Patient Direct RX 2 and Nova Pharmacy Compounded Tirzepatide Review (2026): Two Pharmacies, One Vial, and What Both Labels Say
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Quick answer: My compounded tirzepatide came from two pharmacies. White Label Pharmacy, doing business as Nova Pharmacy in Katy, Texas, made the vial, and Patient Direct RX 2 in Yardley, Pennsylvania put my name on it and shipped it FedEx Standard Overnight in a foam cooler with one gel pack. The vial is tirzepatide with pyridoxine at 10 mg/1 mg per mL, a 2 mL multidose fill, and my directions were 0.3 mL, or 30 units, once a week, which is 3 mg.
This article is drawn from the GLP Winner provider review series. The order described here was placed through Amble, which is not a GLP Winner partner. Neither Amble, Patient Direct RX 2, nor White Label Pharmacy doing business as Nova Pharmacy paid for this article, saw it before publication, or directed its conclusions. GLP Winner pays the reviewer for her time. Reviewer details are withheld for privacy.
For the signup, the pricing, the dose that changed between intake and label, the portal, and how cancellation works, read the full Amble Compounded Tirzepatide Review (2026). This article is only about what the pharmacies sent.
Have questions or concerns? Reach out to the team here.
Who reviewed this shipment?
I'm a woman in my 30s who has been on compounded tirzepatide for almost 3 years at a 5 mg weekly dose, so this was not my first box from a compounding pharmacy, and I had something to compare it to. I ordered through Amble. Two pharmacies I had never heard of are who actually made and mailed the medication, and neither one was named anywhere before the box arrived.
Why were two pharmacies involved in one order?
The prescription bottle says Patient Direct RX 2 in Yardley, Pennsylvania. The vial inside it says "Mfd by: White Label Pharmacy dba Nova Pharmacy" in Katy, Texas. So one company made the vial and a second pharmacy put my name on it and shipped it.
White Label Pharmacy, doing business as Nova Pharmacy, appears on the FDA's list of registered 503B outsourcing facilities, with a registration date of December 16, 2025. A 503B facility registers with the FDA and compounds under the agency's manufacturing standards, which is a different setup from the single state-licensed pharmacy that made and shipped my medication with other providers I've used. FDA registration is not the same as FDA approval of the medication, and I cover that difference in the safety section below. GLP Winner has an explainer on how 503A and 503B pharmacies are regulated if you want the longer version.
Patient Direct RX is the pharmacy whose name, address and phone number a patient would actually deal with, since it is the one that filled the prescription. Its website describes a home-delivery pharmacy for people hurt at work or in an accident, and lists the electronic prescribing name "Patient Direct Rx WC Pharmacy." Nothing on the site mentions GLP-1s, compounded medications or telehealth. The "2" on my label suggests a second pharmacy license or location at the same address. I'm reporting what the label and the website say; I didn't call to ask which license filled mine.
The only place the compounding pharmacy is named: White Label Pharmacy, doing business as Nova Pharmacy, Katy, Texas.
How did the order arrive?
My prescription was approved on Thursday, September 24, and sent to the pharmacy 3 minutes later. The pharmacy label is dated September 28, and my box came FedEx Standard Overnight on Wednesday, September 30, 6 days after I signed up. The FedEx label had listed a Monday, September 28 delivery, so it came 2 days later than that. I got the tracking number by email and text.
Inside the FedEx pack was a white foam cooler sealed with a red "REFRIGERATE UPON ARRIVAL" sticker. Nothing on the outside of the cooler or the pack named either pharmacy, and nothing in the box had the provider's name on it either.
The cooler as it came out of the FedEx Pak, still sealed.
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Did the medication arrive cold?
The cooler held one gel pack and a clear zip bag with the medication, syringes and alcohol pads. The gel pack was soft and wet with condensation, but still cold. The vial label says "Store at 2-8 C. Do not freeze," and it went into my refrigerator as soon as I had photographed it.
One gel pack for an overnight shipment is less than I've seen from other pharmacies, which have sent two to four. Mine arrived cold, and I'm not in a position to say whether one pack would hold through a delayed delivery in warm weather. If yours arrives with the pack fully thawed and the vial warm, call the dispensing pharmacy before you inject.
One gel pack, soft and sweating but still cold when I opened it.
What came in the box?
- One 2 mL multidose vial of compounded tirzepatide with pyridoxine (vitamin B6), 10 mg/1 mg per mL, inside a pharmacy prescription bottle
- 10 insulin syringes, 31 gauge, 1 mL, 5/16 inch needle
- 10 alcohol prep pads
- One Nordic Ice gel pack
- A foam cooler inside a FedEx pack
The syringes are MedThermal Ultra Thin Insulin Syringes, 31 gauge, 5/16 inch (8 mm), 1 cc/mL, ten to the bag. The alcohol pads are 70% isopropyl alcohol, one pad per packet, with an expiration date of March 29, 2031. Ten syringes for a 4-week, once-weekly prescription leaves six spares. There were no printed injection instructions, no storage card and no pharmacy insert in the box.
Everything that came in the box, laid out. Nothing in it had Amble's name on it.
Ten syringes and ten alcohol pads. The 31-gauge, 5/16-inch needles are the same size I'd used before.
What does the Patient Direct RX 2 label say?
The vial came inside a clear plastic prescription bottle with a white snap cap, the kind a retail pharmacy uses for tablets. The label is the dispensing record, and it's the one with my name on it. Transcribed, with my details and the prescriber's name left out:
- Patient Direct RX 2, 301 Oxford Valley Road, Yardley, Pennsylvania
- Rx number, highlighted in yellow
- Patient name
- DMP TIRZEPATIDE 10MG/ML (the line is cut off at the edge of the label)
- INJECT 0.3ML (30 UNITS) SUBCUTANEOUSLY ONCE WEEKLY FOR 4 WEEKS
- QTY: 2
- Prescriber name
- The federal transfer caution line
"QTY: 2" matches the 2 mL fill of the vial. The label does not show a beyond-use date on the part I can read, and I didn't find one on the vial either, so I don't know how long this vial is considered good after the compounding date. That's a question for the dispensing pharmacy.
The pharmacy label: 0.3 mL, 30 units, once weekly for 4 weeks. At 10 mg per mL, that is 3 mg.
What does the Nova Pharmacy vial label say?
The vial is amber glass with a purple cap. The label reads TIRZEPATIDE/PYRIDOXINE INJECTION, 10mg/1mg/ml, in a 2 mL multidose vial for subcutaneous use. It's marked "This is a compounded drug," with "Store at 2-8°C. Do not freeze." Transcribed across the three faces I photographed:
- Rx Only, NDC 87464-0010-02
- TIRZEPATIDE/PYRIDOXINE INJECTION
- 10mg/1mg/ml, on an orange highlight bar
- Inactive ingredients include: Sodium Chloride, Sodium Phosphate, Benzyl alcohol, & water for injection
- For Subcutaneous Use
- 2ml Multidose Vial
- Store at 2-8 C. Do not freeze. This is a compounded drug.
- Mfd by: White Label Pharmacy dba Nova Pharmacy, 21203 Clay Rd, Katy, Tx, 77449, with a toll-free number
- For adverse event reporting, contact the pharmacy
- A QR code
The portal had listed my medication as "Tirzepatide Injection (W/ or w/o additives)," so I didn't know mine would include B6 until I saw the approval. GLP Winner has an explainer on additives if you want to know what it's there for.
The vial. Tirzepatide with pyridoxine, 10 mg/1 mg per mL, 2 mL. I didn't know it would include B6 until I saw the approval.
The side of the label: "This is a compounded drug," storage at 2-8°C, and a QR code.
What dose is 30 units of this vial?
The directions say to inject 0.3 mL, or 30 units, once weekly for 4 weeks. At 10 mg per mL, that's 3 mg of tirzepatide a week. At 0.3 mL a week, each dose also has 0.3 mg of B6.
Four weekly doses use 1.2 mL of the 2 mL fill, which leaves 0.8 mL in the vial at the end of the month, a little over two more 3 mg doses. Whether you can use that remainder depends on the beyond-use date, which I couldn't find on my labels. If you're switching pharmacies on an established dose, check the strength and the units on your label before your first injection. GLP Winner has a helpful article on how to do that math if you're not familiar.
Can you reach a pharmacist at either pharmacy?
Patient Direct RX is the pharmacy that dispensed to me, so it's the one I'd call about my prescription. Its website lists (866) 567-1642 and info@patientdirectrx.com, with the address 301 Oxford Valley Road, Yardley, PA 19067, the same address on my label.
For questions about the vial itself, the vial label carries a toll-free number for White Label Pharmacy dba Nova Pharmacy, and White Label Pharmacy's website says its pharmacists are available 24/7 and lists (877) 656-2223 and info@whitelabelpharmacy.com. I didn't call either one for this review, so I can't tell you how fast they pick up.
Final Takeaway
The medication arrived cold, on time against the longer estimate I'd been given, and with everything I needed to inject it. What I didn't get was a single name to deal with: one pharmacy made the vial, another shipped it, and I only learned either one by reading the labels after the box was open. The 503B structure behind that is a real difference from the one-pharmacy orders I've had before, and it may be a point in its favor, but it's the kind of thing I'd want to know before I pay. Read both labels when your box comes, do the units-to-milligrams math before your first shot, and call the dispensing pharmacy about the beyond-use date, because mine didn't say.
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Frequently asked questions
Who is Patient Direct RX?
Patient Direct RX, also called PDRX Pharmacy, is a pharmacy at 301 Oxford Valley Road in Yardley, Pennsylvania. Its website describes a home-delivery pharmacy for people hurt at work or in an accident. My label reads "Patient Direct RX 2," which suggests a second license or location at the same address.
Who is Nova Pharmacy?
The vial label reads "Mfd by: White Label Pharmacy dba Nova Pharmacy," at 21203 Clay Road in Katy, Texas. White Label Pharmacy dba Nova Pharmacy appears on the FDA's list of registered 503B outsourcing facilities, registered December 16, 2025.
Are Patient Direct RX and Nova Pharmacy the same company as Amble?
Not that I could find. Amble is a telehealth company, and its terms describe a pharmacy network. The pharmacies are separate businesses in Pennsylvania and Texas, and neither was named anywhere in my signup or portal before the box arrived.
Why did two pharmacies handle one order?
White Label Pharmacy dba Nova Pharmacy is a 503B outsourcing facility, which compounds under FDA registration, and Patient Direct RX 2 is the dispensing pharmacy that filled my prescription from that vial and shipped it. That is a different setup from the single compounding pharmacy that made and shipped my medication with other providers.
Do you know which pharmacy will fill your order before you pay?
No. Amble's help center says pharmacies are assigned automatically and it can't take requests for a specific one. I learned both names from the labels.
Does the medication arrive cold?
Mine did. It came FedEx Standard Overnight in a foam cooler with one Nordic Ice gel pack, which was soft and sweating but still cold. The vial label says to store at 2 to 8°C and not to freeze.
Is one gel pack enough?
It was for my overnight delivery in late September. Other pharmacies I've used sent two to four. If your pack arrives fully thawed and the vial is warm, call the dispensing pharmacy before you inject.
What does 10mg/1mg/ml mean on the label?
Each milliliter of the solution contains 10 mg of tirzepatide and 1 mg of pyridoxine, which is vitamin B6. The vial holds 2 mL, so 20 mg of tirzepatide in total.
How many milligrams is 30 units of this vial?
On a 1 mL insulin syringe, 30 units is 0.3 mL. At 10 mg per mL, 0.3 mL is 3 mg of tirzepatide, plus 0.3 mg of B6.
How long does the 2 mL vial last?
Four weekly 0.3 mL doses use 1.2 mL, leaving 0.8 mL. Whether the remainder is usable depends on the beyond-use date, which I could not find on either label. Ask the dispensing pharmacy.
What is a beyond-use date, and did this vial have one?
A beyond-use date is the date after which a compounded medication should not be used. I could not find one on the vial or on the part of the prescription label I can read, so I don't know what mine is.
Are syringes and alcohol pads included?
Yes. Ten MedThermal 31-gauge, 5/16-inch, 1 mL insulin syringes and ten 70% isopropyl alcohol prep pads came in the zip bag with the vial.
Does the box include injection instructions?
No. There were no printed instructions, no storage card and no pharmacy insert in my box. A first-timer will want the injection basics from somewhere else.
Can you talk to a pharmacist about this order?
Patient Direct RX lists (866) 567-1642 on its website. White Label Pharmacy says its pharmacists are available 24/7 and lists (877) 656-2223, and the vial label carries its own toll-free number. I did not call either for this review.
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Provider ReviewsProvider reviews are real patients who are paid for their time by GLP Winner. They purchase medications as a patient and write about their experience from start to finish, and share their perspective of their buying experience. Your own experience may vary from theirs, and providers reviewed are never given the opportunity to review the article prior to posting. Providers do not pay for the review or the opportunity to be reviewed.