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Federal record

FDA Warning Letter issued April 23, 2025 · As of September 2026, Vial did not find a close-out letter in FDA records. Read the FDA letter →

We're providing this information based on regulatory filings Vial reviewed as of 2026-09-23. Regulatory status can change, and actions may be resolved or closed out. Confirm current status with the issuing agency: FDA.gov →

OI
Standard Pharmacy

OSRX, Inc.

Missoula, MT

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OSRX is a pharmacy. The FDA issued a warning letter involving OSRX on April 23, 2025, with no close-out letter found resolving it. Pricing was not publicly listed, so total cost should be confirmed before signing up.

What they offerPharmacy

38/100
Flagged
Why this score?

The Vial Score measures how much of this provider's public record Vial could confirm, and how clearly the provider discloses it. It does not measure quality of care.

85-100High Confidence
70-84Well Documented
50-69Limited Confidence
0-49Flagged

OSRX, Inc. scores 38, in the Flagged band. The score moves when the public record changes. For OSRX, Inc., the item most likely to move it: Pricing.

Payment never changes a score.

3 of 5 checks complete. The remaining checks have not been run yet. Missing checks reduce how complete the profile is. They are not a finding by themselves.

Score history

  1. 38June 2026Record updated
  2. 61June 2026Record updated
  3. 38June 2026Vial scoring update
  4. 46May 2026Record updated
  5. 38May 2026

What we found on OSRX, Inc.

We reviewed FDA enforcement records, OIG exclusions, DEA registration, HIPAA breach records, and NPI registration.

The FDA issued a warning letter involving OSRX, Inc. on April 23, 2025. We have not found a close-out letter resolving it as of our last check (September 23, 2026); read the details below before going further. The company appears in the federal NPI registry. Our findings reflect public records reviewed as of September 2026.

Why this score: 3 of 5 checks complete. Each links to the public source it was verified against.

Federal actions
Confirmed. See the full report for detail.
See the full report for the details of this record.
FDA.govOIG LEIEDEA DiversionHHS OCR Portal
Checked September 30, 2026
Pricing
Not publicly listed
Not publicly listed. Confirm total monthly cost before enrolling.
Physicians named
Not publicly identified
NPI registration
Registered in the CMS NPI registry as of 2026-09-07.
confirms a recognized healthcare entity in the federal registry.
CMS NPI Registry
Checked September 7, 2026
LegitScript certification
Not checked yet
not found is not failed. It means unconfirmed.
Show all evidence (5) Show fewer

A check we haven’t completed yet is not a mark against this provider. It just means we’re still sourcing that record. The score reflects what we’ve confirmed so far, and updates as more checks come in.

Vial describes the record, not the provider. This is not a medical recommendation or endorsement. Last reviewed September 1, 2026.

Our take

Vial Editorial

Based on the records and public materials we reviewed.

The FDA issued a warning letter to OSRX, Inc. on April 23, 2025. We have not found a close-out letter resolving it. Before using this pharmacy, ask what changed after the letter and confirm current status with FDA.

Questions we’d want answered

LegitScript certification not found in our review
3 of 5 key checks found
2 important details still need to be confirmed directly.

Worth asking before you choose

Ask these before you sign up.

Screenshot these or show your doctor: they’re the same questions Vial would ask.

Compare record details

Arcadia Pharmacy has no federal action found; OSRX, Inc. has an FDA warning letter with no close-out letter found.

OSRX, Inc. scores 38, Arcadia Pharmacy scores 82.

OSRX, Inc.Arcadia Pharmacy
Federal actionsConfirmedNone found
Vial Score38/10082/100
LegitScript certifiedNoNo
PCAB accreditedNoNo

What Vial measures, and what we don’t

We evaluate public records: federal enforcement history, registrations, certifications, and how transparent a provider is about its clinicians, pharmacies, and pricing. We don’t score bedside manner, clinical outcomes, or customer satisfaction, and we don’t collect user reviews.

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Sources reviewed as of September 2026

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.