Which telehealth services still offer compounded GLP-1s after the FDA crackdown?

Short answer: I can’t give a reliable, up‑to‑the‑minute list of telehealth companies that still supply compounded GLP‑1 products — and for safety reasons I don’t recommend seeking compounded GLP‑1s except in rare, clinician‑directed cases. After repeated FDA warnings about compounded semaglutide/tirzepatide (contamination, improper dosing, and illegal promotion for weight loss), most large telehealth companies and legitimate pharmacies stopped offering them.

What to know and safer alternatives

• FDA stance: the FDA has warned against compounded versions of semaglutide/tirzepatide marketed for weight loss because they may be unsafe and lack required manufacturing controls.
• Why that matters: compounded peptides can be contaminated or mis‑dosed, and quality/sterility testing is often not equivalent to FDA‑approved manufacturing.
• Safer route: use a licensed telehealth provider who prescribes FDA‑approved GLP‑1 products (e.g., Ozempic, Wegovy, Rybelsus, Mounjaro where approved). Those come from vetted manufacturers and major pharmacies with proper cold‑chain and testing.

Reputable telehealth providers that commonly prescribe FDA‑approved GLP‑1s (examples)

• Hims & Hers — offers online weight‑loss consultations and can prescribe FDA‑approved GLP‑1s when clinically appropriate; uses established pharmacies.
• Ro (Roman) — operates telehealth weight‑loss services and fills prescriptions through partner pharmacies; focuses on clinical oversight.
• PlushCare — telemedicine primary‑care/weight‑loss visits with prescribing of FDA‑approved GLP‑1s when appropriate.
• GoodRx Care — connects patients to clinicians who can prescribe FDA‑approved GLP‑1s and provide coupons/fulfillment options.

(These are examples of mainstream telehealth services that emphasize prescribing approved products rather than compounded peptides. Availability varies by state and clinical criteria.)

If you’re considering a compounded product anyway — questions to ask the provider/pharmacy

• Why is a compounded version medically necessary vs. an FDA‑approved product?
• Is the compounding pharmacy PCAB‑accredited (or similarly certified)?
• Can they provide a Certificate of Analysis (COA) and lot testing/sterility documentation?
• Who is the prescribing clinician and will they provide follow‑up monitoring?
• Where will it be dispensed and shipped (cold‑chain handling)?

What I can do next

• If you name a specific telehealth company or compounding pharmacy you’re seeing, I can help check whether they’ve publicly stopped or changed their policy (note: I can’t guarantee real‑time status).
• Or I can help you find reputable telehealth options in your state that prescribe FDA‑approved GLP‑1s and explain cost/insurance steps.

Bottom line: avoid compounded GLP‑1s unless a trusted clinician documents a medical need and you can verify pharmacy accreditation and testing. Prefer providers that prescribe FDA‑approved GLP‑1 medications.