeling deficiencies, and a prior Warning Letter on September 20, 2021 (reference 610751) following a 2019 inspection. Both warning letters reduce confidence in this pharmacy for telehealth-provider sourcing relative to peers without active FDA enforcement on file.

Tailstorm Health Inc., doing business as Medivant Health, is an FDA-registered 503B outsourcing facility in the Phoenix/Chandler, Arizona area that compounded sterile semaglutide and tirzepatide injections. It received an FDA warning letter in April 2025 for cGMP and sterility violations and missing labeling on its GLP-1 products.

Vios Compounding (legal entity SNF Holdings, LLC dba Vios Compounding) is a 503A compounding pharmacy in Livonia, Michigan that compounds semaglutide and tirzepatide (GLP-1), including injectable vials (1 mg or 5 mg strength in 1 mL or 2.5 mL) and GLP-1 oral strips/transmucosal films, prepared per individual prescription. The FDA issued a state referral letter to the pharmacy in April 2024. Note: routine 503A compounding of GLP-1s that copy commercially available products is restricted now that the FDA shortages are resolved.

ProRx is an FDA-registered 503B outsourcing facility in Exton, Pennsylvania that compounded sterile semaglutide and tirzepatide injections at scale during the GLP-1 shortage. It has been the subject of two FDA warning letters (March 2025 and April 2026) and voluntary recalls totaling more than 50,000 vials of compounded GLP-1 products for lack of sterility assurance.

Align Pharmacy (alignpharmacy.com) is a B2B compounding pharmacy serving physicians and clinics with customized pharmaceutical formulations. All batches are tested for sterility and potency, and test results ship with each preparation. Public footprint and accreditation badges are limited; this is a data-only directory listing pending fuller primary-source verification.

Midtown Express Pharmacy is a non-sterile compounding pharmacy in Nashville, Tennessee, founded in 2012 by Brian Williams, PharmD. Specializes in retail, long-term care, and non-sterile compounded preparations (including LDN, hormone, and oral weight-management formulations). Does NOT compound sterile injectables, so injectable compounded semaglutide and tirzepatide are not produced here — only non-injectable oral or sublingual forms if offered. Licensed in 32 states; legal entity is Dunklau Pharmacy Holdings, LLC.

Boothwyn Pharmacy is a 503A compounding pharmacy in Kennett Square, Pennsylvania that compounded sterile semaglutide and tirzepatide injections. It has an extensive regulatory history including a 2018 FDA warning letter, a July 2025 subpotency recall of compounded semaglutide, a 2025 Pennsylvania $1 million fine and probation over unlicensed compounding of roughly 30,000 weight-loss-drug doses, and a January 2026 FDA warning letter. GLP-1 production was voluntarily suspended in June 2025.