Evidence review
Pepti review: $109 semaglutide, one open question
Pepti prices semaglutide at $109 flat at every dose. Its own production data carries a per-dose ladder three times higher that nothing on the site renders.
In this brief
The Desk's #1 pick
CoreAge Rx
94 · AOne price on both molecules that does not climb as you titrate — but the headline $99 and $149 are annual-plan rates, paid in full up front.
Visit CoreAge Rx- Semaglutide
- $99/mo only on a 12-month plan paid in full ($1,188 in one charge); month-to-month rate not published
- Tirzepatide
- $149/mo only on a 12-month plan paid in full ($1,788 in one charge); month-to-month rate not published
- Coverage
- US only; restrictions by state, confirmed at intake
- Access
- Compounded
Advertising disclosure · we may earn a commission at no extra cost to you. It never changes a Brief Score — but it is why these two providers are the ones in this box.
Also here
He & She MD
77 · CHe & She MD is a nationwide telehealth weight-loss clinic offering doctor-prescribed GLP-1 medications: compounded semaglutide and tirzepatide (injectable or oral).
Visit He & She MDPepti (hellopepti.com) sells 68 prescription products and prices the headline one at $109 a month. That is among the lowest semaglutide rates we have verified from a provider's own data rather than its marketing copy. It also carries a contradiction we could not resolve, and the honest way to publish the number is with the contradiction attached to it. The scorecard version of this page is the Pepti entry in our provider index.
The price, as the site renders it
Injectable semaglutide is $109 a month. Injectable tirzepatide is $179. Both are flat: the same figure at every titration dose, which the site states explicitly on its cost pages and repeats on three cross-sell surfaces. A one-time purchase instead of a subscription costs 1.25 times the monthly rate — $124 and $249 — and that multiplier holds across the catalog, which is a good sign that the price object is real data rather than hand-typed copy. Cancellation is any time, effective at the end of the cycle, with a pause of up to 90 days available.1
Elsewhere on the shelf: oral semaglutide $249 a month, oral tirzepatide $399, GLP-1 oral drops $239, two named low-dose "longevity microdose" products at $149 and $229, BPC-157 $209, NAD+ $159 to $219 across capsule, injection and nasal, sermorelin and tesamorelin $189 each, DSIP $189, PT-141 $189 to $199, and a $199 at-home hormone or metabolic blood panel. There is no membership fee layered on top of any of it.
The open question: a price ladder nothing renders
Pepti's server payload for its semaglutide and tirzepatide pages carries a per-dose price array — semaglutide at $299, $349, $399 and $449 by dose, tirzepatide at $349, $399, $449 and $549 — sitting in production data on the same site whose cost page says one flat price at every dose. We downloaded every client bundle the pages load. Not one of them reads that array. It renders nowhere, no control exposes it, and nothing in the purchase flow references it.
So there are two numbers in Pepti's own production data and they differ by roughly three times. We trusted the $109 and $179, because that is what the page shows, what the catalog object carries, and what the cost page and three other surfaces repeat. But we could not break the tie at a checkout: the site's checkout endpoint accepts POST only and returns a 405 to anything else, so there is no way to see a real charge without submitting an intake. Until somebody walks that intake to a card form, this stays open. If you sign up with Pepti, the thing worth screenshotting is the confirmation page.
Neither reading is an accusation. A stale array left behind by a pricing change is the boring explanation and probably the right one. But a dormant ladder averaging three times the headline is exactly the shape of the step-up we warn readers about, and we are not going to file $109 as settled fact while it sits there.
Thirty-six states became fifty
In August the site published a 36-state shipping list on four separate pages while its terms claimed 50, and we treated the shorter, corroborated list as operative. On 1 September 2026 that gap is closed the other way: the homepage title now reads "Peptide Telehealth in all 50 states and Washington, D.C.", the body repeats "Now serving all 50 states and Washington, D.C.", and the site publishes a page per state per molecule — /peptide/semaglutide/al, /peptide/semaglutide/ak and so on — each showing the same price. The 36-state list is gone. Your state almost certainly qualifies now, but it still pays to check that a provider can prescribe where you live rather than only ship there.
When you are actually charged
Same pattern, second contradiction. The how-it-works page says you pay nothing until a physician approves your treatment. The refund policy says payment is collected at checkout, before a licensed provider reviews your intake. Those cannot both be true. The refund policy is the operative document, so plan on being charged first and refunded — in five to ten business days, per the policy — if you are declined. Once medication ships there are no refunds, and canceling mid-cycle is not pro-rated.
What is on the shelf that should not be on your list
Pepti's catalog runs deep, and part of it is not shoppable in any responsible sense. It sells retatrutide at $399 a month — a molecule with no marketing approval in any jurisdiction, which we cover in what the retatrutide trial data actually shows. It also sells melanotan II and IGF-1 LR3. We do not treat any of those three as recommendable products, at any price, and their presence is a mark against a catalog that is otherwise built out of ordinary compounded and generic medicine.
The flip side is that Pepti carries the only genuine sleep peptide in this batch of seven — DSIP at $189 a month, plus a DSIP, BPC-157 and CJC-1295 stack at $239 — and the deepest nootropic line, with semax, selank, synapsin and methylene blue all priced.
Who is behind it, and who is not named
Two prescribers are named with full bios: Dr. Gene Lee, MD, the medical director, board-certified in family medicine and licensed in 26 listed states, and Dr. Laeeq Butt, MD MBA, the chief medical officer, internal medicine, licensed in 15. Neither publishes an NPI, so neither can be checked against the federal registry the way we checked The Edit's medical director. The pharmacy is never named at all — described only as "independent FDA-registered 503A or 503B compounding pharmacies". That is the single biggest disclosure gap here, and it is the one our provider checklist treats as a yellow flag. The corporate entity is pepti LLC, registered at a Newark, Delaware address widely used as a registered-agent suite rather than an operating site.
The regulatory screen
The trading name and the legal entity both returned zero company-column matches in the FDA's live warning-letter index in August 2026, and the pass carried a positive control that returned a known February 2026 letter for an unrelated telehealth seller every time.2 Worth noting what the search around it looked like: querying the word "pepti" returns 45 warning letters, and several of them are peptide sellers. Pepti LLC is not among them.
Where it lands
At $109 and $179 with a genuinely flat dose ladder and no membership fee, Pepti is the cheapest verified rate in this batch by a wide margin — cheaper than Trellis at $150, Auren Rx at $179 and The Edit at $259. If that number holds at checkout, it belongs near the top of a cheapest-semaglutide read. We would want the dormant ladder resolved and the pharmacy named before we called it settled, and we would want you charged after a clinician reads your intake rather than before. Nothing about that is disqualifying. All of it is worth knowing before you enter a card.
Frequently asked questions
How much does Pepti cost per month?
Injectable semaglutide is $109 a month and injectable tirzepatide is $179, flat at every titration dose, with no membership fee. Both are quoted per average four-week supply rather than per calendar month, so a year runs to 13 charges.
Is the $109 price reliable?
It is what the site renders everywhere we could read it, and it is what the catalog data carries. But Pepti's own production data also holds a per-dose ladder from $299 to $449 that nothing on the site displays, and its checkout could not be reached to settle which one charges. We publish $109 and flag the question as open.
What states does Pepti serve?
It publishes a 36-state list on four separate pages. Its terms of service claim 50 states, which is contradicted by the published list, so treat 36 as the operative number. At-home blood panels ship to all 50.
When does Pepti charge you?
Its refund policy says payment is collected at checkout, before a provider reviews your intake, even though its how-it-works page says you pay nothing until you are approved. Assume you are charged first and refunded within five to ten business days if you are declined.
References
- Pepti (2026). Product catalogue, cost pages and subscription terms. hellopepti.com. https://hellopepti.com/
- U.S. Food and Drug Administration (2026). Warning Letters. FDA. https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/compliance-actions-and-activities/warning-letters
Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.
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