Empower Pharmacy Semaglutide: User Reviews, Complaints & Cost (Is It Legit in 2025?)

Empower Pharmacy has been making headlines — not just for offering low-cost semaglutide, but also for being named in a federal lawsuit over its compounded weight loss medications.

With demand for GLP-1 drugs like Ozempic and Wegovy skyrocketing, many are turning to alternatives like Empower to cut costs and get access fast.

But is it safe? And are the results worth it?

Despite its affordability, early warning signs are hard to ignore — Empower holds low average ratings on major review platforms, and the legal scrutiny has only added to the uncertainty.

In this article, we’ll break down Empower Pharmacy semaglutide reviews, highlight what users are saying, and compare costs, side effects, and legality. If you’re weighing your options, this guide will help you make an informed call.

An overview of Empower Pharmacy’s semaglutide

Empower Pharmacy is a licensed compounding pharmacy based in Houston, Texas. They provide semaglutide injections for weight loss, formulated in-house and available with a valid prescription from your healthcare provider.

Unlike brand-name versions like Ozempic or Wegovy, Empower’s semaglutide is compounded — often paired with B12 — and offered at a lower cost. Orders are typically shipped directly to the patient’s home, with instructions for use provided.

Empower does not currently offer an in-house weight loss program or ongoing coaching, and recent legal scrutiny around its compounded GLP-1 offerings has raised questions about long-term reliability.

Empower Pharmacy Semaglutide Program

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User reviews and complaints about Empower Pharmacy’s semaglutide

Empower Pharmacy has drawn heavy criticism from customers online — with a 1.9-star average on Trustpilot and 2.1 stars on Yelp, most reviews skew negative. While a few users report positive outcomes, the majority cite issues like delayed shipments, lack of communication, and concerns about medication quality.

Here’s a breakdown of what real users are experiencing.

Weight loss progress, but mixed side effects

Reddit user

One Reddit user tracked their semaglutide experience over several months. They reported losing 35 pounds overall but struggled with side effects at higher doses, including food aversion and an extremely sensitive gag reflex.

“Brushing my teeth was a feat... back down to .5 now and down 35lbs.”

They eventually stopped treatment due to access issues — not side effects — noting a strong return of hunger and cravings once off the medication.

Frustration with poor communication and order issues

George S., Yelp – Houston, TX

George described needing to call four times to resolve a single prescription issue, with unhelpful emails and long waits leading to significant frustration.

“Why don't they just tell you what the problem is? … I’ll be spending the next hour posting on all social media.”

Concerns about medication effectiveness

Amy T., Yelp – Geneva, IL

Amy switched to Empower  from another pharmacy and noticed a dramatic difference — in the wrong direction.

“I have been starving all day! I was NEVER hungry with the other… I now have paid for 24 weeks worth that is garbage.”

Severe dissatisfaction and accusations of being scammed

Jen, Trustpilot – April 2025

Jen left one of the more scathing reviews, expressing serious doubts about the legitimacy of Empower’s compound.

“I’m sure it’s water. I feel hungrier than when I was on nothing… I’ve wasted this money and will never use this scam pharmacy again.”

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How much does semaglutide cost at Empower Pharmacy?

Empower Pharmacy does not publish semaglutide prices on its website — users must request pricing directly, which can make cost comparison difficult. As a compounded medication, Empower’s version isn’t covered by insurance and is paid out-of-pocket.

Based on user reports and third-party reviews, here’s what customers typically pay:

Empower Pharmacy Semaglutide Pricing

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These are not guaranteed rates and may fluctuate based on availability or regional provider markup.

Other pros and cons of Empower Pharmacy’s semaglutide

While Empower Pharmacy may seem like a cost-effective alternative to brand-name semaglutide, online reviews and legal developments suggest it may not be the most reliable option. Here’s a breakdown of what to consider:

Pros

• Lower cost (in some cases): Empower’s compounded semaglutide can be cheaper than FDA-approved options, especially at higher doses.
• Custom formulations: Some versions include vitamin B12, which users say helps reduce side effects like nausea.
• Home delivery: Medications are shipped directly to patients — a plus for those with limited local access.
• Licensed compounding pharmacy: Empower operates under 503A and 503B guidelines — though this hasn’t protected it from recent lawsuits over its tirzepatide offerings.

Cons

• No medical oversight: Empower offers prescriptions only — no coaching, no treatment planning, and no check-ins. Ivy RX includes all of the above.
• Frequent service issues: Many users report delays, lack of communication, and unclear billing or refill processes.
• Opaque pricing: Costs aren't listed on the site and must be requested, making it harder to compare or budget.
• Legal risks and product consistency: Empower is currently being sued by Eli Lilly for selling unapproved tirzepatide and allegedly misrepresenting safety claims. Reviewers have also questioned whether the medications feel as effective as other compounded or FDA-approved versions.

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Is Empower Pharmacy’s semaglutide legit?

Empower Pharmacy is a licensed U.S. compounding pharmacy that operates under 503A and 503B guidelines. It’s registered with the DEA and verified by the National Association of Boards of Pharmacy (NABP), which confirms that it meets baseline compounding standards.

However, licensing alone doesn’t guarantee safety or reliability. In April 2025, Empower was sued by Eli Lilly for allegedly marketing unapproved tirzepatide compounds using misleading claims. While semaglutide isn’t named in the lawsuit, it raises broader concerns about how compounded GLP-1s are promoted, formulated, and delivered.

If you’re considering compounded semaglutide, it’s important to ask:
Are you working with a provider that offers clinical oversight and proven treatment plans — or just a pharmacy that ships meds?

Alternative to Empower’s Semaglutide: IvyRX

If you're second-guessing Empower after reading the reviews and recent lawsuit, you're not alone. For those who want medically guided weight loss with transparent pricing, responsive care, and FDA-approved options, Ivy RX offers a safer, more structured path.

Here’s how they compare:

Empower Pharmacy vs. Ivy RX

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Start your semaglutide dosage with Ivy RX

If you’re looking for more than just a vial in the mail, Ivy RX offers a different kind of experience — one built on medical credibility, trusted support, and real, lasting results.

Whether you're considering semaglutide pills, injections, or even oral drops, our licensed providers will help you choose the safest and most effective option for your goals.

You’ll get a personalized plan, continuous care, and a proven path to weight loss — without the shipping delays, legal risks, or customer service headaches.

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