Who makes and sends the medicine?

Compounder: the actual medicine maker

Making or changing medicine for a patient’s need is called compounding.

FDA (the U.S. drug agency) notes that people receiving these pharmacy-made medicines through an online service may not know who actually made them.

Ask for the pharmacy or facility name before deciding. Ask whether the same place makes and sends it.

Permit: check the business as well as the person

Arizona’s Pharmacy Board keeps different records for the pharmacist’s license and the pharmacy’s permit.

To send prescription medicine into Arizona, a pharmacy in another state needs Arizona’s permission, called a nonresident permit.

It also needs legal authority to operate in its own state.

The permit does not settle whether the particular pharmacy-made medicine meets all other rules.

Registered: do not read it as approved

Drug-facility registration means a medicine-making place is listed with FDA. The federal rule checked September 26, 2026, says that listing does not mean FDA has approved either the medicine-making place or its medicines. It also gives no blanket permission to sell its products.

If a service points to a registration badge, ask for the product’s own status and the pharmacy’s permit.

The label: match the name you were given

At the September 2026 check, FDA described fake labels on pharmacy-made semaglutide and tirzepatide. The labels named pharmacies that did not exist or had not made the medicine.

Ask the named pharmacy to confirm the source if the label and the explanation do not line up.