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
DISCLOSURE — Coreage Rx pays this desk a commission when a reader signs up through our link. It buys no ranking, no score and no deletions. Method: how we rate. Full terms: disclosure.
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
- 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.
- 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.
- 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.
- 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.
- No way to reach anyone after you have paid. Check for a support route *before* ordering, not after a dose goes wrong at 11pm.
- 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.
- Payment only by bank transfer, crypto or gift card. Legitimate healthcare businesses take ordinary card payments with the consumer protections that carry.
- 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.
- 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
- Ask the provider, in writing, which pharmacy fills the prescription and whether it is a 503A pharmacy or a registered 503B outsourcing facility.
- Look the pharmacy up with the state board of pharmacy in the state it operates from. Licences are public records.
- Check the NABP list of accredited and not-recommended sites before ordering from a seller you do not recognise.
- Ask for a certificate of analysis. Very few providers offer one unprompted — in our roster only Trimi and PlexusDx publish pharmacy details openly.
Read this bit. 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
| Programme | Advertised | Billed | Gap | Vs board floor |
|---|---|---|---|---|
| Coreage Rx | $149 | $199 | +$50 | +$74/mo |
| Trimi | $125 | $125 | none | — |
| Ozari Health | $125 | $125 | none | — |
| Fifty 410 | $133 | $133 | none | +$8/mo |
| PlexusDx | $129 | $189 | +$60 | +$64/mo |
| Ivím Health | $199 | $199 | none | +$74/mo |
| Zealthy | $216 | $216 | none | +$91/mo |
| Hims & Hers | $199 | $238 | +$39 | +$113/mo |
| Coby Health | $179 | $239 | +$60 | +$114/mo |
| Mochi Health | $199 | $278 | +$79 | +$153/mo |
| Eden | $199 | $298 | +$99 | +$173/mo |
| Lemonaid Health | $229 | $348 | +$119 | +$223/mo |
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.
More from the desk
- The compounding rules
Cheap GLP-1s exist because of compounding. The FDA moved against it again in April. What that means for the board.
- The twelve-month cost
Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.
- Cheapest right now
Every programme sorted on what it bills, not what it advertises. Floor: $199/mo tirzepatide, $149/mo semaglutide.
- Six fee traps
Every advertised-to-billed gap on our board comes from one of these six structures. Learn them and you can read any of these sites in ninety seconds.
- 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.