Strive Pharmacy Review
An in-depth look at Strive Pharmacy — an NABP-accredited compounding pharmacy offering custom semaglutide and tirzepatide formulations enhanced with glycine and B12, licensed in all 50 states.
Strive Pharmacy
NABP AccreditedStrive Pharmacy is an NABP-accredited compounding pharmacy offering custom GLP-1 formulations enhanced with glycine and vitamin B12. Unlike most telehealth GLP-1 providers, Strive is a dedicated compounding pharmacy that focuses on precision dosing and custom formulations.
Pricing is among the most affordable we've seen — semaglutide starting at $90/vial and tirzepatide starting at $100/package. Every formulation includes glycine (for muscle preservation during weight loss) and B12 (to help manage nausea), which is a unique value-add.
Licensed in all 50 states, Strive offers online ordering and home delivery. However, customer service has received mixed reviews — some patients report declining responsiveness and shipping issues. Pricing also isn't transparently displayed on their website, which may require contacting them for quotes.
Visit Strive Pharmacy$90
Semaglutide Starting / Vial
$100
Tirzepatide Starting / Pkg
NABP
Accredited Pharmacy
50
US States Licensed
Available Medications
Custom-compounded formulations with glycine and B12. Precision dosing tailored to your body.
Semaglutide / Glycine / B12
Compounded semaglutide enhanced with glycine for muscle preservation and B12 for nausea management. Weekly subcutaneous injection.
$90 /vial starting
Pricing varies by dosage and formulation
- ✓Glycine for muscle preservation
- ✓B12 for nausea management
- ✓Custom precision dosing
- ✓NABP-accredited pharmacy
Tirzepatide / Glycine / B12
Compounded tirzepatide with glycine and B12. Dual GIP/GLP-1 receptor agonist with enhanced formulation. Weekly subcutaneous injection.
$100 /package starting
Pricing varies by dosage and formulation
- ✓Dual GIP/GLP-1 mechanism
- ✓Glycine and B12 enhanced
- ✓Custom precision dosing
- ✓NABP-accredited pharmacy
What's Included
Every Strive Pharmacy formulation includes glycine and B12 with custom precision dosing and home delivery.
Compounded Medication
Custom-formulated semaglutide or tirzepatide with added glycine and B12 for enhanced results
Glycine Supplement
Amino acid added to preserve muscle mass during weight loss — included in every formulation
Vitamin B12
Cyanocobalamin added to help manage nausea — a common GLP-1 side effect
Custom Dosing
Precision dosing tailored to your unique body composition and medical requirements
Online Refills
Convenient online prescription refill and delivery services
All 50 States
NABP-accredited compounding pharmacy licensed to ship in all 50 states
Pros & Cons
Our honest assessment of Strive Pharmacy after evaluating their formulations, pricing, and customer experience.
Pros
- ✓Very affordable starting prices — semaglutide from $90/vial, tirzepatide from $100/package
- ✓Enhanced formulations with glycine (muscle preservation) and B12 (nausea management)
- ✓NABP-accredited compounding pharmacy — highest industry accreditation
- ✓Licensed in all 50 states for nationwide availability
- ✓Custom precision dosing tailored to individual body composition
- ✓Multiple weight loss medications available beyond GLP-1s (phentermine, naltrexone, amlexanox)
- ✓Convenient online ordering and home delivery
- ✓Detailed titration schedules provided for gradual dose increases
Cons
- ✕Mixed customer service reviews — reports of declining responsiveness
- ✕Low Yelp rating (2.8/5 from 91 reviews) indicating inconsistent experiences
- ✕Some reports of warm medication arrivals due to shipping delays
- ✕Pricing not transparently displayed — requires contacting for quotes
- ✕Previously named in Eli Lilly lawsuit (later dismissed)
- ✕Compounded medications are not FDA-approved brand-name drugs
- ✕Requires working through partnered providers for prescriptions
How It Works
Getting started with Strive Pharmacy is straightforward. Here's the process.
Provider Consultation
Work with a Strive provider or your own physician to develop a personalized weight loss plan.
Prescription Written
Your healthcare provider writes a prescription through Strive's network for compounded medication.
Custom Compounding
Strive compounds your medication with precision dosing, adding glycine and B12 to your formulation.
Home Delivery
Medication shipped directly to your door. Weekly subcutaneous injections with gradual dose titration.
Who Is Strive Pharmacy Best For?
Great Fit
- ✓Patients who want the most affordable GLP-1 pricing available
- ✓Anyone who values enhanced formulations with glycine and B12
- ✓Those who want custom precision dosing from an accredited pharmacy
- ✓Patients with their own prescriber who need a compounding pharmacy
May Not Be Ideal For
- —Patients who prioritize responsive customer service
- —Those who want transparent upfront pricing without contacting the pharmacy
- —Anyone who requires FDA-approved brand-name medications
Frequently Asked Questions
How much does Strive Pharmacy cost?
Strive Pharmacy offers compounded semaglutide/glycine/B12 starting at $90 per vial and tirzepatide/glycine/B12 starting at $100 per package. Actual pricing can vary — some patients report $125–$250 per 2ml vial depending on the formulation and dosage. Treatment plans through partner services start at $99/month for semaglutide and $180/month for tirzepatide.
What makes Strive's formulations different?
Strive adds glycine (an amino acid for muscle preservation during weight loss) and cyanocobalamin (vitamin B12) to their semaglutide and tirzepatide formulations. Glycine helps prevent muscle loss while losing weight, and B12 helps manage the nausea that's a common GLP-1 side effect.
Is Strive Pharmacy accredited?
Yes. Strive Pharmacy is NABP (National Association of Boards of Pharmacy) accredited, which is the highest industry accreditation for compounding pharmacies. They are licensed in all 50 states.
What is the titration schedule?
For semaglutide, dosing starts at 0.04 mL in weeks 1-4 and gradually increases to 0.44 mL by week 16+. For tirzepatide, dosing starts at 0.2 mL in weeks 1-4 and increases gradually over 20+ weeks to a maintenance dose of 1.4 mL. Your provider adjusts based on your response.
Do I need my own doctor?
You can work with a Strive provider or bring a prescription from your own physician. Strive Pharmacy is primarily a compounding pharmacy, so they work with both in-network providers and external prescribers.
What other weight loss medications are available?
Beyond semaglutide and tirzepatide, Strive offers amlexanox (oral capsule), phentermine HCl (oral tablet), low-dose naltrexone/LDN (oral tablet), and standard semaglutide without additives. Your provider will recommend the best option based on your health profile.
Ready to Get Started?
Start your weight loss journey with Strive Pharmacy — NABP-accredited compounding with custom GLP-1 formulations enhanced with glycine and B12.
Visit Strive PharmacyCompare Other GLP-1 Providers
See how other telehealth providers stack up.
JumpstartMD
Comprehensive ProgramMedically supervised program with obesity medicine physicians, dietitians, and in-person options
Read Review →Empower Pharmacy
Leading Compounding PharmacyOne of the largest compounding pharmacies with in-house quality control and nationwide shipping
Read Review →LifeMD
Top RatedPublicly traded telehealth company with comprehensive health platform and competitive pricing
Read Review →BeyondMD
Top RatedBoard-certified physician-led care with comprehensive medical oversight
Read Review →Alan Meds
Top RatedAffordable compounded GLP-1s with board-certified physicians and straightforward pricing
Read Review →Form Health
Comprehensive ProgramMultidisciplinary obesity medicine program with physicians, dietitians, and behavioral coaching
Read Review →Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Compounded medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. Individual results may vary. Always consult a qualified healthcare provider before starting any new medication.
Affiliate Disclosure: This site may receive compensation from affiliate partners, including Strive Pharmacy. This does not influence our editorial content or review ratings. We only recommend providers we believe offer genuine value to patients.