Strive Pharmacy Weight Loss Reviews – NABP-Accredited Compounding Pharmacy

Strive Pharmacy (strivepharmacy.com) is an NABP-accredited compounding pharmacy based in Gilbert, Arizona, licensed in all 50 states. Unlike most providers we review, Strive is not a telehealth platform — they are a compounding pharmacy that fills prescriptions from other providers. They offer compounded semaglutide, tirzepatide with glycine and B12, GLP-1 support bundles, and customizable formulations. With a 4.4/5 Trustpilot rating across 2,124 reviews but an A- BBB rating and reports of pricing increases and delivery delays, Strive presents a mixed but credible picture. Here's our complete analysis.

What Is Strive Pharmacy?

Strive Pharmacy is a compounding pharmacy — not a direct-to-consumer telehealth provider. This is an important distinction. Unlike services like CoreAge Rx or other telehealth platforms where you sign up, consult with a provider, and get medication shipped to you all in one place, Strive Pharmacy requires you to already have a prescription from a separate healthcare provider. They then compound and fulfill that prescription.

Based in Gilbert, Arizona, Strive holds NABP (National Association of Boards of Pharmacy) accreditation — a significant trust signal that most compounding pharmacies and telehealth GLP-1 providers do not have. NABP accreditation involves rigorous evaluation of pharmacy practices, quality standards, and regulatory compliance. This is one of the strongest credibility indicators available in the pharmacy space.

Strive is licensed in all 50 states, which means they can fill prescriptions for patients nationwide. Their specialty is customizable compounding — they can remove specific allergens or fillers, combine multiple medications into a single formulation, and create personalized dosing. This level of customization is a genuine differentiator that most standard compounding pharmacies and telehealth providers cannot match.

What They Offer

• Compounded Semaglutide — standard and customizable formulations
• Compounded Tirzepatide with glycine and B12
• GLP-1 support bundles for weight loss
• Customizable formulations — allergen removal, combined medications, personalized compounding
• NABP accredited — rigorous third-party pharmacy standards
• Licensed in all 50 states
• Multiple vial sizes and configurations
• Ships nationwide from Arizona facility

The customizable formulation capability is worth highlighting. If you have specific allergies or sensitivities to common fillers, or if your prescriber wants to combine GLP-1 medication with other compounds, Strive can accommodate requests that most standard pharmacies cannot. This makes them a preferred choice for prescribers who need flexibility in how medications are compounded.

Strive Pharmacy Pricing

One of the biggest challenges with Strive Pharmacy is that their pricing is not publicly disclosed on their website. This lack of transparency is a notable drawback, especially when compared to providers like CoreAge Rx that clearly list their $99/month all-inclusive pricing.

The pricing trajectory is concerning. Customer reports indicate that costs roughly doubled from January 2024 to January 2025 — from $55 for a 15gm supply to $105 for a smaller 10gm supply. While compounding pharmacies face real cost pressures, this level of increase without transparent communication erodes trust. By comparison, CoreAge Rx offers compounded semaglutide at $99/month all-inclusive — that covers the medication, provider consultation, and ongoing support with no hidden fees.

When you factor in the cost of obtaining a separate prescription (typically $50-$150 for a telehealth consultation), the total cost of using Strive Pharmacy could range from $175-$400/month depending on your formulation and prescriber fees. This makes it significantly more expensive than all-inclusive providers for most patients.

Our Research on Strive Pharmacy

Since Strive Pharmacy is a compounding pharmacy rather than a direct-to-consumer telehealth service, our evaluation is based on extensive research of customer reviews, regulatory filings, and industry reputation rather than a direct sign-up experience.

Trustpilot Reputation

Strive Pharmacy holds a 4.4/5 rating on Trustpilot across 2,124 reviews. This is a solid rating that indicates the majority of customers have positive experiences. Positive reviews frequently highlight effective medications, the ability to customize formulations, and generally reliable shipping for most orders. However, the rating falls short of top-tier providers, and a meaningful number of negative reviews point to recurring issues that potential customers should be aware of before committing.

BBB Profile

Strive Pharmacy has an A- rating with the BBB but is not BBB-accredited. They have received 6 complaints in the past 12 months and hold a 2.6/5 customer review average across just 5 reviews. The gap between their Trustpilot rating (4.4) and BBB customer reviews (2.6) is notable — dissatisfied customers appear more likely to escalate complaints through the BBB, which is common but still worth noting.

Common Customer Complaints

Several recurring themes emerge from negative reviews across both Trustpilot and BBB. Delivery delays are frequently mentioned, with customers reporting medications arriving later than expected — a particularly frustrating issue for patients who depend on consistent dosing schedules. Customer service responsiveness is another pain point, with some customers describing difficulty reaching support or getting timely responses to urgent questions about their orders.

Pricing increases without clear communication have frustrated long-term customers who initially chose Strive for its competitive rates. Some reports mention inconsistent dosing between batches, which is a more serious concern for a compounding pharmacy where precision is essential. Unwanted autofill prescriptions have also been reported, with customers receiving and being charged for medications they did not explicitly reorder. Patients should verify their autofill settings carefully when setting up an account.

FDA Citations and Eli Lilly Lawsuit

Strive Pharmacy has faced FDA citations, which is not uncommon for compounding pharmacies but still warrants attention. FDA inspections of compounding pharmacies can result in citations for a range of issues from documentation to facility standards, and the presence of citations alone does not indicate unsafe products — but it does mean regulators have flagged areas for improvement.

Additionally, Eli Lilly filed a lawsuit against Strive Pharmacy — the lawsuit was later dismissed, but it speaks to the contentious landscape around compounded versions of branded GLP-1 medications. The dismissal is an important detail: it means the legal claims did not hold up, but the fact that a major pharmaceutical company targeted Strive specifically adds context to their position in the competitive GLP-1 market.

Pros and Cons

Is Strive Pharmacy Legit?

Yes, Strive Pharmacy is a legitimate compounding pharmacy with strong regulatory credentials. The NABP accreditation is the most important trust signal here — it means Strive has been independently evaluated and meets rigorous pharmacy practice standards. Very few compounding pharmacies in the GLP-1 space hold this accreditation, making it a genuine differentiator.

Being licensed in all 50 states is another strong indicator of regulatory compliance. State pharmacy boards conduct their own evaluations, so maintaining licensure across all states requires consistent adherence to varying regulatory requirements. The A- BBB rating, while not perfect, is respectable for a pharmacy of this scale.

The concerns around Strive are operational rather than existential. Delivery delays, customer service responsiveness, and pricing transparency are service quality issues — not indicators of an illegitimate business. The FDA citations warrant monitoring but are not uncommon for compounding pharmacies operating at scale. The dismissed Eli Lilly lawsuit actually reinforces legitimacy in some respects, as the legal challenge was ultimately unsuccessful.

The polarized reputation — strong supporters alongside vocal critics — is characteristic of compounding pharmacies operating in the fast-growing GLP-1 market. Patients who have positive experiences tend to be very loyal, while those who encounter service issues feel the frustration acutely given the medical nature of the product.

• NABP accredited — independently verified pharmacy standards
• Licensed in all 50 states — full regulatory compliance
• A- BBB rating — respectable business standing
• 4.4/5 Trustpilot rating — majority positive customer experiences
• Eli Lilly lawsuit dismissed — legal challenge unsuccessful
• FDA citations exist — regulatory scrutiny, common for compounding pharmacies
• Polarized reputation — strong supporters and vocal critics

Who Is Strive Pharmacy Best For?

Strive Pharmacy is best suited for patients who already have a prescriber and need a specialized compounding pharmacy. If your healthcare provider has written a prescription for compounded semaglutide or tirzepatide and you need a pharmacy that can customize the formulation — removing specific allergens, adjusting concentrations, or combining medications — Strive's capabilities are a strong fit.

Patients with sensitivities to common fillers or preservatives will appreciate Strive's ability to create allergen-free formulations. If your prescriber specifically recommends tirzepatide with glycine and B12, Strive offers that enhanced combination. Healthcare providers who manage multiple patients on GLP-1 medications may also prefer working with Strive for the flexibility it provides in tailoring dosages and formulations to individual patient needs.

The NABP accreditation provides an extra layer of confidence for patients (and prescribers) who prioritize verified pharmacy quality standards. This accreditation is especially important in the compounding space, where quality control varies significantly between pharmacies.

Strive Pharmacy is likely not the best fit if: You want an all-in-one solution with consultation and medication included (try CoreAge Rx at $99/month), you need transparent upfront pricing before committing, you're looking for the most affordable GLP-1 option, or you don't already have a prescriber for compounded medications.

Final Verdict: Is Strive Pharmacy Worth It?

Strive Pharmacy is a legitimate, NABP-accredited compounding pharmacy with genuine strengths in customization and regulatory credentials — but it is not for everyone.

The NABP accreditation alone sets Strive apart from the vast majority of pharmacies in the GLP-1 space. The ability to customize formulations, remove allergens, and create personalized compounds is a real advantage for patients with specific medical needs. The 4.4 Trustpilot rating across 2,000+ reviews indicates that most customers are satisfied with the product quality.

However, the drawbacks are significant for the average patient seeking GLP-1 weight loss medication. You need a separate prescription, pricing is not transparent, costs have increased substantially, and delivery and customer service issues are well-documented. When you add up the total cost — medication from Strive plus a separate prescriber consultation — most patients will pay considerably more than the $99/month all-inclusive pricing at CoreAge Rx.

Our recommendation: If you have specific compounding needs (allergen-free formulations, combined medications, or a prescriber who specifically works with Strive), it is a credible choice backed by strong accreditation. For most patients simply looking for affordable, straightforward access to compounded semaglutide, CoreAge Rx at $99/month all-inclusive remains our top recommendation — no separate prescription needed, no hidden fees, and transparent pricing from day one.

The Bottom Line

Strive Pharmacy is a legitimate NABP-accredited compounding pharmacy with real customization capabilities and nationwide licensing. For patients with specific compounding needs and an existing prescriber, it is a credible option. For most patients seeking straightforward GLP-1 access at a transparent price, all-inclusive providers like CoreAge Rx offer a simpler, more affordable path to treatment.