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Clinic file

Framework

Reviewed by Editorial review in progress · Last updated 2026-06-13

The bottom line

No verdict issued yet.

Framework (operated by Framework LLC, San Juan, Puerto Rico) is an online telehealth platform selling compounded semaglutide and tirzepatide marketed 'as low as $25/week' with '$0 membership fees.' The site discloses that products are compounded, non-FDA-approved formulations and that Framework connects users with physicians and pharmacies, but the public pages reviewed do not name the specific compounding pharmacy partner(s) that fill prescriptions. Service is limited to roughly three dozen listed states, not all 50. Refund, cancellation, and state-coverage terms are documented; pricing detail, parent company, and founding date are not disclosed on the pages reviewed.

The supply chain

You buy fromFrameworkThe brand: marketing, checkout, and the subscription.
Your clinician works forBeluga HealthA contract medical group named on the clinic's own site — the brand doesn't employ your clinician.
Your prescription is filled byNo pharmacy on our recordNothing we can verify — the receipt the rest of the chain depends on.
Licensed where you live?Check your stateEvery fill depends on the pharmacy holding a license in your state — verified below, state board by state board.

What checks out

No gate criteria passed yet.

What to watch

Renewals must be cancelled via the patient portal at least 72 hours before the charge; a missed cutoff is processed with no refund ("There will be no refunds on the payment once the renewal has been initiated").
Prescription fulfiller not disclosed: the Terms of Service confirm Framework 'connects users with Physicians and pharmacies' but name no specific compounding pharmacy partner, and the homepage FAQ 'What pharmacies does Framework work with?' did not yield a public answer in the pages reviewed.
Sells compounded semaglutide and tirzepatide that are not FDA-approved and have not undergone clinical trials, per the site's own disclaimer. Context: as of 2025 the FDA shortage for these drugs resolved and mass compounding is restricted, and the FDA has issued warning letters to telehealth companies marketing compounded GLP-1s (no Framework-specific FDA action found).
Strict refund and cancellation terms: 'All sales are final' once a product ships, and subscription renewals must be cancelled in the patient portal at least 72 hours before the renewal charge.
Who provides your care
Care is outsourced to Beluga Health
A contract medical group named on Framework's own pages. The brand selling the subscription doesn't employ the clinician who prescribes.
Beluga Health
“(v) administrative support in connection with scheduling, payment for health care provider services, and payment for pharmacy services; and (vi) telecommunications support for using the Services as a means of direct access to health care providers provided by Beluga Health, P.A. and similar affiliat”
From Framework's own page.
Source: start.yourframework.com/policy/terms-of-service (accessed 2026-07-15)
Why this matters

A contract medical group serves many brands at once. Your prescriber answers to the vendor's protocols and staffing, not to the clinic you pay — and if the brand switches vendors, your care relationship goes with it. It does not by itself disqualify a clinic, but it weighs against the verdict.

Trustpilot review integrity
Review integrity concern
100% of this company's reviews are organic (unprompted) — above our 40% threshold, the pattern most consistent with review gaming.
Score
4.8 / 5 across 84 reviews (trailing 12 months)
Review source
100% organic (unprompted) · 0% verified or invited (company-sent, post-transaction)
OrganicVerified / invited
Source: Trustpilot's own "Transparent Inviting" disclosure, company profile (accessed 2026-07-12).
Review integrity concern

100% of this company's Trustpilot reviews are organic (unprompted), above our 40% threshold. Verified and invited reviews both require a real completed transaction and the company choosing to send the invite, which makes them hard to fabricate at scale. A heavy skew toward organic, unprompted reviews is a known review-manipulation vector — it does not by itself disqualify a clinic, but it weighs against the verdict. See how we weigh this.

Corporate address transparency
Agent or mailbox address — no operating location listed
Virtual office / rented mailbox, found on the company's own site.
Legal entity
Framework LLC
Listed address
151 C De San Francisco, San Juan, Puerto Rico 00646
Notes
151 Calle de San Francisco (Old San Juan) is a widely used Puerto Rico virtual-office/PMB location; the listed ZIP 00646 is actually Dorado, not Old San Juan (00901); governing law is California despite the PR address.
Source: Terms of Service, contact address (accessed 2026-07-19)

Who fills your prescription

Compounded semaglutide and tirzepatide described as 'compounded medications prepared by licensed compounding pharmacies' that are not FDA-approved. Framework states it 'acts as a technology platform connecting users with Physicians and pharmacies' and 'is not a health care provider or pharmacy.' No specific compounding pharmacy partner is named on public pages reviewed.

Partner pharmacies have not yet been profiled. Each named partner must clear the pharmacy gate independently before this clinic stays on the index.

What it's actually like

Framework presents an online intake described as taking 'Less than 3 Minutes,' after which 'a Physician licensed in your state will review your intake.' The platform sells GLP-1 medications (compounded semaglutide and tirzepatide) on a subscription basis with monthly auto-renewal. Marketing headline pricing is 'as low as $25/week' with no membership fee; exact tier amounts and billing cadence are not disclosed on public pages reviewed. Terms state Framework 'is not a health care provider or pharmacy' and 'acts as a technology platform connecting users with Physicians and pharmacies.' The operating entity is Framework LLC, 151 C De San Francisco, San Juan, Puerto Rico 00646; contact is (888) 412-0666 and support@yourframework.com. Service is limited to a listed set of approximately 34 to 36 states (not all 50). The site carries an FDA disclaimer that products are compounded, 'not approved by the U.S. Food and Drug Administration (FDA),' 'have not undergone clinical trials,' and are 'not substitutes for FDA-approved medications.' The specific compounding pharmacy partner(s) that dispense medication are not named on the public pages reviewed.

Framework in your state

Ship-to coverage per our record, and the state-by-state read: whether Framework's partner pharmacies hold a license where you live, checked against each state board's own portal. Click any state for its file.

Alaska — Ship-to coverage in reviewAlabama — Ship-to coverage in reviewArkansas — Ship-to coverage in reviewArizona — Ship-to coverage in reviewCalifornia — Ship-to coverage in reviewColorado — Ship-to coverage in reviewConnecticut — Ship-to coverage in reviewDelaware — Ship-to coverage in reviewFlorida — Ship-to coverage in reviewGeorgia — Ship-to coverage in reviewHawaii — Ship-to coverage in reviewIowa — Ship-to coverage in reviewIdaho — Ship-to coverage in reviewIllinois — Ship-to coverage in reviewIndiana — Ship-to coverage in reviewKansas — Ship-to coverage in reviewKentucky — Ship-to coverage in reviewLouisiana — Ship-to coverage in reviewMassachusetts — Ship-to coverage in reviewMaryland — Ship-to coverage in reviewMaine — Ship-to coverage in reviewMichigan — Ship-to coverage in reviewMinnesota — Ship-to coverage in reviewMissouri — Ship-to coverage in reviewMississippi — Ship-to coverage in reviewMontana — Ship-to coverage in reviewNorth Carolina — Ship-to coverage in reviewNorth Dakota — Ship-to coverage in reviewNebraska — Ship-to coverage in reviewNew Hampshire — Ship-to coverage in reviewNew Jersey — Ship-to coverage in reviewNew Mexico — Ship-to coverage in reviewNevada — Ship-to coverage in reviewNew York — Ship-to coverage in reviewOhio — Ship-to coverage in reviewOklahoma — Ship-to coverage in reviewOregon — Ship-to coverage in reviewPennsylvania — Ship-to coverage in reviewRhode Island — Ship-to coverage in reviewSouth Carolina — Ship-to coverage in reviewSouth Dakota — Ship-to coverage in reviewTennessee — Ship-to coverage in reviewTexas — Ship-to coverage in reviewUtah — Ship-to coverage in reviewVirginia — Ship-to coverage in reviewVermont — Ship-to coverage in reviewWashington — Ship-to coverage in reviewWisconsin — Ship-to coverage in reviewWest Virginia — Ship-to coverage in reviewWyoming — Ship-to coverage in review
Coverage in review

How we review. Every clinic must clear two gates: a credible compounding pharmacy, licensed in every state it ships to, and a clinic that supports long-term patient success. We pay for our own access and accept no payment, referral fees, or coupon arrangements from anyone we cover. See the methodology.