Compounded GLP-1 Therapy for Individualized Patient Care

We partner with licensed providers to offer patient-specific compounded GLP-1–based therapies when commercially available options are not accessible or clinically appropriate.

Patient-specific clinical needs

Diagnosis and therapeutic goals

Allergy or sensitivity considerations

Semaglutide + Niacinamide (B3) + Dexpanthenol (B5)

Flat pharmacy price: $150* per vial
(all available strengths)

1mg / 5mg / 10mg per mL

2.5mg / 5mg / 10mg per mL

5mg / 5mg / 10mg per mL

*Shipping and supplies included

Tirzepatide + Niacinamide (B3) + Dexpanthenol (B5)

Flat pharmacy price: $250* per vial
(all available strengths)

10mg / 5mg / 10mg per mL

30mg / 5mg / 10mg per mL

*Shipping and supplies included

Tirzepatide + Glycine

Flat pharmacy price: $250* per vial
(all available strengths)

5mg / 0.5mg per mL

10mg / 0.5mg per mL

15mg / 0.5mg per mL

20mg / 0.5mg per mL

25mg / 0.5mg per mL

30mg / 0.5mg per mL

*Shipping and supplies included

Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality. Compounded GLP-1 medications are prescribed only when a licensed healthcare provider determines, based on an individual patient’s medical needs, that an FDA-approved drug is not appropriate or that a clinically significant difference exists, such as dosage form, strength, or excipient composition.

SmartPharmaRx includes Niacinamide (B3) and Dexpanthenol (B5) in our GLP-1 formulations for specific clinical reasons — each additive is chosen to address known physiological side effects of GLP-1 therapy, not as a filler.

B3 (Niacinamide) supports energy metabolism and cellular repair via NAD+ production — particularly useful during caloric restriction. It also helps protect and repair the gut lining, which is directly relevant given that GLP-1 medications slow gastric emptying and increase GI stress. Additionally, it provides anti-inflammatory support for the metabolic conditions many of these patients already have.

B5 (Dexpanthenol) is the injectable form of Pantothenic Acid, which the body uses to produce Coenzyme A — a key player in fat and carbohydrate metabolism. Its standout role in this formulation is gut motility support. Dexpanthenol is clinically recognized for helping counter intestinal slowdown, which directly addresses the constipation, bloating, and nausea commonly reported by patients on GLP-1 therapy.

Both are water-soluble B vitamins with established safety profiles in injectable use — no accumulation risk, and well-tolerated across patient populations.

Prescriptions may be sent via e-prescribe to:

SmartPharmaRX

6463 S. Falkenburg Rd
Riverview, FL 33578

  • Diagnosis or ICD-10 code
    (Must clearly support the patient-specific compounded therapy and differ from commercially available indications.)
  • Clinical Reason
    (Example: Okay to compound with B3/B5 to help with nausea and constipation)
  • Patient phone number
  • Medication name
  • Medication strength
  • Dose
  • Directions for use
  • Quantity and refills (if applicable)
  • Prescriber name, address, phone number, and NPI
  • Patient allergies or sensitivities
  • Incomplete prescriptions may delay fulfillment

Once received, our pharmacy team will:

  • Validate the prescription
  • Contact the patient to verify demographics and collect payment
  • Prepare the individualized compounded medication
  • Coordinate direct-to-patient shipping
  • HSA/FSA Eligible

Our pharmacists are available for:

  • Dosing guidance
  • Titration schedules
  • Clinical questions
DrugConcentrationVial VolumeDoseInstructions
Semaglutide/B3/B5 Gastro1mg/5mg/10mg/ml1ml0.25mgInject 25 units (0.25mg/1.25mg/2.5mg) subcutaneously once weekly
2.5mg/5mg/10mg1ml0.5mgInject 20 units (0.5mg/1mg/2mg) subcutaneoulsy once weekly
2ml1.0mgInject 40 units (1mg/2mg/4mg) subcutaneously once weekly
3ml1.5mgInject 60 units (1.5mg/3mg/6mg) subcutaneously once weekly
5mg/5mg/10mg2ml2.0mgInject 40 units (2mg/2mg/4mg) subcutaneously once weekly
2.5mgInject 50 units (2.5mg/2.5mg/5mg) subcutaneously once weekly
Tirzepatide/B3/B510mg/5mg/10mg1ml2.5mgInject 25 units (2.5mg/1.25mg/2.5mg) subcutaneously once weekly
2ml5.0mgInject 50 units (5mg/2.5mg/5mg) subcutaneously once weekly
30mg/5mg/10mg1ml7.5mgInject 25 units (7.5mg/1.25mg/2.5mg) subcutaneously once weekly
2ml10mgInject 33 units (10mg/1.65mg/3.3mg) subcutaneously once weekly
12.5mgInject 41 units (12.5mg/2.05mg/4.1mg) subcutaneously once weekly
15mgInject 50 units (15mg/2.5mg/5mg) subcutaneously once weekly
Tirzepatide/Glycine5mg/0.5mg/mL2mL10mgInject 50 units (2.5mg) subcutaneously once weekly for 4 weeks.
10mg/0.5mg/mL2mL20mgInject 50 units (5mg) subcutaneously once weekly for 4 weeks.
15mg/0.5mg/mL2mL30mgInject 50 units (7.5mg) subcutaneously once weekly for 4 weeks.
20mg/0.5mg/mL2mL40mgInject 50 units (10mg) subcutaneously once weekly for 4 weeks.
25mg/0.5mg/mL2mL50mgInject 50 units (12.5mg) subcutaneously once weekly for 4 weeks.
30mg/0.5mg/mL2mL60mgInject 50 units (15mg) subcutaneously once weekly for 4 weeks.