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
How we are paid: one company on this page — Coreage Rx — pays us a commission if you sign up through our link. It does not buy a better score, a higher position, or the removal of a single criticism. Our rating method and full disclosure are both public.
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.
Worth knowing. 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
| Programme | Per month | Dose-price | Our score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | $199 | Flat | 4.5 |
| Trimi Lowest flat price with named pharmacies | $125 | Varies | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | $189 | Varies | 4.4 |
| Ozari Health Lowest advertised semaglutide price | $125 | Varies | 4.4 |
| Fifty 410 Prepaid blocks with no subscription | $133 | Varies | 4.2 |
| Ivím Health Unlimited clinician access | $199 | Varies | 4 |
| Mochi Health Insurance concierge support | $278 incl. $79 fee | Varies | 3.6 |
| Coby Health Multi-month value with supplies included | $239 | Varies | 3.6 |
| Hims & Hers Widest range of formats | $238 incl. $39 fee | Varies | 3.5 |
| Ro Branded medication with insurance help | $448 incl. $149 fee | Varies | 3.5 |
| Zealthy Low-cost entry with insurance routing | $216 | Varies | 3.5 |
| LifeMD Insurance coordination | $149 | Varies | 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
- Is compounded medication still legal?
Yes, but much more narrowly than in 2024. What changed, and the five questions to ask before you start.
- 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.
- Best programmes if this is your first time
Ranked on how they price the dose ladder and how reachable support is — the two things that decide whether a beginner stays on treatment.
- The dose ladder
Why you start low, how fast you climb, and why the price of each rung matters more than people expect.
- 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.