Patient portal
Our sourcing

We choose our pharmacies.

Most telehealth companies take whichever pharmacy their platform assigns them, and most of them will never tell you which one it was. We do it the other way around. We built a grading matrix, we have run more than eighty compounding pharmacies through it, and the ones that fill your prescriptions are named on this page.

This is not a badge, it is a working document. When a partner changes, this page changes with it, because we would much rather update a page than quietly reroute a prescription and hope nobody asks.

Five categories, scored the same way every time. Weights not shown.

80+Pharmacies graded
5Categories, same questions every time
2Filling prescriptions today
How we grade

How we grade a pharmacy.

The matrix is ours and we are not going to publish the weights, partly because the weighting is most of the work and mostly because it is the thing a pharmacy would optimise for if it could see it. What we will publish is what we look at. Every candidate gets the same five categories and the same questions, and every score carries a confidence number alongside it, so a strong result built on thin evidence gets flagged rather than quietly counted.

A handful of findings end the conversation before any of this happens. Those are not scored, they are just the end of the file.

01

Who they are

Who owns the pharmacy, whether there is a pharmacist we can actually get on the phone, how long they have been doing this, and whether they compound in the state they say they do. The last question in this section is the one we keep coming back to, which is whether we would be comfortable putting a camera inside the lab, because if we would not film it we should not be selling from it.

What we score
  • Ownership and independence
  • A named pharmacist
  • Years in operation
  • Compounds in-state
  • Would we film inside it
02

What they can actually make

A certified sterile suite, because without one there are no injectables and without injectables there is no GLP-1. Then testing, and specifically whether potency, sterility and stability testing happens in house or gets sent out and forgotten about. Then range, because a pharmacy built entirely around whatever is selling this year is a pharmacy with a short shelf life.

What we score
  • Certified sterile suite
  • Injectable capability
  • In-house potency, sterility and stability testing
  • Range beyond the current trend
03

Their record

Regulatory history comes first, meaning anything the FDA or a state board has on file and, just as importantly, whether it was resolved and documented. A repaired problem with receipts tells us more than a blank page does. Then reviews, weighted by how many there are, because eleven reviews is not a reputation. Then transparency, which is a published license number, certificates of analysis when we ask, and a straight answer about who supplies the active ingredient.

What we score
  • FDA and state board history
  • Documented remediation
  • Review volume and sentiment
  • Published license numbers
  • Accreditation
04

Where the ingredients come from

Country of origin for the active ingredient, the original manufacturer rather than the distributor who resold it, whether that manufacturer sits on the FDA import alert green list, batch specific certificates of analysis instead of a generic one, and the name of the independent lab that did the testing. This is the section most pharmacies cannot answer, and how a pharmacy handles being asked tells us nearly as much as the answer does.

What we score
  • Country of origin
  • Original manufacturer named
  • FDA import alert green list status
  • Lot-level certificates of analysis
  • Named third-party lab
05

Whether it works in practice

Have they filled for a telehealth practice before, do they have a validated cold chain for injectables, and can they hold a shipping schedule week after week. A pharmacy that grades beautifully on paper and then learns the operational side on our patients is not a partner, it is a risk we chose.

What we score
  • Telehealth fulfillment experience
  • Validated cold chain
  • Shipping reliability
  • Systems that connect to ours
The network today

The two pharmacies we use.

Here they are, by name. Under each one you will find two lists kept deliberately apart: what the pharmacy publishes about itself, in their words, and then what we think, in ours. We have kept them separate so you can always tell which is which.

The Pharmacy Hub

The Pharmacy Hub LLC
Location
Davie, Florida
What they fill for us
Women's health and NAD+ nasal spray
Check them yourself
www.thepharmacyhub.com
What they publish about themselves
  • Resident and non-resident pharmacy licenses maintained across all fifty states, with forty-nine shown on their public coverage map
  • LegitScript certified, connected to the Surescripts e-prescribing network, with HIPAA safeguards documented
  • USP <795> and USP <800> standards for non-sterile compounding and hazardous drug handling
  • Temperature controlled packaging on monitored shipping lanes as a standard service rather than an upgrade
  • One 110,000 square foot pharmacy and fulfillment campus, shipping to all fifty states and Puerto Rico
  • A formulation team that compounds to the prescription rather than to a fixed catalog
Why we chose them

Women's health is the reason we went looking. The estradiol shortage has been pushing women toward compounded hormone therapy, and what those women need is gels and patches and creams and troches, which is a genuinely different craft from filling a vial. The Pharmacy Hub compounds to the prescription instead of to a catalog, so a provider can write the strength and the base a particular patient needs rather than picking the nearest thing off a menu, and for hormone therapy that flexibility is most of the value. Their compliance page opens with a line we wish more pharmacies would borrow, that the credentials are operating requirements and not marketing, and they publish a claims methodology saying a number does not go on their site until it has been verified, which is close enough to how we try to write that we noticed it. We are not going to tell you a national fulfillment campus is a boutique pharmacy, because it is not one. It is a large, licensed, careful operation, and for hormone therapy that has to reach patients in every state we think that is the right answer rather than a compromise.

Vials RX

VialsRX
Location
Tomball, Texas
What they fill for us
GLP-1 therapy, microdosing, and NAD+ injections
Check them yourself
vials.ai
What they publish about themselves
  • A 503A compounding pharmacy licensed by the Texas State Board of Pharmacy, license number 35264
  • LegitScript certified, with the seal published on their own site
  • USP compliant sterile labs
  • Most approved prescriptions compounded and dispatched within twenty-four to forty-eight hours
  • A deliberately narrow focus, weight management and anti-aging only
  • Refills routed through the prescribing provider rather than direct to the patient
Why we chose them

They only do two things, and after reading a great many pharmacy websites we have come to trust the ones with a short list. That narrow focus shows up where it counts, which is turnaround, because an approved prescription usually goes out inside a day or two and on a titration schedule a missed week sets the whole ladder back further than people expect. Their refill policy runs through the prescribing provider instead of straight to the patient, which is the slower choice and the more careful one, and they made it anyway. They came through the matrix with a clean record, they have shipped every GLP-1 order we have written, and nothing has gone wrong. That last part is a low bar, and it is also the only bar that gets tested every single week.

Both pharmacies are independent businesses and neither one is owned by us or by our platform, which is the arrangement we wanted. The claims above are theirs, published on their own sites, and we have linked to them so you can read the originals rather than take our summary for it.

What comes next

We are adding smaller regional pharmacies.

Two pharmacies covering the country is a starting position rather than a finished network. The candidates we are working through the matrix now are smaller and more regional, most of them independently owned, in some cases a single lab in a single state, and we are looking at them because of how they work rather than because of how much volume they can absorb.

Some of them will never ship outside their own state, and that is fine with us. A patient in Washington getting a prescription made in Washington by a pharmacist whose name we know is the version of this we actually want, and the only reason it is not the whole story yet is that we are early, and we would rather say so than draw a map we cannot fill in.

When one of them passes, it goes on this page the same way these two did, with what they publish and what we think, side by side.

Run a compounding pharmacy?

We are always grading, and we are particularly interested in independent labs that can talk about where their active ingredients come from. If that sounds like you, tell us about your pharmacy and we will run it through the same five categories as everybody else.

Get in touch
Back to the pharmacyHow we operate