Compounding pharmacies in Texas

By the PeptideAgent Editorial Team. Draft, pending editorial review. Last verified Sep 22, 2026

The Texas State Board of Pharmacy regulates compounding pharmacies in Texas. Compounded GLP-1 limited. How to check a pharmacy's license, plus verified listings.

Texas at a glance

Pharmacy regulator: Texas State Board of Pharmacy
503A framework: Follows the federal 503A framework
Telehealth prescribing: Regulatory: Telehealth allowed
Asynchronous prescribing: Regulatory: Async allowed
Compounded GLP-1 access: Regulatory: Compounded GLP-1 limited

Verified compounding pharmacies serving Texas

No verified compounding pharmacies serving Texas are listed yet. A provider appears here only after it passes the verification checklist, and those checks are still under way.

Looking for care now? Start with what the law allows where you live, then how a legitimate prescription works.

Run a pharmacy, clinic, or telehealth service? Apply for a listing.

Who regulates compounding pharmacies in Texas

The Texas State Board of Pharmacy licenses pharmacies under the Texas Pharmacy Act (Occupations Code title 3, subtitle J), with license classes set in Occupations Code chapter 560. Compounding is governed by Board rules in 22 Texas Administrative Code chapter 291, including section 291.131 (non-sterile preparations) and section 291.133 (sterile preparations). Out-of-state pharmacies that dispense to Texas residents hold a Class E (nonresident) license under sections 291.101 to 291.104, and a nonresident pharmacy that compounds sterile preparations for Texas patients must hold the Class E-S designation and comply with section 291.133. Texas has no separate state list of compoundable bulk substances, so a peptide's eligibility follows the federal 503A test (approved drug component, USP or NF monograph, or FDA 503A bulks list). [1] [3] [4] [5] [7]

Compounded GLP-1 access in Texas

Texas is a large market for telehealth weight-loss programs and med spas; a compliant program uses a Texas-licensed prescriber and a pharmacy holding a Texas license (Class E-S if it ships sterile compounded injectables from out of state). [1] [4] [8]

Research use only sellers in Texas

The Texas Food, Drug, and Cosmetic Act (Health and Safety Code chapter 431) prohibits introducing adulterated or misbranded drugs into commerce in Texas and requires licensure for drug distributors, and only Board-licensed pharmacies may dispense prescription drugs to Texas patients. [6] [9]

Texas notes on specific peptides

Semaglutide: Available branded by prescription, including from a Texas-licensed prescriber using synchronous video or qualifying store-and-forward telemedicine under Occupations Code section 111.005. Compounded semaglutide is limited to the federal patient specific exception since the 503A grace period ended April 22, 2025. [2] [8]

How to check a compounding pharmacy in Texas

Search the Texas State Board of Pharmacy license lookup for the pharmacy by name. A pharmacy based elsewhere needs whatever license or registration Texas requires before it ships to you. [1] [3] [4] [5] [7]
Ask whether it operates as a 503A pharmacy or a 503B outsourcing facility, and confirm a 503B claim against FDA's outsourcing facility information (see the verification checklist).
Confirm the peptide can be lawfully compounded: check its status on the regulatory tracker or its peptide page before paying.
Walk away from any seller that labels a peptide "research use only" or "not for human consumption". See the research use only section above for what that means in Texas. [6] [9]

Common questions in Texas

What license does an out-of-state pharmacy need to ship compounded peptides to Texas?

A Texas Class E (nonresident) pharmacy license, and for sterile compounded preparations such as injectable peptides, the Class E-S designation with compliance with the Board's sterile compounding rule, 22 Texas Administrative Code 291.133. You can check a license in the Texas State Board of Pharmacy verification tool. [1] [4] [5]

Is compounded semaglutide or tirzepatide still available in Texas?

Only in limited, patient specific cases, for example a documented allergy to an inactive ingredient in the approved product. The FDA shortage allowances ended in 2025, and Texas follows the federal framework rather than a looser state rule. [1] [8]

All peptide legal questions for Texas