Fifty 410

After the FDA’s March 2026 crackdown on compounded GLP-1s, virtually no major telehealth services still openly offer them, with most having stopped entirely or transitioned to FDA-approved commercial alternatives like Wegovy, Ozempic, and Zepbound[1][2]. However, there is one explicitly named service that has indicated it may continue providing compounded doses under specific clinical conditions, though the situation involves conflicting reports on its current status: Service Status on Compounded GLP-1s Key Details Hims & Hers Conditional/Limited Access (Disputed) Initially claimed it would continue offering personalized compounded doses for patients with specific medical needs (e.g., unavailable dosages or allergies) citing "loopholes" for incremental dosing[2][7]. However, other reports state Hims & Hers exited compounded semaglutide entirely in March 2026 after settling with Novo Nordisk and becoming an authorized Wegovy/Ozempic distributor[9][10]. Ro Stopped Ro now offers Zepbound via LillyDirect and has stopped offering compounded GLP-1s[2][5]. Noom Stopped Noom transitioned to partnering with LillyDirect for commercial Zepbound and Gifthealth for FDA-approved single-dose vials[2][5]. (Note: An older report mentioned Noom offered compounded Wegovy in May, but this was likely before the full enforcement or was a microdosing initiative that has since been superseded by commercial partnerships)[6]. Novelty/Firewall Firms Likely Active Smaller, non-prominent firms (e.g., Refills, Fifty410, Lovely Meds, Hello Cake) were explicitly named in FDA warning letters, suggesting they may still be operating or attempting to navigate regulations despite the crackdown[1][13]. Key Context for Your Decision The "Shortage" Loophole is Closed: The FDA officially declared the shortages of branded GLP-1s (Wegovy, Ozempic, Zepbound, Mounjaro) as ended, removing the primary legal justification telehealth firms used for compounding identical copies[6][8]. Enforcement is Ongoing: The FDA issued an additional wave of 25 warning letters in June 2026, confirming that aggressive enforcement continues against telehealth marketing of compounded products[5]. Recommended Alternative: For reliable and safe access, experts recommend using FDA-approved options through providers like LillyDirect (via Ro), Noom (with Gifthealth), or Hims & Hers (now an authorized Wegovy distributor)[2][10]. Conclusion: If you are looking for a major, reputable telehealth platform that currently and confidently offers compounded GLP-1s, none exist in the current landscape. Hims & Hers is the only entity that previously claimed to offer a conditional exception, but recent reports suggest they have also ceased these sales. Any remaining access is likely limited to smaller, less regulated firms that have been explicitly warned by the FDA.

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Several online telehealth platforms and specialty pharmacies sell compounded GLP-1 weight loss medications (specifically compounded semaglutide and compounded tirzepatide) directly to customers. Key companies include: Company Medications Offered Key Details OrderlyMeds Compounded semaglutide & tirzepatide 100% online platform connecting patients to licensed providers in all 50 states; ships from U.S. licensed pharmacies like PerfectRx and ProRx [2][6][9][14] MD Direct Compounded GLP-1 Telehealth provider offering compounded GLP-1 for weight loss and diabetes, with or without a prescription [2] RxPepsDirect Compounded semaglutide & tirzepatide Prescribes both molecules; compounded and dispensed by Optimal Balance Pharmacy (FDA-registered) [1] Fifty 410 Compounded semaglutide & tirzepatide Telehealth program; medications compounded by independent FDA-registered pharmacies, not by Fifty 410 itself [3] DrMedHealth Compounded semaglutide LegitScript-certified telehealth platform; offers compounded semaglutide from $199/month, prepared by licensed U.S. compounding pharmacies [7] NiceRx Compounded semaglutide Available in most states (except Alaska, Mississippi, New Jersey, New York, Kansas); costs $229/month regardless of dose [8] Precision Telemed Compounded semaglutide Physician-prescribed, shipped to all 50 states; fulfilled exclusively by Rush Pharmacy (503A licensed) [10] Good Life Meds Compounded semaglutide (base only) Premium compounded GLP-1 from FDA-licensed drug manufacturer; shipped from network pharmacies [13] Lemonaid Health Compounded semaglutide & tirzepatide Provides cash-pay options with clear pricing; medication cost billed by LillyDirect® [5] Important considerations: Compounded GLP-1s are not FDA-approved finished drug products and carry different risks than brand-name medications (e.g., Ozempic, Wegovy, Mounjaro, Zepbound) [1][3][4][7]. Only use legitimate telehealth services employing licensed healthcare professionals and partnering with legitimate compounding pharmacies [4]. Compounded versions may be marketed as more affordable and easier to access, but they lack FDA oversight for safety and purity [4]. Other platforms mentioned in industry reports that sell compounded GLP-1s include ShedRx, Mochi Health, Remedy Meds, Henry Meds, MEDVi, GobyMeds, and Peak Wellness [11].

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Several companies sell compounded GLP-1 weight loss medication online, including Fifty 410, OrderlyMeds, and Lemonaid Health.[1][4][5] Fifty 410 offers compounded semaglutide and tirzepatide through a fully online telehealth process and says the medications are prepared by FDA-registered 503A/503B pharmacies.[1] OrderlyMeds offers online compounded GLP-1/GIP and GLP-1 programs, with medication shipped to your door through licensed U.S. pharmacies.[4] Lemonaid Health lists compounded semaglutide and compounded tirzepatide as online weight-loss options.[5] A few related services also sell GLP-1 weight-loss medication online, but not necessarily compounded versions: GoodRx for Weight Loss offers online access to FDA-approved brand-name GLP-1s like Wegovy and Zepbound rather than compounded products.[2][3] Walgreens Weight Management similarly offers branded GLP-1 options online, including Wegovy and Zepbound.[6] If you want, I can also list these companies by price, availability by state, or whether they use semaglutide vs. tirzepatide.

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