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No. 438 on the board · Grade C

RxPepsDirect review

RxPepsDirect (Peptide RX LLC) is a per-vial compounded GLP-1 telehealth platform offering semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, dispensed through Optimal Balance Pharmacy (503A,…

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Semaglutide
From $64/mo (starting dose, medication billed separately, compounded)
Tirzepatide
From $84/mo (starting dose, medication billed separately, compounded)
Coverage
28 states
Brand-name
Compounded only
On the trackerNewnew to the tracker, no prior readingNew to the tracker on 1 August 2026. The published line reads From $64/mo (starting dose, medication billed separately, compounded) at our first reading; there is no earlier reading of ours to compare it against yet.

The scorecard

RxPepsDirect scored on our six Brief Score factors. See the methodology.

Price Stability34/100
Supply Reliability60/100
Transparency40/100
Access Breadth64/100
Clinical Oversight66/100
Track Record58/100

What we like

  • Industry-lowest GLP-1 pricing: compounded semaglutide from $25/vial, tirzepatide from $45/vial — no subscription or recurring commitment required
  • Real 503A telehealth Rx: licensed NP/PA prescribers + MD medical director (Dr. Jonathan Snipes, NPI 1821250077); patient-specific Rx dispensed by
  • FedEx overnight shipping at $15 flat; ships pre-reconstituted and includes syringes, alcohol wipes, and reusable cooled travel case
  • Independent batch COA testing by Eagle Analytical (FDA-registered, A2LA ISO 17025): 54/54 sterility and endotoxin passes published publicly on
  • No subscription required; $39 flat visit fee covers up to 3 peptides per Rx; pay per vial with no ongoing commitment

The caveats

  • No LegitScript certification; company founded 2026 — no public track record or long-term patient-outcomes data
  • Minimal clinical oversight: $39 asynchronous intake form only — no live video consult required, no labs mandated, no monitoring protocol; lowest
  • Per-vial pricing makes true monthly cost opaque; every refill costs another $39 visit fee on top of vial price and $15 shipping
  • Only 28 states + DC; excludes California, most of the Southeast (AL, AR, GA, MS, NC, SC, TN, VA), and parts of Midwest
  • No coaching, labs, dietitian support, or clinical monitoring included at any tier — purely prescription + dispensing

The brief

Best for: Readers who want lowest per-vial GLP-1 cost: compounded sema $25, tirz $45, $39 telehealth Rx, no subscription, 28 states. RxPepsDirect (Peptide RX LLC) is a per-vial compounded GLP-1 telehealth platform offering semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, dispensed through Optimal Balance Pharmacy (503A,…

Ranked #438 of 495 providers we reviewed — see our #1 pick, CoreAge Rx, for comparison.

Closest on the board

The desks scoring nearest RxPepsDirect — the realistic shortlist if you're weighing it.

Weighing RxPepsDirect against one desk in particular? We file it head to head with our top-ranked pick in CoreAge Rx vs RxPepsDirect, and every desk that outranks it is listed on the RxPepsDirect alternatives board.

More desks we track (24)

464 more are filed too — see every desk we track, ranked.

Pricing, states and verification reflect RxPepsDirect's public disclosures at last review; the Brief Score is our editorial judgment per the methodology. Prices change — confirm on RxPepsDirect's site. Not medical advice; see our disclosure.

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