RxPepsDirect is a telehealth prescriber with a Texas 503A compounding pharmacy behind it, and the prices are quoted the way a pharmacy quotes: a figure against a strength, one vial at a time.
What the price format tells you
Sixty-odd compounds, and every one of them reads the same way — $80 for 15mg of sermorelin, $100 for 1000mg of NAD+, $75 for 10mg of PT-141. That is the format our own price rule asks for and it is rare: most sellers in this catalogue publish a monthly rate and leave the strength out, which makes their figures easy to compare with each other and impossible to compare with a dose.
The trade is that nothing here is a monthly cost. A 15mg sermorelin vial lasts as long as the prescribed dose says it lasts, and that number is set after you order. So the $80 is honest and it is not an answer to “what will this cost me a month.”
The $39, each time
There is no membership and no subscription. Instead the medical review is $39 per order, paid at checkout before the intake and covering up to three different peptides, and the pharmacy adds a flat $15 for overnight shipping. Their own example: one 15mg vial of BPC-157 at $80 comes to $134. For one substantial order that is $54 of overhead in total, with nothing recurring. For a pattern of small repeat orders it is a recurring fee under a different name.
The $39 is not refunded once a provider starts the review, and the refund policy says so plainly: “even if the provider denies the requested prescription”.
Who is behind it
The prescribing side is licensed nurse practitioners and physician assistants in your state, under a named medical director, for a brand operated by Peptides RX LLC. The pharmacy is a licensed 503A compounder in Texas with sterile capability, and an outside lab tests each batch.
On our first read in September the site named that pharmacy. Its pages no longer do, but its own batch reports still do: all 201 on the quality page on 22 October 2026 are addressed to Optimal Balance Pharmacy, 2204 Cypress Creek Parkway, Houston. The Texas State Board of Pharmacy lists Optimal Balance Pharmacy LLC under licence 34829, active, sterile compounding, with no prior disciplinary orders.
The same pharmacy has a recall on record. In August 2026 it recalled one lot of compounded glutathione, 53 vials of 200 mg/mL, after a bacterial endotoxin test came back out of specification, and FDA classified the recall as Class I, its category for products with a reasonable probability of serious harm. The pharmacy posts the notice, with the lot number, on its own site.
The part of the menu we do not list
Alongside compounded sermorelin and NAD+, the same price list carries FOXO4-DRI and tesofensine. These are not compounds with a narrow approved use; they have no approved human use at all and no established route through a compounding pharmacy.
Kisspeptin is priced too, at $80 for 5mg, and so is ibutamoren (MK-677), at $1.65 a capsule; we leave both off. Both are on the FDA’s category 2 list of bulk substances with significant safety risks, which is a different position from BPC-157 and the other recovery peptides: those sit on no list, while these two sit on the one that flags them.
