Belle's medications are compounded, which means they are prepared for you by a licensed compounding pharmacy rather than mass-produced by a brand manufacturer. They are made at FDA-registered facilities and are available only with a prescription from a licensed provider.

A compounded medication is prepared by a licensed compounding pharmacy to a prescription, rather than manufactured at scale and sold as a finished branded product.

Where a brand-name version of your medication exists — tirzepatide and semaglutide, for example — the compounded version contains the same active ingredient. What differs is who prepares it, and what else is in the vial. Some of Belle's treatments, such as sermorelin, NAD+ and glutathione, have no brand-name equivalent and are available only as compounded preparations.

Compounded medications are not FDA-approved as finished products, and no telehealth service can describe them that way. What matters is where yours is made and to what standard, and that is something Belle can tell you.

Belle works exclusively with licensed, credentialed compounding pharmacies operating FDA-registered facilities, held to established compounding standards:

Your order is routed automatically across that network based on your medication, the state you live in, and any allergy or sensitivity you reported at intake. Every vial ships with a clearly labeled beyond-use date.

None of Belle's treatments are available over the counter. A licensed provider reviews your health history, current medications, and goals before deciding whether a treatment is appropriate for you — the same review any prescription requires.

Compounded medications often include an ingredient beyond the active drug — a buffering agent, a preservative, or a vitamin.

For compounded GLP-1s specifically, that is commonly a B vitamin (B6 with tirzepatide, B12 with semaglutide), or glycine, an amino acid used as a buffering agent. Patients with a B vitamin allergy or sensitivity may qualify for an additive-free version; that is a clinical decision your provider makes, not a preference option.

Whichever formulation you receive, the label lists every ingredient.