Perfect Rx
Perfect Rx (Flower Mound, TX): 503A compounding pharmacy. 18 medications on AffinityRx from $20.00. Licenses, accreditations, regulatory history and shipping.
Perfect Rx overview
Clinics that rely on one compounding pharmacy lose orders to backorders, slow shipping and rejected scripts, so AffinityRx, a multi-pharmacy marketplace, lets a clinic order from Perfect Rx alongside 15+ other vetted pharmacies through one portal, with the order rerouted to the next favorite pharmacy within 1–2 minutes if Perfect Rx is out of stock or rejects it. Perfect Rx is a 503A compounding pharmacy in Flower Mound, TX on AffinityRx. Clinics can order 18 compounded medications from Perfect Rx through AffinityRx, including Semaglutide, Tirzepatide, and NAD+, with clinic prices starting at $20.00. Perfect Rx states it holds LegitScript accreditation; AffinityRx has not yet verified this.
PerfectRx is a B2B pharmacy-fulfillment platform and nationwide licensed pharmacy network (proprietary PerfectOS software) that fulfills prescriptions for telehealth and digital-health companies, including brand-name, generic and sterile and non-sterile compounded medications, with white-label and 3PL services. Its website lists a Flower Mound, Texas headquarters; the dispensing pharmacy entities identified in public records are PerfectRx LLC (Washington, Iowa) and affiliated Perfection Rx LLC locations in Florida. It is described in a public investor release as a subsidiary group of Perfect Scripts, LLC.
| Pharmacy type | 503A503A pharmacies fill patient-specific prescriptions; 503B outsourcing facilities register with FDA. |
|---|---|
| Location | Flower Mound, TX5810 Long Prairie Rd |
| Legal name | PerfectRx LLC (operating brand of Perfect Scripts, LLC pharmacy network)DBA PerfectRx |
| Compounding types | Sterile, Non-sterile |
| Product categories | Not publicly stated |
| States shipped | Not publicly statedNumber of states as stated by the pharmacy. Licenses verified against state board records are listed under Licenses; AffinityRx checks that a pharmacy is eligible for the shipping state on every order. |
| Business phone | (844) 597-6278 |
Perfect Rx compounded medication prices on AffinityRx (October 2026)
AffinityRx lists 18 compounded medications from Perfect Rx, with clinic prices from $20.00. Prices are AffinityRx clinic prices, shown before ordering; shipping billed separately.
Semaglutide 5
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| Semaglutide1 mg · B12 0.5 mg/mL · injectable vial | 1 mg | 1 mg/mL | 1 mL vial | $55.00 | Listing matched |
| Semaglutide2 mg · B12 0.5 mg/mL · injectable vial | 2 mg | 2 mg/mL | 1 mL vial | $65.00 | Listing matched |
| Semaglutide4 mg · B12 0.5 mg/mL · injectable vial | 4 mg | 4 mg/mL | 1 mL vial | $70.00 | Listing matched |
| Semaglutide6 mg · B12 0.5 mg/mL · injectable vial | 6 mg | 6 mg/mL | 1 mL vial | $80.00 | Listing matched |
| Semaglutide10 mg · no additive · injectable vial | 10 mg | 2.5 mg/mL | 4 mL vial | $100.00 | Pending matchPharmacy lists: Semaglutide 10 mg; 10 mg/mL; 1 mL vial; B12 0.5 mg/mL · Pharmacy actually lists: Semaglutide 10 mg; 10 mg/mL; 1 mL vial; B12 0.5 mg/mL. |
Tirzepatide 5
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| Tirzepatide20 mg · B6 10 mg/mL · injectable vial | 20 mg | 10 mg/mL | 2 mL vial | $115.00 | Listing matchedPharmacy lists this strength with additive B12 (cyanocobalamin); |
| Tirzepatide30 mg · no additive · injectable vial | 30 mg | 10 mg/mL | 3 mL vial | $155.00 | Pending matchPharmacy lists: Tirzepatide 30 mg; 15 mg/mL; 2 mL vial; B12 0.5 mg/mL · Pharmacy actually lists: Tirzepatide 30 mg; 15 mg/mL; 2 mL vial; B12 0.5 mg/mL. |
| Tirzepatide40 mg · no additive · injectable vial | 40 mg | 10 mg/mL | 4 mL vial | $190.00 | Pending matchPharmacy lists: Tirzepatide 40 mg; 20 mg/mL; 2 mL vial; B12 0.5 mg/mL · Pharmacy actually lists: Tirzepatide 40 mg; 20 mg/mL; 2 mL vial; B12 0.5 mg/mL. |
| Tirzepatide50 mg · B12 0.5 mg/mL · injectable vial | 50 mg | 25 mg/mL | 2 mL vial | $225.00 | Listing matched |
| Tirzepatide60 mg · no additive · injectable vial | 60 mg | 15 mg/mL | 4 mL vial | $260.00 | Pending matchPharmacy lists: Tirzepatide 60 mg; 30 mg/mL; 2 mL vial; B12 0.5 mg/mL · Pharmacy actually lists: Tirzepatide 60 mg; 30 mg/mL; 2 mL vial; B12 0.5 mg/mL. |
Single Peptides 2
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| NAD+NAD+ (1000 mg) · injectable vial | 1000 mg | 100 mg/mL | 10 mL vial | $65.00 | Listing matched |
| SermorelinSermorelin (9 mg) · injectable vial | 9 mg | 1.5 mg/mL | 6 mL vial | $45.00 | Pending matchPharmacy lists: Sermorelin Acetate 9 mg; 0.9 mg/mL; 10 mL vial · Pharmacy actually lists: Sermorelin Acetate 9 mg; 0.9 mg/mL; 10 mL vial. |
Blends 1
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| methionine / inositol / choline (MIC) + vitamin B12Lipotropic MIC / Lipo-B (10 mL) · injectable vial | — | MIC 25/50/50 mg/mL + B12 1 mg/mL | 10 mL vial | $70.00 | Listing matchedPharmacy lists 'Lipo-B (MIC + B12)' at 50 / 50 / 25 / 1 mg/mL (component order differs from the sheet's MIC 25/50/50 + B12 1 mg/mL; same four amounts). |
SEXUAL HEALTH 1
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| TadalafilTadalafil (Oral) · oral tablet | 5 mg | 5 mg | 30 tabs | $25.00 | Listing matched |
VITAMINS / INJECTABLE WELLNESS 1
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| methylcobalamin (vitamin B12)Methylcobalamin (Methyl-B12) Injectable · injectable vial | 150 mg | 5 mg/mL | 30 mL vial | $80.00 | Listing matched |
METABOLIC 2
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| Metformin ERMetformin ER (Oral) · oral tablet | 500 mg | 500 mg | 30 tabs | $20.00 | Listing matched |
| Metformin ERMetformin ER (Oral) · oral tablet | 1000 mg | 1000 mg | 30 tabs | $20.00 | Listing matched |
OTHER ORALS 1
| Medication | Strength | Concentration | Fill | Clinic price | Verification |
|---|---|---|---|---|---|
| Sirolimus (rapamycin)Rapamycin / Sirolimus (Oral) · oral capsule | 2 mg | 2 mg | 30 caps | $150.00 | Listing matched |
Perfect Rx compliance scorecard
A due-diligence checklist for Perfect Rx modeled on the AffinityRx pharmacy review: licensure, accreditation, quality and testing, and regulatory history. Verified items link to a public source. Claimed items are pharmacy statements AffinityRx has not yet verified. Items that are not public are available to AffinityRx clinics on request.
- 5 Verified
- 2 Claimed by pharmacy
- 14 Not public
Licensure
- Not publicResident-state pharmacy licenseNot publicly available — available to AffinityRx clinics on request
- Not publicNon-resident state licensesNot publicly available — available to AffinityRx clinics on request
- VerifiedPharmacy NPINPI 1023855152 Source
- Not publicPharmacist-in-charge (PIC)Not publicly available — available to AffinityRx clinics on request
- Not publicNABP e-ProfileNot publicly available — available to AffinityRx clinics on request
- VerifiedSterile compounding licensureFL sterile permit PH36559 Source
- ClaimedControlled substancesReports dispensing controlled substances
Accreditation
- Not publicPCAB (ACHC) accreditationNot publicly available — available to AffinityRx clinics on request
- Not publicNABP compounding accreditationNot publicly available — available to AffinityRx clinics on request
- ClaimedLegitScript certificationClaims 'LegitScript Certified' in its website footer and About page; Source
- Not publicJoint Commission medication compounding certificationNot publicly available — available to AffinityRx clinics on request
- Not publicURAC accreditationNot publicly available — available to AffinityRx clinics on request
Quality & testing
- Not publicThird-party product testingNot publicly available — available to AffinityRx clinics on request
- Not publicCertificates of analysis (COA)Not publicly available — available to AffinityRx clinics on request
- VerifiedCold-chain shippingSite states validated cold-chain logistics for refrigerated items with temperature monitoring Source
- Not publicEnvironmental monitoring reportNot publicly available — available to AffinityRx clinics on request
- Not publicCertificate of insuranceNot publicly available — available to AffinityRx clinics on request
- Not publicMedia-fill and gloved-fingertip testingNot publicly available — available to AffinityRx clinics on request
Regulatory history
- VerifiedFDA Form 483s, warning letters and recallsNo records found in FDA databases as of Oct 1, 2026
- VerifiedState board actions and consent ordersNo records found in searched state board databases as of Oct 1, 2026
- Not publicLatest board inspection reportNot publicly available — available to AffinityRx clinics on request
How AffinityRx vets Perfect Rx
AffinityRx vets every compounding pharmacy for clinics, and only 9% of the pharmacies AffinityRx reviews pass. Perfect Rx is one of the pharmacies that passed.
AffinityRx reviews each pharmacy in five areas:
- Compliance: state licensures, USP <795>, <797> and <800>, and certifications such as LegitScript, PCAB, ACHC and NABP.
- Product: third-party certificates of analysis (COAs), sterility and endotoxin testing, and beyond-use dates.
- Track record: Form 483s, recalls, FDA actions and the pharmacist-in-charge background.
- Market feedback: clinic and patient ratings and reviews, and Reddit threads.
- Operations: shipping times, stock and cold-chain validation.
Public credentials such as license numbers and accreditation proof are published on this profile, and backing documents such as COAs are available to clinics on request.
Warning letters and recalls
If Perfect Rx receives an FDA warning letter or recall, AffinityRx notifies clinics and updates this profile. Clinics can switch Perfect Rx off in their AffinityRx portal at any time.
Favorites and failover
Clinics pick a pharmacy at checkout, or pre-set a primary pharmacy plus second and third favorites. If the primary pharmacy is out of stock or rejects an order, AffinityRx reroutes it to the next favorite within 1–2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step. Read how this works on the backorders page, and see how AffinityRx compares with other compounding pharmacy marketplaces.
Perfect Rx licenses and identifiers
Perfect Rx's license and registry identifiers, as recorded in public records. Verify any license directly with the issuing board before relying on it.
| Resident pharmacy license | Not publicly availableAvailable to AffinityRx clinics on request. |
|---|---|
| Pharmacy NPI | 1023855152NPI Registry |
| FL sterile compounding permit | PH36559Board record |
Non-resident licenses
Not publicly available — available to AffinityRx clinics on request.
Perfect Rx regulatory history
No FDA warning letters, recalls or Form 483s found in FDA databases as of Oct 1, 2026.
This records what AffinityRx searched on public databases for Perfect Rx. It is a search log, not a safety endorsement or a guarantee that no event exists.
Search log
- FDA warning letters and the FDA compounding inspections, recalls and other actions page — searched October 1, 2026
- openFDA drug enforcement (recall) database — searched October 1, 2026
- FDA Form 483 postings for compounders — searched October 1, 2026
- State Board of Pharmacy license and disciplinary records for the pharmacy's licensed states — searched October 1, 2026
Perfect Rx shipping
Turnaround averages 1–5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to this profile.
Below are the shipping terms Perfect Rx publishes itself. AffinityRx shipping fees are added on top of the medication price: Ground $15, 2-day $15, Overnight $20, and a cold-chain add-on of $8. There is no subscription and there are no per-order fees. See how AffinityRx handles slow pharmacy shipping.
| Standard shipping | Orders received before 3 PM EST cutoff are typically processed and shipped same day if inventory is available (site) |
|---|---|
| Expedited shipping | Next-day delivery to most U.S. addresses (site) |
| Cold chain | Site states validated cold-chain logistics for refrigerated items with temperature monitoring |
| States shipped | Not publicly statedNumber of states as stated by the pharmacy. Licenses verified against state board records are listed under Licenses; AffinityRx checks that a pharmacy is eligible for the shipping state on every order. Pharmacy statement |
Sources
Every fact on this page comes from the records below or from the AffinityRx catalog. Pharmacy statements are labeled as claimed until verified.
- https://perfectrx.com/
- https://www.perfectrx.com/about
- https://perfectrx.com/contact
- https://npiregistry.cms.hhs.gov/api/?version=2.1&number=1023855152
- https://iid.iowa.gov/media/5362/download?inline=
- https://mqa-internet.doh.state.fl.us/MQASearchServices/HealthCareProviders
- https://www.pharmacy.texas.gov/dbsearch/phy_search.asp
- https://www.globenewswire.com/news-release/2025/11/28/3196249/0/en/Hydreight-Technologies-Acquires-5-Equity-Stake-in-Perfect-Scripts-LLC-with-Option-to-Increase-up-to-40-and-Establishes-Strategic-Partnership.html
- https://api.fda.gov/drug/enforcement.json
- https://www.fda.gov/drugs/human-drug-compounding/compounding-inspections-recalls-and-other-actions
- https://www.fda.gov/drugs/human-drug-compounding/registered-outsourcing-facilities
- https://organization.achc.org/
- https://perfectrx.com
By Tim Yoon, CEO, AffinityRx · Last updated
Frequently asked questions about Perfect Rx
Is Perfect Rx a 503A or 503B pharmacy?
What does Perfect Rx charge clinics for compounded tirzepatide on AffinityRx?
Is Perfect Rx PCAB accredited?
Has Perfect Rx received an FDA warning letter?
How does AffinityRx vet Perfect Rx?
What happens if Perfect Rx gets an FDA warning letter or recall?
How fast does Perfect Rx ship through AffinityRx?
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