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Strive Pharmacy Semaglutide: User Reviews, Cost, & Legitimacy Guide
Finding trustworthy sources for compounded semaglutide can be confusing. And for many, deeply frustrating.
Scroll through online reviews for Strive Pharmacy, and you’ll see two very different stories. Some customers praise the pharmacy’s affordability and caring staff. Others describe missing deliveries, inconsistent dosing, and unresponsive support — even physicians say service delays have become an issue.
So where does that leave you?
This guide looks at Strive Pharmacy’s semaglutide offerings with a balanced lens, reviewing user feedback, cost, safety, and regulatory background.
You’ll also see how it compares to other providers that offer access to personalized GLP-1 injections under licensed medical oversight so that you can make an informed and confident choice for your weight loss plan.
An Overview of Strive Pharmacy's Semaglutide

Strive Pharmacy is a compounding pharmacy that offers two sets of semaglutide formulations for weight management and diabetes control.
There is the standard semaglutide, which contains GLP-1 (glucagon-like peptide-1) receptor agonist as the active ingredient. And the compounded semaglutide formulation that includes Glycine and B12.
The company operates as both a 503A and 503B compounding facility, providing customized medications based on individual patient prescriptions and healthcare provider recommendations.

Want to understand how different semaglutide options compare? Read our complete guide to oral semaglutide to see how various delivery methods work and what results you can expect.
Strive Pharmacy Semaglutide Overview Table:
User Reviews of Strive Pharmacy's Semaglutide
We analyzed dozens of reviews across Reddit, Yelp, and other platforms to uncover the real experiences, the good, the bad, and everything in between.
Product/Drug Availability
This is a positive review from a customer stating that the Strive Pharmacy semaglutide is readily available:
“Best pharmacy in town. I drive 30 min to get here. I don't know why you would go to Walgreens or CVS that never had anything in stock or filled when you could both go local and get better service.” — Alane O.

Another user cites a negative for product availability. One long-time Strive Pharmacy customer reported growing frustration with delivery delays and medication handling. They explained that shipping times increased from 3–5 days to 5–7 days, causing their refrigerated medication to arrive warm.
“When I call to place an order I tell them the importance of the delivery date and they tell me, 'No problem, yet twice now it's been a problem.” — Christopher S.

Weight Loss Results
Here’s a success story from Facebook. A Strive Pharmacy customer, Tiffany Porter, shares the before and after effects of using Strive’s weight loss option within 3 months, from June 2024 to September 2024.

A TikTok user, Coy Baker, shared her weight loss journey using Strive’s standard semaglutide (GLP-1), reporting a loss of over 40 pounds, though she didn’t specify the time frame.

Cost Concerns and Pricing Issues
A reviewer from Yelp warned others to "Be CAREFUL especially if you pay out of pocket! I received this vial (2ml) compounded semiglutide for $250 noticed immediately it was off and WAAAY less than the previous ones" — Tiffany B.

Another Reddit user explained that they received Strive Pharmacy’s semaglutide by asking their primary care provider for a prescription. At the time of the review, the medication cost $125 directly from Strive.

Customer Service Experience
A long-term Strive Pharmacy user praised the pharmacy’s customer service and reliability after six months of consistent use on BBB. The reviewer highlighted that “What truly sets Strive apart is their genuine commitment to patient care... they go above and beyond to cater to individual needs.” Kaitlyn W.

Negative Customer Service Experience:
A physician who frequently works with pharmacies shared frustration over Strive’s declining service quality on Yelp, citing slower processing times and poor communication. The reviewer noted tha “Strive's customer service has tanked within the last year... my most recent script was called in Monday, and they didn’t get to it until Friday, then never returned my call.” — Seth A.

Reviews of Strive Pharmacy show mixed experiences — some customers report great results, while others mention issues with availability, quality control, and customer service.
Overall, negative feedback appears to outweigh the positive, and it is reflected in the pharmacy’s 2.8/5.0 (91 reviews) rating on Yelp.

Here’s a detailed table that highlights the differences and key takeaways from the reviews above.
Do you feel hungry while taking semaglutide? Our article on why you might still feel hungry on semglutide explains what could be happening and how to manage it.
Semaglutide Cost at Strive Pharmacy and Insurance Options
Strive Pharmacy provides semaglutide treatments via licensed prescribers (they do not sell directly to consumers without a prescription). Instead, they clearly ask you to “Find a provider” with a map search console that points you to every licensed provider.

Important note: Because Strive Pharmacy does not publicly show full pricing tiers and offers prescriptions only through providers, you’ll need to request a specific quote that covers: formulation type, dosage, shipping costs, provider/consultation fees, and projected monthly cost. Always ask for a detailed breakdown before committing.
Other Pros and Cons of Strive Pharmacy's Semaglutide
Beyond user reviews and pricing, several additional factors distinguish Strive Pharmacy's approach to compounded semaglutide, including both advantages and notable limitations.
Pros
Nationally accredited for safety and compliance.
Strive maintains voluntary accreditation from three major pharmacy organizations: the National Association of Boards of Pharmacy (NABP).
Accessible care with nationwide pharmacy licensing.
Their nationwide licensing in all 50 states provides accessibility for patients across the country.
Cons
Legal & Ethical Concerns
Strive Pharmacy was previously named in a lawsuit by Eli Lilly alleging false advertising and deceptive marketing related to compounded products.
But a federal judge in Delaware later dismissed the case, but it has still raised questions about the pharmacy’s marketing practices and operational transparency.
Mixed service quality and high out-of-pocket costs.
Customer service experiences appear inconsistent based on user reviews, and the limited insurance coverage means most patients must pay full cash prices.
Although some of these problems may come from relying on third-party suppliers, you don’t have to settle for inconsistent care.
IvyRx offers a personalized GLP-1 treatment that is easily accessible, with transparent pricing starting at $197.
This comes with an ongoing medical oversight and dedicated patient support built for real results.
For clear dosing information, check out our complete guide to the semaglutide weight loss dosage chart.
Is Strive Pharmacy's Semaglutide Legit?
Yes, Strive Pharmacy is a licensed compounding pharmacy with accreditations from NABP, which support its legitimacy. However, it has faced mixed customer reviews and past legal scrutiny, so it’s important to verify prescription details and quality assurance before starting treatment.
An Alternative to Strive Pharmacy's Semaglutide: IvyRX Personalized GLP-1 Injections
If you’re looking for a more consistent and patient-focused option, IvyRx offers access to personalized GLP-1 injections that deliver safe, effective results.
Unlike Strive Pharmacy, which has faced mixed reviews and legal scrutiny, IvyRx focuses on transparency, verified quality, and reliable support. The goal is simple. To provide timely treatment and help you stay confident and supported throughout your weight loss journey.
And our review from third-party channels like Trustpilot can testify to this.

With an excellent review score of 4.4 (2124 reviews), we can clearly testify to our competence and commitment to providing the best weight loss option.
See genuine customer reviews for yourself:
“They have great customer service, the approval was fast and the shipping was also fast! Two weeks in and I’m down 7 pounds!” — Autumn Pikk, Trustpilot reviewer.

“When I have questions, concerns and need assistance Ivy responds expeditiously and puts my mind at rest. I truly feel not only are they offering a helpful product, they care about their participants. I trust no one else other than my doctor of 30 years.” — Carolyn Dishman, Trustpilot reviewer.

Comparison: Strive Pharmacy vs IvyRx

Discover how to get semaglutide through trusted, legitimate channels.
Get Access to Personalized GLP-1 Treatment with IvyRX
IvyRX provides the same medication benefits at a lower cost, with transparent practices, consistent quality, and dedicated patient support that ensures your success.
Don't let uncertainty about pharmacy legitimacy delay your health goals.
Choose IvyRX for proven reliability, exceptional value, and the peace of mind that comes with working with a trusted healthcare partner. Start your transformation today with a provider that puts your health and satisfaction first.
Ready to begin? Contact IvyRX to learn more about our semaglutide programs and take the first step toward achieving your weight loss goals safely and affordably.

Ivy RX patients
Members of Ivy RX branded medications were paid for their testimonials.
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