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

The landscape for compounded GLP-1s is indeed very complex and rapidly changing due to increased FDA scrutiny and supply chain issues with the branded medications (Ozempic, Wegovy, Mounjaro, Zepbound).

The FDA has repeatedly warned consumers about the risks associated with compounded versions of GLP-1 receptor agonists, particularly those containing semaglutide sodium or semaglutide acetate, which are different salt forms from the active ingredient in approved drugs (semaglutide base). They are not approved for injection and their safety and efficacy are not established. The FDA strongly advises using approved, brand-name medications when available.

However, recognizing the high demand and often prohibitive cost/availability of branded drugs, some telehealth services continue to work with compounding pharmacies.

Here are some services that have been known to offer compounded GLP-1s, with important caveats:

• Henry Meds: They explicitly advertise compounded semaglutide and tirzepatide programs. They partner with specific compounding pharmacies and are quite transparent about their process.
• Mochi Health: Focuses on obesity treatment and may offer compounded medications if clinically appropriate and branded versions are not available or suitable. They emphasize a comprehensive approach including coaching.
• Push Health / Alpha Medical / Hello Alpha: These are platforms that connect you with independent healthcare providers. Whether a provider on these platforms prescribes compounded GLP-1s will depend entirely on the individual provider's practice, their assessment of your needs, and the compounding pharmacies they choose to work with. It's not a direct offering from the platform itself.
• Sequence / WeightWatchers Clinic / Form Health / Found: These services primarily focus on comprehensive medical weight management, often preferring to prescribe branded GLP-1s when appropriate. However, if branded options are unavailable or unaffordable, some of their affiliated providers might consider compounded alternatives from their partner pharmacies, though this is less explicitly advertised as their primary offering compared to Henry Meds. You would need to consult with a provider through their service.

Crucial Considerations and What to Ask:

Given the FDA warnings, it's absolutely critical to exercise extreme caution and ask specific questions:

1. Which Compounding Pharmacy Are They Using? A reputable telehealth service should be transparent about the specific US-based, state-licensed, and ideally PCAB-accredited compounding pharmacy they partner with. You can often verify the pharmacy's license with your state board of pharmacy.
2. What is the Exact Active Ingredient? Ask if the compounded medication uses semaglutide base (which is the active ingredient in approved drugs) or if it's a salt form like semaglutide sodium or semaglutide acetate. The FDA has specifically warned against non-approved salt forms.
3. What is the Cost and Supply Chain? Understand the pricing structure, how refills are handled, and how they ensure a consistent, safe supply.
4. Are There Clear Disclaimers? A responsible service will clearly explain that compounded drugs are not FDA-approved, may have different safety profiles, and are not identical to brand-name medications.
5. Is There Comprehensive Medical Oversight? Ensure you receive a thorough medical evaluation, ongoing monitoring, and support from a licensed healthcare provider, not just a prescription.

My Recommendation:

If you are considering compounded GLP-1s, I would recommend starting with Henry Meds or Mochi Health because they are more transparent and structured in their approach to offering these specific medications. However, regardless of the service, it is paramount that you have a detailed conversation with the prescribing provider about the specific compounding pharmacy, the exact active ingredient (insist on knowing if it's "semaglutide base" or a different form), and all potential risks and benefits.

Always prioritize your safety and consult with a qualified healthcare professional who can guide you through the best and safest treatment options for your individual health needs.