SBH Medical (OptioRx) Compounded Tirzepatide Review (2026): What Arrived in the UPS Box, What Both Labels Say, and How Far Two 1 mL Vials Go
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Quick answer: SBH Medical, part of OptioRx, in Columbus, Ohio filled my compounded tirzepatide and shipped it UPS 2nd Day Air in a white UPS box with an insulated Popup Pouch and two gel packs inside, still cold on arrival. The vials are niacinamide/tirzepatide at 2 mg/12.5 mg per mL, two 1 mL multi-dose vials with a beyond-use date of 12/16/26, and the bottle says to discard any unused portion 28 days after opening. My directions start at 40 units (5 mg) a week and step up to 52 units (6.5 mg) by week 4.
This article is drawn from the GLP Winner provider review series. The order described here was placed through Ivim Health, which is not a GLP Winner partner. Neither Ivim Health nor SBH Medical and OptioRx, which compounded and dispensed the medication, 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 and membership fee, the dose that stepped up from the one the reviewer asked to keep, the portal, and how cancellation works, read the full Ivim Health Compounded Tirzepatide Review (2026). This article is only about what the pharmacy sent.
Have questions or concerns? Reach out to the team here.
Who reviewed this shipment?
I'm a woman in my 60s, and I've been on compounded tirzepatide for about 6 months at a 5 mg dose, so this was not my first box from a compounding pharmacy. I ordered through Ivim Health. SBH Medical is who actually made and mailed the medication, and I didn't see the pharmacy's name before checkout.
Who is SBH Medical, and what is OptioRx?
My prescription was filled by SBH Medical, which is part of OptioRx, at 7654 Crosswoods Drive in Columbus, Ohio. The pharmacy card in the box shows ACHC and PCAB accreditation and lists pharmacist hours of 8:30 AM to 5:00 PM Eastern on weekdays, with a pharmacist on call after hours.
The bottle label reads "OptioRx - 290" above the SBH Medical logo, and the vial labels say "SBH Medical, A part of OptioRx." SBH Medical's own website describes it as a compounding and infusion pharmacy founded in 2001, and OptioRx's site describes a national compounding pharmacy company with several locations. Everything on my labels came from the one Columbus location.
The front of the label: SBH Medical, "OptioRx - 290," and "NO REFILLS."
How did the SBH Medical order arrive?
I ordered on Sunday, September 27, and my prescription was filled Monday, September 28. It shipped UPS 2nd Day Air from SBH Medical in Columbus, Ohio, and arrived October 1, 4 days after signup. The tracking was in the portal.
The outer box was a white UPS Express box with a bright green "Refrigerate upon arrival" sticker. The UPS label listed it at 3 pounds. Nothing on the outside of the box named the pharmacy.
UPS 2nd Day Air, 3 pounds, in a medium UPS box.
Everything that came in the box, before I opened the pouch.
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Did the medication arrive cold?
Inside was an insulated pouch marked "Medication inside, do not discard" and "Perishable," with gel packs inside. Everything was still cold when it arrived. The pouch is a Popup Pouch, a self-expanding insulated shipper that puffs up to fill the box, and there were two Nordic Ice gel packs folded between its layers.
The orange sticker on the bottle says to keep it in the refrigerator and not freeze it, and that is where mine went as soon as I had photographed it.
The insulated pouch inside the box, with two stickers you cannot miss.
Inside the box. The pouch expands to fill it.
Two gel packs between the layers. Still cold when I opened it.
What came in the SBH Medical box?
- 2 vials of compounded tirzepatide with niacinamide, 1 mL each, in a pharmacy bottle
- A green zip pouch from the provider, for the vials
- 10 insulin syringes
- Alcohol prep pads
- An injection card from the provider, with a QR code to its dosing page
- A pharmacy card about compounded medication
- An insulated pouch and gel packs
The syringes are Sol-M 1 mL insulin syringes with a fixed 30-gauge, 5/16-inch (8 mm) needle, ten to the kit, and the kit sheet lists 20 Lights 70% isopropyl alcohol prep pads with them. The pharmacy itself did not include printed injection instructions; the step-by-step card in my box came from the provider.
What's in the box, all of it.
Ten syringes and twenty alcohol pads in one kit.
The branded pouch the pharmacy bottle came in. The only Ivim branding in the box, apart from the card.
What does the SBH Medical pharmacy card say?
The card is the pharmacy's counseling insert, and it is the one piece of paper in the box that is about the medication rather than the program. The top paragraph, transcribed:
This medication was compounded specifically for you in our pharmacy to fill the prescription your prescriber wrote. It was specially made to meet your individual needs. For this reason, no standardized information or literature is available with your prescription due to compounded medications not being evaluated for safety and effectiveness by the FDA. If you have not done so, please discuss this medication with one of our pharmacists or your prescriber to ensure that you understand (1) why you have been prescribed a compounded medication, (2) how to take this medication properly, (3) the risks associated with taking this medication, and (4) the interactions, if any, this medication may have with any other medication you are taking.
Below that: a QR code to update your pharmacy profile with other medications, "Call our pharmacy or your prescriber if you experience any side effects," and a line that pharmacists are available during the hours shown and on call after hours. The hours are Monday to Friday, 8:30 AM to 5:00 PM Eastern, closed weekends. The card carries two accreditation seals, ACHC and PCAB.
What does the SBH Medical label say?
The vials came in an amber pharmacy bottle with a white cap. Transcribed from the two faces I photographed, with my details and the pharmacist's initials left out:
- OptioRx - 290, 7654 Crosswoods Dr., Columbus
- SBH Medical
- Fill date 09/28/2026
- Rx number and patient line
- NIACINAMIDE/TIRZEPATIDE INJ., Injection, 2mg/12.5mg/mL
- INJECT 40 UNITS (5MG) SUBCUTANEOUSLY ONCE A WEEK. INCREASE BY 4 UNITS (0.5MG) PER WEEK IF TOLERATED. DO NOT EXCEED 52 UNITS (6.5MG) BY WEEK 4.
- NDC: Compounded Drug
- NO REFILLS
- Lot number and discard date
- Ingredients line, partly legible: Tirzepatide Powder, Water for Injection, Sterile, Niacinamide USP, Dibasic Sodium Phosphate, and a preservative whose name is cut off at the edge of the label
On the other side is an orange auxiliary sticker: "KEEP IN REFRIGERATOR, DO NOT FREEZE" and "DISCARD UNUSED PORTION AFTER 28 DAYS."
The directions. Start at 5 mg, go up 0.5 mg a week, stop at 6.5 mg. I had asked to stay at 5.
The directions. Start at 5 mg, go up 0.5 mg a week, stop at 6.5 mg. I had asked to stay at 5.
What is in the vial, and what does 2 mg/12.5 mg per mL mean?
The label reads Niacinamide/Tirzepatide 2 mg/12.5 mg per mL, in two 1 mL multi-dose vials. Niacinamide is a form of vitamin B3. I didn't see it mentioned anywhere during signup, but it was in the follow-up message once the script was approved. The checkout only said compounded tirzepatide.
Each vial is amber glass with a magenta flip cap and a white label: "NIACINAMIDE / TIRZEPATIDE INJECTABLE, 2mg/12.5mg/mL, 1 mL Multi-Dose Vial, FOR SQ USE ONLY, SBH Medical, A part of OptioRx." A yellow flag label on each vial carries the beyond-use date, the lot number and the strength. So each milliliter holds 12.5 mg of tirzepatide and 2 mg of niacinamide, and each 1 mL vial holds 12.5 mg of tirzepatide in total. GLP Winner has an explainer on additives if you want to know what the B3 is there for.
Two 1 mL vials, each with a BUD of December 16, 2026 on a yellow flag.
What dose is 40 units of this vial, and how far do two vials go?
The directions say to inject 40 units (5 mg) once a week, increase by 4 units (0.5 mg) a week if tolerated, and not go past 52 units (6.5 mg) by week 4. On a 1 mL insulin syringe, 40 units is 0.4 mL, and at 12.5 mg per mL that is 5 mg of tirzepatide, plus 0.8 mg of niacinamide. Each 4-unit step is 0.04 mL, or 0.5 mg.
On paper, the four weeks of the schedule use 40, 44, 48 and 52 units, which is 1.84 mL from two 1 mL vials. The first two doses take 0.84 mL from the first vial. The last two take 0.48 mL and 0.52 mL, which is the entire second vial with nothing left over, so the week-4 draw may need the 0.16 mL still in vial one. I haven't gotten that far yet. If your directions step up like mine, it is worth doing this math before week 3, and GLP Winner has a helpful article on units and milligrams if you want to check your own label.
How long is the medication good for?
The beyond-use date is 12/16/26, and an orange sticker says to keep it refrigerated, not freeze it, and discard any unused portion 28 days after opening. The BUD is 79 days after the September 28 fill date and 76 days after the box arrived. The 28-day rule starts when you first puncture a vial, so with two vials the second one is on its own clock from the day you open it.
Can you reach a pharmacist at SBH Medical?
Yes, according to the card. SBH Medical's pharmacists are available Monday to Friday, 8:30 AM to 5:00 PM Eastern, and the card says they are on call after hours. The card lists 614-847-6007 and 866-724-6333 for the pharmacy, with a fax at 614-847-6015, and an OptioRx Customer Service Hub at 877-958-1601 and patientsupport@optiorx.com. One thing to know: OptioRx's website now carries a notice that its customer service number has changed to 888-897-3304, so the hub number on the card may be out of date. I didn't call for this review, so I can't tell you how fast they pick up.
Final Takeaway
SBH Medical did the pharmacy part the way I'd want it done: filled the day after I ordered, shipped in a box that was still cold four days later, with a counseling card that tells you plainly that compounded medication hasn't been evaluated by the FDA and gives you a pharmacist's number to call. The labels are complete, the beyond-use date is on every vial, and the 28-day sticker is on the bottle. The two things I'd want you to check are the dose on your label against the dose you asked for, and whether two 1 mL vials cover your whole titration, because mine come out exactly even. Keep the pharmacy card; it is the only paper in the box that is about the vial.
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Frequently asked questions
Who is SBH Medical?
SBH Medical is a compounding and infusion pharmacy at 7654 Crosswoods Drive in Columbus, Ohio, founded in 2001 according to its website. It is part of OptioRx, and my bottle label reads "OptioRx - 290." The card in my box shows ACHC and PCAB accreditation.
Is SBH Medical the same company as Ivim Health?
Not that I could find. Ivim Health is a telehealth provider, and SBH Medical is the pharmacy it sent my prescription to. Both happen to be in Columbus, Ohio, and the pharmacy's name was not shown before checkout.
Do you know which pharmacy will fill your order before you pay?
No. The provider's site says medications are prepared by independent, licensed compounding pharmacies, and I learned the name from the bottle.
Does compounded tirzepatide from SBH Medical arrive cold?
Mine did. It came UPS 2nd Day Air in a white UPS box with an insulated Popup Pouch and two Nordic Ice gel packs inside, and everything was still cold when I opened it.
What is a Popup Pouch?
It is the insulated shipper inside the box, a padded white pouch printed "Medication inside, do not discard" and "Perishable" that expands to fill the carton. The gel packs sit between its layers.
What does 2mg/12.5mg/mL mean on the label?
Each milliliter contains 2 mg of niacinamide, a form of vitamin B3, and 12.5 mg of tirzepatide. Each 1 mL vial holds 12.5 mg of tirzepatide in total.
How many milligrams is 40 units of this vial?
On a 1 mL insulin syringe, 40 units is 0.4 mL. At 12.5 mg per mL, that is 5 mg of tirzepatide. Each 4-unit step on my directions is 0.5 mg, and 52 units is 6.5 mg.
Do two 1 mL vials cover a four-week step-up?
On paper, barely. Doses of 40, 44, 48 and 52 units add up to 1.84 mL, and the last two doses use the entire second vial. Check your own directions against your vial volume before week 3.
What is the beyond-use date, and how long did mine have?
A beyond-use date is the date after which a compounded medication should not be used. Mine is 12/16/26, which was 79 days after the fill date on the bottle.
How long can you use a multi-dose compounded vial after opening it?
The orange sticker on my bottle says to discard any unused portion 28 days after opening. Each vial starts its own 28 days when you first puncture it.
How should compounded tirzepatide be stored?
The sticker says to keep it in the refrigerator and not to freeze it. Follow the directions on your own label.
Are syringes and alcohol pads included?
Yes. Ten Sol-M 1 mL insulin syringes with fixed 30-gauge, 5/16-inch needles and 20 Lights alcohol prep pads came in a zip bag.
Does SBH Medical include injection instructions?
Not from the pharmacy. The counseling card covers what a compounded medication is and who to call. The step-by-step injection card in my box came from the provider.
Can you talk to a pharmacist about a compounded order?
The card says yes, during business hours and on call after hours, at 614-847-6007 or 866-724-6333. I did not call 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.