What Pharmacies Make Compounded Semaglutide

Introduction

Compounded semaglutide is made by licensed 503A compounding pharmacies and, in limited cases, 503B outsourcing facilities registered with the FDA. The named pharmacies most commonly used by telehealth platforms in 2026 include Hallandale Pharmacy, Empower Pharmacy, Belmar Pharmacy, Olympia Pharmacy, Strive Pharmacy, and Red Rock Pharmacy. All operate under state board of pharmacy licensure plus federal compliance requirements.

After the FDA removed semaglutide from its drug shortage list in October 2024, most large 503B facilities stopped producing it. 503A pharmacies kept compounding semaglutide for individual patient prescriptions, which remained legal because compounding for a specific named patient does not require shortage status.

At TrimRx, we believe that understanding your options is the first step toward a more manageable health journey. You can take the free assessment quiz if you’re ready to see whether a personalized program is a fit for you.

What’s the Difference Between 503A and 503B Pharmacies?

503A pharmacies compound for individual patients with a named prescription. They are state-licensed and inspected by the state board of pharmacy. 503B outsourcing facilities can produce larger batches for clinic stocking, are registered with the FDA, and follow current Good Manufacturing Practice (cGMP) standards similar to drug manufacturers.

Quick Answer: 503A pharmacies compound for individual patient prescriptions; 503B facilities produce in bulk for clinics

After the FDA’s October 2024 shortage delisting, 503B facilities had to stop bulk semaglutide production. 503A pharmacies kept compounding it for named patients. This is why almost all 2026 telehealth semaglutide comes from 503A pharmacies.

Which 503A Pharmacies Compound Semaglutide?

The most commonly named 503A pharmacies in 2026 telehealth supply chains are:

• Empower Pharmacy (Houston, TX): large national 503A, frequent partner for telehealth platforms
• Hallandale Pharmacy (Hallandale Beach, FL): high-volume compounder
• Belmar Pharmacy (Lakewood, CO): older specialty pharmacy
• Olympia Pharmacy (Orlando, FL): telehealth supplier
• Strive Pharmacy (Gilbert, AZ): multi-state 503A
• Red Rock Pharmacy (Las Vegas, NV): compounding peptides and GLP-1s
• Tailor Made Compounding (Lexington, KY)

These pharmacies are state-licensed, hold DEA registration where required, and most carry PCAB (Pharmacy Compounding Accreditation Board) accreditation, which is an optional third-party quality certification.

Are 503B Facilities Still Making Compounded Semaglutide?

Most 503B facilities stopped compounding semaglutide after the FDA’s October 2 2024 shortage resolution. The agency gave 503B facilities until March 19 2025 to wind down production. After that date, ongoing 503B semaglutide production became unlawful with limited exceptions.

A handful of 503B facilities continue compounding semaglutide for documented patient-specific clinical needs, such as when a patient has a documented allergy to a brand inactive ingredient or requires a non-standard dose. These cases are narrow.

What’s PCAB Accreditation and Does It Matter?

PCAB is voluntary accreditation by the Accreditation Commission for Health Care (ACHC). It signals that a pharmacy follows USP 795 (non-sterile) and USP 797 (sterile) compounding standards, has documented quality systems, and submits to third-party inspections.

PCAB matters for sterile injectables like semaglutide. A PCAB-accredited 503A facility has independently verified processes for sterility testing, endotoxin testing, and potency assay. About one-third of 503A pharmacies in the US hold PCAB accreditation.

Where Does the Semaglutide API Come From?

The active pharmaceutical ingredient (API) for compounded semaglutide comes from FDA-registered API manufacturers. Most US compounding pharmacies source from:

• Bachem (Switzerland): patent-cleared peptide manufacturer
• Cayman Chemical (Michigan): US-based research chemical supplier with pharma division
• Chinese API houses registered with the FDA, including Sinopep and several others

The FDA requires US compounders to use API from facilities that are FDA-registered (drug master file on record). Quality compounders publish certificates of analysis (CoA) for each API lot showing purity, identity, and impurity profile.

How Do You Verify the Pharmacy Is Real?

Verify these four things before trusting a compounded semaglutide source:

1. State board of pharmacy license: look up the pharmacy on the state board’s online roster
2. Address and physical location: a real pharmacy has a US address, not a P.O. box
3. NPI number: National Provider Identifier on file with CMS
4. Pharmacist in charge: named PIC listed on state filings

Avoid any provider that refuses to name the dispensing pharmacy on the prescription label. The pharmacy name, address, and license number must appear on every dispensed bottle by federal law.

Key Takeaway: All compounding pharmacies must hold state board of pharmacy licenses; some hold PCAB accreditation

What Does Empower Pharmacy Specifically Do?

Empower Pharmacy in Houston is one of the largest 503A compounders supplying GLP-1s to telehealth platforms in 2026. The facility holds PCAB accreditation, publishes its sterility testing protocols, and tests every API lot through third-party labs.

Empower has been named in court filings as a supplier to multiple telehealth GLP-1 platforms. Their website lists state licensure across most US states, allowing interstate shipping.

What About Strive, Olympia, and Hallandale?

Strive Pharmacy (Arizona) supplies several telehealth GLP-1 programs. Multi-state license, PCAB-accredited, USP 797 compliant for sterile compounding.

Olympia Pharmacy (Florida) is another high-volume 503A compounder, with a focus on hormone replacement and peptide therapy in addition to GLP-1s.

Hallandale Pharmacy (Florida) is one of the older specialty compounding pharmacies, accredited and licensed in 40+ states. They publish quality testing data on their site.

Does TrimRx Disclose Its Pharmacy Partners?

TrimRx works with licensed 503A compounding pharmacies that hold state board of pharmacy licensure, PCAB accreditation, and current sterility testing protocols. Patients receive the pharmacy name and license number on every prescription label as required by federal law.

If you want to verify a TrimRx-dispensed product, the bottle label has the pharmacy name. Look that pharmacy up on the relevant state board of pharmacy website to confirm active licensure. TrimRx also offers a free assessment quiz to determine clinical eligibility before any prescription is written.

What Red Flags Signal a Non-legitimate Source?

Watch for these warning signs:

• No pharmacy name on the bottle label
• “Research peptide” sites that ship in unmarked vials
• Pricing far below the market floor (under $150/month for semaglutide is suspicious)
• Vendors who ship from outside the US, especially China, India, or Russia
• No prescription required
• No clinical intake or licensed prescriber

Legitimate compounded semaglutide always requires a US-licensed prescriber, a real prescription, and a US-based 503A pharmacy. Anything skipping these steps is not compounded semaglutide in any regulatory sense.

What If a Pharmacy Partner Changes Mid-treatment?

Telehealth platforms sometimes rotate pharmacy partners. Your prescription may route to one pharmacy this month and a different one the next. Either way, every bottle should still arrive with the dispensing pharmacy name, state license number, and BUD on the label.

If you notice a change, the platform should disclose it on request. The molecule is the same (semaglutide is semaglutide), but the excipients and BUDs may differ slightly between pharmacies. Watch the printed dating on each new bottle rather than assuming it matches the prior one.

Can I Request a Specific Pharmacy?

Some platforms let you request a particular partner pharmacy. Others route by geography or load balancing. If pharmacy choice matters to you (PCAB status, specific formulation), ask the platform during intake.

Bottom line: STEP 1 (Wilding et al. 2021 NEJM) data on 14.9% weight loss applies to the molecule, not specifically to compounded versions

FAQ

Can I Order Compounded Semaglutide Directly From the Pharmacy?

No. 503A compounding requires a patient-specific prescription from a licensed prescriber. You cannot bypass the prescriber and order directly from the pharmacy. Telehealth platforms like TrimRx provide the clinical evaluation and prescription, then route the prescription to a partner pharmacy.

Are the Pharmacies Inspected?

Yes. State boards of pharmacy inspect 503A facilities regularly. PCAB-accredited facilities also undergo third-party inspections every 3 years. The FDA can also inspect 503A facilities, though it does so less often than for 503B outsourcing facilities.

Why Does My Label Not Show the Pharmacy?

It should. Federal labeling requirements (USP 17.10) require the dispensing pharmacy name and license number on every prescription label. If your label is missing this, the product is either mislabeled (which is a state board violation) or counterfeit.

Does the Same Molecule Come From All 503A Pharmacies?

The active ingredient is the same semaglutide molecule. Quality varies by API source, sterile compounding practices, and potency assay rigor. A PCAB-accredited pharmacy with third-party tested API is much more reliable than an un-accredited operation.

What’s the Difference Between Compounded and a Generic?

A generic is FDA-approved with full bioequivalence data versus the brand reference product. A compounded version is custom-made by a pharmacy and has no FDA bioequivalence data. The molecule is the same, but the formulation, sterility profile, and stability data depend on the compounder.

Will 503A Semaglutide Compounding Stay Legal?

As of 2026, yes. 503A compounding for individual patient prescriptions is permitted under section 503A of the Federal Food Drug and Cosmetic Act. Novo Nordisk has challenged some compounding practices in court, but patient-specific compounding remains lawful in 2026.

How Do I Find a US Pharmacy Near Me That Compounds Semaglutide?

Use the PCAB pharmacy locator at achc.org or the state board of pharmacy roster for your state. Many compounding pharmacies are mail-order from out of state, so geographic proximity matters less than licensure and accreditation.

Disclaimer: This content is for informational purposes only and does not constitute medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or condition. Individual results may vary. Always consult a qualified healthcare professional before starting any weight loss program or medication.