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

Short answer: after the FDA and state boards pushed back on compounded GLP‑1 products, most reputable telehealth clinics stopped offering or actively discouraging compounded semaglutide/tirzepatide. A few telehealth companies still handle GLP‑1 care, but they generally prescribe FDA‑approved branded GLP‑1s (Wegovy, Ozempic, Rybelsus, Mounjaro/Zepbound) or will write a prescription you can take to a compounding pharmacy — they rarely advertise or directly sell compounded injectables anymore.

What to expect and who to check with

• Large telehealth clinics you can contact (they mostly now prescribe branded products or write scripts to a pharmacy): Ro (Roman), Hims & Hers, PlushCare, GoodRx Care (HeyDoctor), Calibrate. Why mention them: they’re national, clinician‑led programs that adjusted policies after the FDA notices and will be transparent about whether they will write for compounding vs an FDA‑approved drug.
• National compounding pharmacies that have been known to fill compounded GLP‑1 prescriptions if you provide a valid prescription: Wedgewood Pharmacy, Empower Pharmacy. Why mention them: they’re large, serve clinicians nationally, and many are PCAB‑accredited — but accreditation and services vary, so always confirm.
• Local compounding pharmacies: some state‑licensed local compounding pharmacies will still compound if a licensed prescriber writes a lawful prescription. Availability varies by state and by the pharmacy’s own policies.

Important safety and legal points (read before you order)

• The FDA cautioned against compounded GLP‑1s because of potency, sterility, and sourcing concerns. Many reputable telehealth providers stopped offering them for safety/liability reasons.
• If a telehealth site or pharmacy offers very cheap injectables shipped without clear credentials, that’s a red flag. Ask for pharmacy accreditation (PCAB), batch testing or certificate of analysis, and the clinician’s credentials.
• Compounded GLP‑1s typically require an in‑person or telehealth evaluation and a prescription; a pharmacy should not dispense without one. Laws and enforcement differ state‑by‑state.
• Consider FDA‑approved options first — they have established dosing, manufacturing standards, and safety data.

What I recommend you do next

1. If you want a telehealth option: contact one of the large clinics above (Ro, Hims & Hers, PlushCare, GoodRx Care, Calibrate) and ask explicitly whether they (a) prescribe branded GLP‑1s, (b) will write a prescription for compounding, and (c) which pharmacies they work with.
2. If you’re considering a compound: ask the pharmacy for PCAB accreditation, sterility/quality testing documentation, and the drug source.
3. Talk to your prescriber about risks and FDA‑approved alternatives.

If you want, tell me your state and whether you prefer an in‑person or telehealth visit and I can look up likely providers and sample questions to ask them.