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
Disclosure: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It does not buy a better score, a higher ranking, or the removal of any criticism. The scoring rubric and the full disclosure are both published.
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 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 |
| 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 |
| Zealthy Low-cost entry with insurance routing | Compounded | $216 | 3.5 |
| LifeMD Insurance coordination | Compounded | $149 | 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
21 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.