Vial Confidence Comparison
VIAL
VIALLee Silsby Pharmacy vs Pacifica Pharmacy
Same category. Different operational transparency.
Compounding Pharmacy
69/ 100
Vial Score
View full report →Compounding Pharmacy20/ 100
Vial Score
View full report →Signal
Pharmacy Disclosure
Do they name their pharmacy partner?
•Operates as the pharmacy
•Operates as the pharmacy
Physician Oversight
Are prescribing clinicians named?
•Pharmacy, not a prescriber
•Pharmacy, not a prescriber
Pricing Transparency
Is pricing shown before signup?
✕Pricing not disclosed
✕Pricing not disclosed
Federal Enforcement History
Any FDA, DEA, or OIG actions?
✓No federal actions found
✕Active OIG exclusion
State Availability
How widely is care available?
✓45 states
✕Coverage not disclosed
Membership Model
Is a paid membership required?
✓No membership required
✓No membership required
Data & Privacy
Any reported HIPAA breaches?
✓No breaches on record
✓No breaches on record
Higher Vial Score
Lee Silsby Pharmacy
Leads on enforcement record and state availability.
Lower Vial Score
Pacifica Pharmacy
Gaps in pricing, enforcement record, and state availability.
Updated August 13, 2026
Scores based on operational, compliance, and transparency signals tracked by Vial.
Biggest Differences
- OIG exclusionLee Silsby Pharmacy is not on the federal OIG exclusion list; Pacifica Pharmacy appears as an active exclusion, which is a decision-altering compliance signal.
- Vial Score gap (49 points)Lee Silsby Pharmacy scores 69/100 to Pacifica Pharmacy's 20/100, a 49-point spread driven by the differences below.
- NPI registrationPacifica Pharmacy has a registered organizational NPI on file with CMS, which lets you confirm legal entity status independently; Lee Silsby Pharmacy does not.
Comparison based on public federal and state records including NPI Registry, FDA enforcement database, and PCAB accreditation directory. Updated weekly. Not a medical endorsement.
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This page evaluates compliance signals, not clinical outcomes. Consult a licensed physician before starting any therapy, medication, or treatment. Vial does not provide medical advice.