Using the shot

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

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. No way to reach anyone after you have paid. Check for a support route *before* ordering, not after a dose goes wrong at 11pm.
  6. 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.
  7. Payment only by bank transfer, crypto or gift card. Legitimate healthcare businesses take ordinary card payments with the consumer protections that carry.
  8. 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.
  9. 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

  1. Ask the provider, in writing, which pharmacy fills the prescription and whether it is a 503A pharmacy or a registered 503B outsourcing facility.
  2. Look the pharmacy up with the state board of pharmacy in the state it operates from. Licences are public records.
  3. Check the NABP list of accredited and not-recommended sites before ordering from a seller you do not recognise.
  4. 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

ProgrammePer monthDose-priceOur score
Coreage Rx
Best overall on true monthly cost
$199Flat4.5
Trimi
Lowest flat price with named pharmacies
$125Varies4.6
PlexusDx
Pharmacy transparency and genetic testing
$189Varies4.4
Ozari Health
Lowest advertised semaglutide price
$125Varies4.4
Fifty 410
Prepaid blocks with no subscription
$133Varies4.2
Ivím Health
Unlimited clinician access
$199Varies4
Mochi Health
Insurance concierge support
$278
incl. $79 fee
Varies3.6
Coby Health
Multi-month value with supplies included
$239Varies3.6
Hims & Hers
Widest range of formats
$238
incl. $39 fee
Varies3.5
Ro
Branded medication with insurance help
$448
incl. $149 fee
Varies3.5
Zealthy
Low-cost entry with insurance routing
$216Varies3.5
LifeMD
Insurance coordination
$149Varies3.5

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

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  • 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.