How to spot a bad seller
The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.
Updated 2026-09-18
On 16 September 2025 the FDA issued more than 55 warning letters to online sellers of compounded GLP-1 medications in a single action. Not every cheap seller is dangerous — but some genuinely are, and the differences are visible before you hand over a card.
None of the programmes we review failed the basic checks below. We are setting them out because most people shopping for a GLP-1 will encounter sellers we do not cover, often through an advert rather than a search.
The nine warning signs
- No prescription required. This is the clearest signal of all. These are prescription medications everywhere in the United States. A seller that skips that step is not operating legally.
- Sold as a "research chemical" or labelled "not for human consumption". A common workaround for selling peptides without a prescription. The label is the seller telling you what they are.
- A price far below everybody else. The cheapest legitimate programmes we track land near $99 to $125 a month. Something at $30 is not a better deal; it is a different supply chain.
- No named clinician anywhere on the site. Legitimate programmes name their medical director or clinical network. Look for a name and, ideally, an NPI number you can look up.
- No way to reach anyone after you have paid. Check for a support route *before* ordering, not after a dose goes wrong at 11pm.
- The pharmacy is never mentioned. Most programmes do not name it, which is not disqualifying — but a seller that will not answer the question when asked directly is a different matter.
- Payment only by bank transfer, crypto or gift card. Legitimate healthcare businesses take ordinary card payments with the consumer protections that carry.
- Claims the product is FDA-approved when it is compounded. Compounded preparations are not FDA-approved. A seller that blurs this is either confused or lying, and neither is reassuring.
- Dose instructions in units with no concentration stated. Without mg/mL you cannot know what you are injecting. This is how genuine overdoses happen.
How to check a pharmacy yourself
- Ask the provider, in writing, which pharmacy fills the prescription and whether it is a 503A pharmacy or a registered 503B outsourcing facility.
- Look the pharmacy up with the state board of pharmacy in the state it operates from. Licences are public records.
- Check the NABP list of accredited and not-recommended sites before ordering from a seller you do not recognise.
- Ask for a certificate of analysis. Very few providers offer one unprompted — in our roster only Likeness Rx and Trimi and PlexusDx publish pharmacy details openly.
Important. The concentration question. When a refill arrives, check the mg/mL on the label against your previous vial. If it has changed and nobody told you, stop and contact the provider before injecting — drawing your usual volume from a stronger preparation is one of the few genuinely dangerous mistakes available here.
Who publishes their pharmacy
| Dispensed by | Product | Per month | Score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | Compounded | $199 | 4.5 |
| SuperHealthy Rx Public offer; not independently scored | Compounded | $135 | Not scored |
| Likeness Rx Public offer; not independently scored | Compounded | $199 | Not scored |
| Trimi Lowest flat price with named pharmacies | Compounded | $125 | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | Compounded | $189 | 4.4 |
| Ozari Health Lowest advertised semaglutide price | Compounded | $125 | 4.4 |
| Fifty 410 Prepaid blocks with no subscription | Compounded | $133 | 4.2 |
| Ivím Health Unlimited clinician access | Compounded | $199 | 4 |
| Mochi Health Insurance concierge support | Compounded | $278 +$79 fee | 3.6 |
| Coby Health Multi-month value with supplies included | Compounded | $239 | 3.6 |
| Hims & Hers Widest range of formats | Compounded | $238 +$39 fee | 3.5 |
| Ro Branded medication with insurance help | FDA-approved brand | $448 +$149 fee | 3.5 |
We record pharmacy disclosure as a scored criterion rather than a footnote — see how we rate. The regulatory background is in is compounded GLP-1 still legal.
Read next
- What "compounded" actually means
Not a knock-off, not an approved drug. A specific legal category with specific consequences — explained without the scare tactics or the sales pitch.
- The twelve-month cost
Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.
- Tirzepatide programmes compared
23 programmes side by side — what each dispenses, under what authority, and what it really costs.
- Reading your label
What each line on the vial and the paperwork means, and the four things to check the moment the box arrives.
- Is Trimi legit?
A real business with a real prescription requirement. The question worth asking is what it dispenses and what it bills — $125 a month.
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