About Our Compounded Medications
Plain-language explanation of how the medications VevaMD providers prescribe are prepared, licensed, and used — so you can make an informed decision.
Last updated: June 2026. This page is informational, not medical advice. Speak with your VevaMD provider before starting, stopping, or changing any treatment.
What is a compounded medication?
A compounded medication is a prescription drug that is prepared for a specific patient by a licensed pharmacy from individual ingredients — rather than mass-manufactured and shipped as a finished, branded product. Compounding lets a provider tailor the dose, strength, form (injection, oral, topical), or ingredient combination to your specific clinical needs.
Where our compounded medications come from
All compounded medications prescribed through VevaMD are prepared by state-licensed compounding pharmacies operating under the framework of Section 503A of the Federal Food, Drug, and Cosmetic Act. These pharmacies are regulated by state boards of pharmacy and are subject to United States Pharmacopeia (USP) standards for compounded sterile and non-sterile preparations. Your medication is prepared only after a licensed clinician has reviewed your health information and written a valid prescription for you specifically.
Compounded medications are not FDA-approved
Compounded medications, including the compounded versions of GLP-1 receptor agonists (semaglutide, tirzepatide) and compounded testosterone, sildenafil, and tadalafil formulations, are not evaluated by the FDA for safety, efficacy, or quality in the same way that mass-manufactured brand-name products (such as Ozempic, Wegovy, Zepbound, Mounjaro, Viagra, or Cialis) are. The FDA does not review compounded formulations before they are dispensed. The active ingredients used in compounded formulations may be sourced from FDA-registered suppliers, but the finished compounded product itself is not FDA-approved.
Off-label use
Providers on the VevaMD platform may prescribe medications for uses that are not specifically listed on the FDA-approved labeling. This is called off-label prescribing and it is a legal, common part of clinical practice when a provider judges that the benefits to a specific patient outweigh the risks. Off-label use is not a substitute for a full risk discussion; ask your provider directly if your prescription includes off-label use.
Why we offer compounded medications
Compounded formulations often make a treatment accessible in situations where the FDA-approved branded product is in shortage, prohibitively expensive, or not available in the dose or delivery form appropriate for a particular patient. Our licensed providers use compounded medications when they believe doing so serves your health outcome.
Side effects and risks
All prescription medications, whether FDA-approved or compounded, carry potential side effects and risks. Your VevaMD provider will review your health history, discuss known side effects, and monitor your response over the course of treatment. If you experience any concerning symptoms while on treatment, message your provider through the patient portal or, in an emergency, call 911 or go to the nearest emergency room.
State availability
Compounded medication availability varies by state. Some states restrict or prohibit certain compounded formulations. During your intake, you will be told whether the treatment you selected is available in your state of residence.
Questions
For clinical questions about your specific treatment, contact your prescribing provider through the patient portal. For general questions about VevaMD or the intake process, email info@vevamd.com.