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VialCompareFagron vs Marek Health
VIAL TRUST COMPARISON

Fagron vs Marek Health

Vial Take

Both cover the same core menu, including TRT, HRT, peptides, and metabolic health, and Fagron actually sits inside Marek's supply chain as a named pharmacy partner, so if you've used Marek you've likely already been dispensed Fagron product. The meaningful gap is transparency: Marek publishes its pharmacy partners and confirms physician oversight across 45 states, while Fagron discloses neither, which is normal for a wholesale compounder but means you're getting less visibility into the clinical layer. Where Fagron earns its trust score is on federal compliance, a clean record across FDA, OIG, DEA, and HIPAA; where Marek earns its higher score is on the full-platform picture, lab depth, clinical structure, and supply-chain openness that a pharmacy-only operation simply isn't built to offer.

Biggest Differences

  1. Pharmacy disclosure
    Marek Health publishes its compounding partners (Empower Pharmacy, Fagron), so you can verify the supply chain; Fagron does not name a pharmacy partner publicly.
  2. Operating history
    Fagron has been operating since 1990 (36+ years of visible track record); Marek Health launched in 2019, giving you 29 fewer years of public record to evaluate.

Fagron

Compounding Pharmacy
76/ 100
Meets baseline compliance standards.
Moderate Confidence· 4/9
Full report →
vs

Marek Health

Telehealth Platform
80/ 100
Meets baseline compliance standards.
Moderate Confidence· 5/9
Full report →
Generated by Vial · May 14, 2026
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Signal-by-Signal

Compliance Comparison

SignalFagronMarek HealthEdge
NPI Registration✗ Not Found✗ Not FoundSame
FDA Enforcement✓ No Actions Found✓ No Actions FoundSame
PCAB Accreditation✗ Not Accredited✗ Not AccreditedSame
LegitScript✗ Not Certified✗ Not CertifiedSame
Vial Trust Score76/10080/100Marek
Vial Analysis

Our Assessment

Fagron
Best for
  • Patients wanting comprehensive care
Main strength
No active FDA enforcement actions on record
Main caution
NPI registration not confirmed in federal registry
Marek Health
Best for
  • Patients prioritizing compliance and transparency
  • Patients wanting comprehensive care
Main strength
No active FDA enforcement actions on record
Main caution
NPI registration not confirmed in federal registry

Both providers show similar public records. Your choice may come down to treatment type, state availability, and pricing.

Comparison reflects publicly disclosed federal and state records only. Vial does not audit clinical quality or patient outcomes.

Provider A

Fagron

DeliveryTelehealth Only
Price TierPremium
HQSt. Petersburg, FL
Services: TRT, HRT, Peptides +1
Provider B

Marek Health

DeliveryTelehealth Only
Price TierPremium
HQScottsdale, AZ
Services: TRT, HRT, Peptides +3

Want to run a full compliance report on either provider?

VIAL

Comparison based on public federal and state records including NPI Registry, FDA enforcement database, and PCAB accreditation directory. Updated weekly. Not a medical endorsement.