# RxPepsDirect: a 503A pharmacy selling direct, priced by the milligram

> Source: https://peptidestogo.com/providers/rxpepsdirect/
> MULTI-CATEGORY · PLANS & PRICING
> September 2, 2026

Sermorelin is $80 for a 15mg vial, tesamorelin $100 for 15mg, PT-141 $75 for 10mg. Every line on their menu carries a strength, which almost nobody else here publishes — and the menu runs far wider than the compounds we list.

**Starts at:** **$80 per vial** one 15mg vial of compounded sermorelin, Checked September 2, 2026

**What that leaves out:** Prices are per vial or per container, not per month, and the $39 telehealth visit is charged per order rather than once. Their menu is far wider than the rows here: it runs to sixty-odd compounds, several of which have no clinical pathway at all.

**Sells:** Peptides, Compounded GLP-1

**Where:** **A named list of states** Company-stated, 29 states and the District of Columbia, listed by name on their own site: Alaska, Arizona, Colorado, Connecticut, Delaware, District of Columbia, Florida, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Michigan, Montana, Nevada, New Hampshire, New Jersey, New York, North Dakota, Pennsylvania, Rhode Island, Texas, Utah, Vermont, Washington, Wisconsin, Wyoming.

RxPepsDirect is the pharmacy, not a brand in front of one. Optimal Balance Pharmacy, a 503A compounder in Texas, is named on their own site, 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 telehealth visit is $39 and their page states it is charged per order. For one substantial order that is the cheapest access in this catalogue. For a pattern of small repeat orders it is a recurring fee under a different name.

## Who is behind it

The pharmacy is named — Optimal Balance Pharmacy, a 503A compounder in Texas — and that is rarer than it should be. Several sellers in this catalogue publish a full price list without ever saying which pharmacy makes the vial, which leaves the reader with a figure and no way to check what stands behind it.

The prescribing side is licensed nurse practitioners and physician assistants in your state, under a named medical director. Between the two, both halves of the transaction have a name on them before you pay anything.

## The part of the menu we do not list

Alongside compounded sermorelin and NAD+, the same price list carries FOXO4-DRI, SLU-PP-332, IGF-LR3, melanotan II, dihexa and tesofensine. These are not compounds with a narrow approved use; several have no approved human use at all and no established route through a compounding pharmacy.

We also do not list several compounds they price with a dose, because our own guides on those compounds say they cannot currently be obtained through a US pharmacy. One of the two is wrong, and until we have re-read the regulatory position we are not going to resolve it in the direction that happens to suit a seller. When those pages are settled, the rows appear here.

## What the plans actually cover

| Plan | Price as published | Included | Billed separately |
| --- | --- | --- | --- |
| Peptides, priced per vial against a stated strength | Sermorelin $80/15mg; tesamorelin $100/15mg and $200/24mg high-dose; PT-141 $75/10mg and $99/2.5mg nasal spray; NAD+ $100/1000mg and $120/15ml nasal spray; oxytocin nasal spray $35/10ml | Medication. One 503A-compounded vial, bottle or container per figure. | The $39 telehealth visit, charged per order and not once. Injection supplies, which are not mentioned on the menu. |
| Compounded GLP-1, priced per milligram | Semaglutide/B12 from $25/1.2mg, semaglutide/B6 + glycine from $175/10mg; tirzepatide/B12 from $45/12mg, tirzepatide/B6 + glycine from $225/60mg | Medication. | The $39 visit. A monthly equivalent: 1.2mg of semaglutide is roughly five weeks at a starting dose and a fraction of a month at a maintenance one, so the headline figures are not comparable to a monthly rate. |

Prices read from
[RxPepsDirect's own pages](https://rxpepsdirect.com/peptides)
on September 2, 2026. We quote what a provider publishes and never
 infer a rung it has not printed.

## How to start

**1. Check your state against the list of 29**

They publish the states by name rather than claiming all fifty, which settles the question in one read. Twenty-nine states and the District of Columbia: Alaska, Arizona, Colorado, Connecticut, Delaware, DC, Florida, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Michigan, Montana, Nevada, New Hampshire, New Jersey, New York, North Dakota, Pennsylvania, Rhode Island, Texas, Utah, Vermont, Washington, Wisconsin and Wyoming. If you are not on it, stop here.

**2. Read the price as a vial, not a month**

Sermorelin at $80 buys one 15mg vial. How long that lasts is a function of the dose a prescriber sets, which the site does not decide for you. Every figure on the menu works this way, so none of them is directly comparable to a monthly rate from another seller until you know your dose.

**3. Add $39 for each order, not once**

The telehealth visit is $39 and their page states it is charged per order. On a $75 vial that is a little over half again on top. There is no subscription and no membership, which is the trade they are making.

**4. Decide what you are asking for before you look at the menu**

The catalogue runs to sixty-odd compounds across eight categories, and some of them have no clinical pathway of any kind — FOXO4-DRI, SLU-PP-332, IGF-LR3 and melanotan II sit on the same price list as sermorelin. Knowing which compound you came for is the difference between using this as a pharmacy and browsing it as a catalogue.

## Who this fits, and who it does not

### A fit if

- You want a price with a strength attached. Every line carries one — $80/15mg, $100/1000mg, $75/10mg — which is the format our own price rule asks for and which most sellers here do not publish at all.
- You want to know which pharmacy fills it. Optimal Balance Pharmacy, a 503A in Texas, is named on their own site.
- You want a straight answer on state coverage. Twenty-nine states and DC, listed by name, rather than a claim about all fifty.
- You want tesamorelin with a figure against it. $100 for a 15mg vial, $200 for 24mg — and tesamorelin is a compound almost nobody in this catalogue prices.
- You do not want a subscription. There is none: the visit is charged per order and the vials are one-time purchases.

### Look elsewhere if

- You want a monthly cost you can budget. Nothing here is priced by the month, and a vial's duration depends on a dose that is set after you order.
- You are ordering repeatedly and want the visit fee amortised. It is $39 every order, so frequent small orders carry it every time.
- You want a menu that stops where the evidence does. It does not: compounds with no approved use and no compounding pathway are listed beside compounded sermorelin, at the same kind of price.
- You are outside those 29 states. There is no waiting list and no alternative route published.

Every line above restates something RxPepsDirect publishes or a third party records. None
 of it is our judgement of the company, and PeptideWellness has not published one.

## What RxPepsDirect carries that we cover

- [Sermorelin](https://peptidestogo.com/peptides/sermorelin/)
- [Tesamorelin](https://peptidestogo.com/peptides/tesamorelin/)
- [PT-141](https://peptidestogo.com/peptides/pt-141/)
- [NAD+](https://peptidestogo.com/peptides/nad/)
- [Oxytocin](https://peptidestogo.com/peptides/oxytocin/)
- [Semaglutide](https://peptidestogo.com/peptides/semaglutide/)
- [Tirzepatide](https://peptidestogo.com/peptides/tirzepatide/)
- [GLP-1 agonists](https://peptidestogo.com/peptides/glp-1/)

## Frequently asked questions

### Why is sermorelin $80 here and $99 to $220 a month elsewhere?

Because $80 is one 15mg vial, not one month. Sellers who quote a monthly rate are bundling a vial, a consultation and sometimes labs into a recurring charge; RxPepsDirect sells you the vial and charges $39 for the visit each time you order. Whether that works out cheaper depends entirely on the dose your prescriber sets, which decides how long 15mg lasts. The comparison only becomes real once you know that number.

### What does the $39 actually cover?

A telehealth visit, charged per order rather than once. Their own page frames it as the alternative to a subscription: no membership, no recurring fee, a visit fee each time. On a single large order that is cheap; on several small ones it is not.

### Who prescribes, and who fills it?

Both halves are named, which is more than most sellers here manage. The pharmacy is Optimal Balance Pharmacy, a 503A-licensed compounder in Texas. The prescribing is licensed nurse practitioners and physician assistants in your state, working under a named medical director. You are not buying from a brand that declines to say who fills the vial.

### Why do you list fewer compounds than they sell?

Because several of the ones they price are compounds our own guides call research-only, or whose route through a US pharmacy we have not been able to establish. Listing a price under a compound while our page on that compound says it cannot be obtained would be us settling a contradiction in the direction that suits a seller. When those pages are re-verified, the rows follow.

### Is 1.2mg of semaglutide a month?

No, and this is the clearest case for reading the strength rather than the price. At a 0.25mg starting dose, 1.2mg is roughly five weeks. At a 2.4mg maintenance dose it is half a week. The $25 headline is a real figure for a real quantity, and it is not a monthly cost.

Not sure RxPepsDirect is the right starting point? The
[ProviderMatch](https://peptidestogo.com/tools/provider-match/) starts from your goal and shows every
 provider that sells the compound for it, with what each one charges to start.