Top 7 503B Outsourcing Facilities for Clinics in 2026
Compare 7 FDA-registered 503B outsourcing facilities that supply office-use compounded drugs to aesthetic, wellness, IV and surgical clinics, plus what to ask.
For medical directors, owners and clinical leads at aesthetic, wellness and IV clinics. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not medications, and none of the facilities below is a Prospyr product or partner. Each summary reflects what the company publishes on its own website, checked October 2026, cross-checked against the FDA's list of registered outsourcing facilities (updated September 30, 2026). This article is not legal, pharmacy or medical advice and makes no claim about the safety or effectiveness of any drug. Confirm licensure, product availability and terms in writing before you order.
What is a 503B outsourcing facility?
A 503B outsourcing facility is a compounder registered with the FDA under section 503B of the Federal Food, Drug, and Cosmetic Act that makes sterile drugs and, unlike a traditional 503A pharmacy, may compound without a prescription for an identified patient. The FDA states that outsourcing facilities must follow current good manufacturing practice (CGMP) and are inspected by the FDA on a risk-based schedule. The statute (21 U.S.C. 353b) requires labels that say the drug is compounded, "Not for resale," and "Office Use Only" when it is not dispensed for a named patient. The FDA is clear on one point: compounded drugs are not FDA-approved.
The 7 503B outsourcing facilities at a glance
| # | Company | Focus and who it serves | Published pricing or terms | Worth a call if you want … |
|---|---|---|---|---|
| 1 | Olympia Pharmaceuticals | 503B and 503A; IV nutrition, dermatology, hormones, weight management, peptides | Pricing not published; licensure page lists 49 states | One supplier for office-use stock and patient-specific prescriptions |
| 2 | Wells Pharmacy Network | 503B and 503A; wellness, aesthetic dermatology, IV therapy | Pricing not published; 36 state outsourcing licenses reported | A wellness-focused catalog with both office and patient options |
| 3 | AnazaoHealth | 503B in Las Vegas, 503A in Tampa; aesthetics, IV and injection therapy | Pricing not published | An aesthetics catalog with items marked for office use |
| 4 | Apocus | 503B office-use supply for clinics, hospitals and practices | Pricing not published | A newer San Antonio facility with a clinician account process |
| 5 | McGuff Outsourcing Solutions | Sterile injectables only, including IV vitamins | Free shipping over $125 and free 2-day delivery advertised (as of October 2026) | Online ordering of IV vitamin and injectable stock |
| 6 | FarmaKeio | 503B in Southlake, Texas, plus a 503A network | Pricing not published | A Texas option with separate 503A and 503B ordering |
| 7 | Leiters Health | Hospitals, ophthalmology practices and surgery centers | Pricing not published | Sterile surgical supply for a practice with its own operating room |
How we chose this list
We started from the FDA's registered outsourcing facilities list and kept companies that (1) appear on that list as of September 30, 2026, (2) describe office-use products relevant to aesthetic, wellness, IV or surgical practices on their own websites, (3) explain how a practice opens an account, and (4) publish something checkable about quality systems, testing, licensure or terms. We left out facilities whose sites describe only hospital or contract-manufacturing work. The order is our editorial view, not a measure of quality or results. Being on the FDA list means a facility is registered, not that the FDA has approved its products or found it free of problems.
1. Olympia Pharmaceuticals
Olympia Pharmaceuticals in Orlando, Florida, describes itself as an FDA-registered 503B outsourcing facility with an affiliated 503A pharmacy, Olympia Pharmacy, that fills prescriptions for individual patients. Its site organizes products into IV nutrition therapy, dermatology, hormones, weight management, peptides, longevity, sexual health and vein care.
What stands out:
- Both pathways. Olympia states its 503A pharmacy brings its 503B medications to patients through their providers, so a clinic can stock office-use items and send patient-specific prescriptions to the same company.
- Shipping footprint. Its licensure page states it is licensed in 49 states and notes California as unavailable when we checked.
- Experience. The provider page cites more than 25 years in compounding and offers shipping to the patient or the office.
Right for: IV and wellness clinics and med spas outside California that want one supplier for both office stock and patient prescriptions. Ask: which products are made in the 503B facility versus the 503A pharmacy, and for recent FDA inspection results.
2. Wells Pharmacy Network
Wells Pharmacy Network lists a 20,000-square-foot FDA-registered 503B facility that makes medications for physician office use, alongside a 20,500-square-foot 503A pharmacy. Its site names wellness, anti-aging, weight management, sexual wellness, aesthetic dermatology, thyroid and adrenal health as focus areas, with IV therapy and hormone categories. The FDA list shows outsourcing registrations in Houston, Texas, and Dyersburg, Tennessee.
Right for: wellness and hormone-focused clinics that want both office stock and patient-specific options. Ask: Wells reports 36 state licenses as an outsourcing facility, so confirm yours is one of them, and ask which catalog items are 503B.
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Book a Demo3. AnazaoHealth
AnazaoHealth states it was founded in 1997 and runs a 30,000-square-foot FDA-registered outsourcing facility in Las Vegas and a 503A pharmacy in Tampa. Its aesthetics page groups IV and injections, lightening agents, chemical peels, topical solutions and numbing agents, and marks specific IV and injection items "For Office Use." Practices place 503B office-use orders through the myAnazao portal or by emailed order form.
Right for: aesthetic practices that want to see clearly which items are sold for office use. Ask: which aesthetics items are made at the Las Vegas 503B site, and whether it ships to your state.
4. Apocus
Apocus in San Antonio, Texas, describes itself as an FDA-registered 503B outsourcing facility supplying batch-tested, CGMP compounded medications to clinics, hospitals and practices for office use. Its catalog includes IV nutrition and vitamins, dermatology and anti-aging, hormones, weight management and pain. A separate 503A pharmacy, ApocusRx, handles patient-specific prescriptions. Apocus states it is expanding its state licensure and publishes a licensure and state coverage page.
Right for: Texas and nearby practices looking for a second office-use supplier. Ask: current state coverage, minimum order sizes, and how long it has held its 503B registration.
5. McGuff Outsourcing Solutions
McGuff Outsourcing Solutions is the 503B arm of McGuff Pharmaceuticals in Santa Ana, California, and states that sterile compounding is its only focus. Its catalog includes methylcobalamin, alpha lipoic acid, glutathione and procaine injections, and the parent company also sells ascorbic acid injection. It advertises an online ordering platform, same-day shipping on most orders, free 2-day delivery and free shipping on orders over $125 (as of October 2026). It lists LegitScript certification and states California licensure.
Right for: IV and injection clinics, including California practices, that want to order vitamin and injectable stock online. Ask: which states it ships to today and the beyond-use dates on the items you stock.
6. FarmaKeio
FarmaKeio describes an FDA-registered 503B outsourcing facility in Southlake, Texas, that supplies sterile compounded medications to hospitals and surgical centers, alongside a 503A custom compounding network. Its specialty areas include dermatology aesthetics, hormone therapy and weight management. It keeps separate registration, phone and fax lines for 503A and 503B accounts.
Right for: Texas practices that want separate, clearly labeled 503A and 503B ordering. Ask: which aesthetic products are made in the 503B facility versus the 503A network.
7. Leiters Health
Leiters Health states it was founded in 1926 and is an FDA-registered 503B outsourcing provider of hospital and ophthalmic sterile preparations, with services for surgery centers. The FDA list shows facilities in Englewood, Colorado, and Buena, New Jersey. Its online portal supports order templates, shipment tracking and controlled-substance documentation.
Right for: plastic surgery practices that run their own accredited operating room and want a surgical-supply outsourcer, not a wellness catalog. Ask: which products it supplies to surgery centers like yours. Leiters does not name aesthetic practices as a market.
Questions to ask any 503B outsourcing facility
- Is this facility on the FDA list today? Check the FDA's registered outsourcing facilities page. Registration renews each year between October 1 and December 31.
- What do recent inspections show? Ask for the latest FDA inspection outcome and any Form FDA 483. The FDA posts 483s, warning letters and recalls for compounders on its compounding inspections and actions page. The FDA notes a 483 is not a final agency determination.
- Is it licensed to ship to my state? Confirm with the facility and your state board of pharmacy whether it needs a license or registration to ship to you.
- Which items are 503B and which are 503A? Many companies run both. Office-use stock should come from the 503B facility; patient-specific prescriptions follow different rules.
- What testing comes with each batch? Ask for a sample certificate of analysis showing potency, sterility and endotoxin results, and the beyond-use date you will receive.
- How are recalls and shortages communicated? Get the name of the person who will call you and how quickly.
- Does my state or medical director have extra rules? Your prescribing, delegation and advertising rules still apply. For weight-loss drugs, see our list of GLP-1 compliance consultants.
Where Prospyr fits
A 503B facility supplies the vials; your practice platform is where you track what you have and what each patient received. Prospyr's inventory management keeps product counts in one place, and the aesthetic EMR holds treatment charts. For general medical supplies alongside compounded stock, see our list of aesthetic medical supply distributors, or book a practice demo.
Frequently asked questions
What is the difference between a 503A pharmacy and a 503B outsourcing facility?
A 503A pharmacy compounds for individual patients based on a prescription, while a 503B outsourcing facility may compound sterile drugs without a patient-specific prescription. The FDA states that outsourcing facilities must follow CGMP and are inspected by the FDA on a risk-based schedule, while 503A pharmacies are not subject to CGMP. Many companies on this list run both.
Can a med spa order from a 503B for office use?
A 503B may distribute drugs that are administered in a healthcare setting without a prescription for a named patient, labeled "Office Use Only." Whether your practice can order and administer a given drug depends on your state's rules, your medical director and the facility's state licensure. Check with your state board and counsel before ordering.
Are compounded drugs FDA-approved?
No. The FDA states that compounded drugs are not FDA-approved, which means it does not review their safety, effectiveness or quality before they are marketed. Registration as an outsourcing facility is not product approval.
How do I check a 503B facility's FDA record?
Start with the FDA's registered outsourcing facilities list, which shows each facility's last inspection and whether a 483 was issued. Then search the FDA's compounding inspections, recalls and other actions page and the warning letter database by company name.
Can a 503B facility sell to another clinic or reseller?
No. The statute states a 503B drug may not be sold or transferred by anyone other than the outsourcing facility that compounded it, and labels must say "Not for resale." Your practice administers it or dispenses it under a valid prescription; it does not resell it. Read more about the FDA's semaglutide decisions and what they meant for practices.
Want your company considered?
We review this list quarterly. FDA-registered outsourcing facilities that serve aesthetic, wellness, IV or surgical practices can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.
Editorial scope
This list is based on each company's public website and the FDA's registered outsourcing facilities list, checked October 2026 with AI-assisted research. Companies did not review this article before publication. It is not legal or medical advice, not a guarantee of quality, and not a substitute for checking FDA records, state licensure and references. Read our methodology or report a correction.