The GLP-1 telehealth market has hundreds of providers. Most are legitimate. Some are not. The FDA took enforcement action against 30+ companies in March 2026. Here's how to tell the difference.
1. Licensed Prescriber
Your prescription must come from an MD, DO, NP, or PA licensed in your state. Verify at your state medical board website. If the provider won't tell you who prescribed, leave.
2. Medical Intake Before Prescribing
Health history, current medications, allergies, contraindications. If you received a prescription without any screening, that provider skipped basic safety.
3. 503A Pharmacy Sourcing
Ask whether your medication comes from a 503A (patient-specific) or 503B (outsourcing facility) pharmacy. With the FDA's proposed 503B exclusion, 503A is the more durable pathway.
4. Proper Labeling
Your medication should show: active ingredient and concentration, pharmacy name and license, your name, storage instructions, and expiration date.
5. Cold Chain Shipping
Injectable GLP-1s require refrigeration or cold packs during shipping. A padded envelope with no cooling in warm weather = potentially compromised product.
6. Follow-Up Care
Legitimate providers offer check-ins, dose adjustments, and side effect management. A refill mill that disappears between shipments is selling a product, not providing healthcare.
7. Transparent Pricing
Know exactly what you pay before committing. Auto-renewals without consent, hidden processing fees, and unclear refund policies are warning signs.
8. LegitScript Certification
Independent third-party verification of healthcare website compliance. Not all legitimate providers have it, but those who do have been scrutinized.
Immediate Deal-Breakers
No physician in prescribing chain. Medication with no pharmacy labeling. Overseas shipping. "Guaranteed" results. Social media ads with no prescription mention. Pressure to buy before medical evaluation.
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