Best telehealth for compounded peptides in 2026

Medically reviewed by Dr. Jonathan Snipes, MD and Kim Callender, NP, FNP-BC. Last reviewed June 8, 2026.

The short answer

Six services sell prescription peptides direct to patients online today. RxPepsDirect publishes the biggest catalog (46 peptides) in 28 states, with every price visible before you make an account. The medical visit is a one-time $39 fee; Optimal Balance Pharmacy bills you separately for the medication at wholesale. Victory Select has a similarly deep list but only operates in four states. Nava Health, Aspire Health, Eden Health, and HydraMed Rx carry shorter peptide lists alongside their weight-loss programs. The bigger names you might be searching for (Defy Medical, Marek Health, Maximus, Hone Health) don’t actually sell peptides on their public sites right now. They’re covered at the bottom.

How we built this comparison

We checked every site on May 15, 2026. To make the list, a service has to publish at least one prescription peptide on its public site (no account required). Formulary size counts only peptides; semaglutide, tirzepatide, hair-loss medications, vitamins, and general supplements don’t count. Pricing model is how the service bills end-to-end: subscription, per-visit, or hybrid. Price transparency is whether you can see the actual per-peptide cost before signing up.

Side-by-side comparison

1. RxPepsDirect (rxpepsdirect.com)

Best for: direct pharmacy pricing with no subscription. One $39 medical visit; Optimal Balance Pharmacy bills you for the medication at wholesale.

RxPepsDirect is a Denver, Colorado-based telehealth service that partners with Optimal Balance Pharmacy, a licensed 503A compounding pharmacy in Texas. The RxPepsDirect site publishes a 46-peptide catalog with every price visible to a non-account visitor. The catalog spans weight loss (semaglutide, tirzepatide, tesofensine, 5-amino-1MQ), muscle growth (CJC-1295/Ipamorelin, sermorelin/ipamorelin, tesamorelin, IGF-1 LR3), recovery (BPC-157, BPC-157/TB-500, the Wolverine Stack, GHK-Cu), longevity (NAD+ injectable and nasal, MOTS-c, epithalon, SS-31), cognitive (DSIP, Semax/Selank, methylene blue), sexual health (PT-141, oxytocin troches and nasal, kisspeptin), and immune (thymosin alpha-1, KPV, ARA-290).

The pricing is what makes it different. You pay $39 once for the medical visit, and that’s all RxPepsDirect charges you. Optimal Balance Pharmacy bills you separately for the medication at wholesale; no markup is tacked on by the clinic. No monthly subscription, no auto-refill, no membership tier.

• Peptides on public site: 46
• States licensed: 28 (medical director: Dr. Jonathan Snipes, NPI 1821250077)
• Pricing model: $39 medical visit per order, pharmacy billed directly
• Price transparency: every peptide price published before sign-up
• Compounding partner: Optimal Balance Pharmacy (503A)
• Lab testing: Eagle Analytical Services (sterility via ScanRDI, endotoxin per USP <85>, potency per USP <621>)
• Starter prices: Tirzepatide/B12 from $45/12mg, BPC-157 from $80, NAD+ Injectable $100/1000mg

RxPepsDirect is the only service on this list with both a deep public catalog and pay-per-visit pricing. The trade-off is state coverage: 28 states. If you live outside those, Eden Health (~50 states) or Aspire Health (~20 states) cover more ground. Browse the full RxPepsDirect catalog or read how every batch is tested.

2. Victory Select

Best for: patients in Texas, Colorado, New York, or Florida who want a broad peptide list under a single subscription.

Victory Select is the consumer telehealth arm of Victory Medical, a two-clinic medical group based in Austin, Texas. The service publishes one of the broader peptide lists outside RxPepsDirect, covering Semax, CJC-1295/Ipamorelin, BPC-157, Tesamorelin, AOD-9604, GHK-Cu, sermorelin, selank, KPV, MOTS-c, OS-01, SLU-PP-332, thymosin peptides, Argireline, Epithalon, and PT-141.

The constraint is geographic. Victory Select currently serves only Texas, Colorado, New York, and Florida. The site does not publish per-peptide pricing; patients must complete an eligibility form and schedule a phone consultation before seeing what the medication will cost.

• Peptides on public site: 16+
• States licensed: 4 (TX, CO, NY, FL)
• Pricing model: Subscription plan, plus a doctor review fee
• Price transparency: no per-peptide pricing on the public site
• Compounding partner: Austin-area pharmacists referenced; specific pharmacy not named on the site

3. Nava Health

Best for: patients who want peptide therapy bundled with functional-medicine programming, especially those near the Virginia or Maryland in-person clinics.

Nava Health is a Virginia and Maryland-based wellness brand with in-person clinics in Ashburn (VA), Fairfax (VA), Bethesda (MD), and Columbia (MD), plus a telehealth arm that extends across 15 states. The peptide page advertises BPC-157, TB-500, IGF-1 LR3, sermorelin, tesamorelin, ipamorelin, Semax, Selank, GHK-Cu, and thymosin alpha-1. Weight loss is handled separately with semaglutide and tirzepatide.

Nava reads more like a wellness brand with a telehealth arm than a telehealth-first company. There’s no pricing on the peptide page; you have to book a consultation to find out. Their pharmacy partners are described as “accredited US compounding pharmacies” without naming who.

• Peptides on public site: 11
• States licensed: 15 (AZ, CO, DC, DE, FL, GA, IL, MD, NC, NJ, NY, PA, TX, VA, WV)
• Pricing model: Consultation-driven; subscription elements
• Price transparency: no per-peptide pricing on public site

4. Aspire Health

Best for: a focused starter peptide protocol when the patient already knows they want BPC-157, CJC-1295/Ipamorelin, NAD+, or Tesamorelin specifically.

Aspire Health is a Nebraska-based telehealth service operating across roughly 20 US states. The peptide page lists four peptides directly: BPC-157, CJC-1295/Ipamorelin, NAD+, and Tesamorelin. The site also offers semaglutide and tirzepatide for weight loss; those are GLP-1 medications and are not counted in the peptide formulary total.

The intake flow starts with an online health assessment followed by a provider-created treatment plan. The site does not publish per-peptide pricing, and the compounding pharmacy partner is not named on the public peptide page.

• Peptides on public site: 4 (BPC-157, CJC-1295/Ipamorelin, NAD+, Tesamorelin)
• States licensed: ~20 (AK, AZ, CO, FL, HI, IA, ID, IL, KS, ME, MN, ND, NE, NV, NY, OK, SD, UT, WA, WI)
• Pricing model: Subscription, with provider-created treatment plan
• Price transparency: no per-peptide pricing on public site

5. Eden Health

Best for: patients whose primary goal is GLP-1 weight loss and who want a polished, consumer-grade telehealth experience with a few peptide add-ons.

Eden Health is one of the larger GLP-1 telehealth platforms in the United States. In August 2025 the company acquired Contigo Compounding, which now operates as its in-house 503A pharmacy. The consumer peptide list on the Eden site is narrower than the marketing copy suggests: sermorelin (injection and tablet), GHK-Cu foam (positioned as a hair-growth product), NAD+ in three forms (injection, nasal spray, face cream), and MIC+B12. Glutathione is also listed.

Eden does not currently advertise BPC-157, CJC-1295/Ipamorelin, tesamorelin, or thymosin alpha-1 to consumers on the public site. The strength is breadth of state coverage and polish of the consumer experience, not depth of the peptide formulary. Detailed RxPepsDirect vs Eden comparison.

• Peptides on public site: 4 (sermorelin, GHK-Cu foam, NAD+, MIC+B12), plus GLP-1s
• States licensed: ~50
• Pricing model: Subscription
• Price transparency: partial; visible after entering basic intake info
• Compounding partner: Contigo Compounding (in-house, acquired August 2025)

6. HydraMed Rx

Best for: targeted peptide single-use cases (PT-141 for sexual health, GHK-Cu for longevity, sermorelin for growth hormone support) bundled with a weight-loss option.

HydraMed serves roughly 15 US states with a small peptide footprint on the public site: PT-141 (sexual health), GHK-Cu (longevity), and sermorelin (strength and performance). The service also offers weight-loss peptides framed under medical weight management; specific GLP-1 names are not surfaced on the peptide page.

The site advertises a fully online intake form, with telehealth video consultations required in certain states. No per-peptide pricing is published, and the compounding pharmacy partner is not named.

• Peptides on public site: 3 (PT-141, GHK-Cu, sermorelin), plus weight-loss peptides
• States licensed: ~15 (AZ, CO, DC, FL, GA, IL, KS, MD, MO, NV, TN, TX, VA, WY, plus selected others)
• Pricing model: Subscription with no hidden fees claim
• Price transparency: no per-peptide pricing on public site

Why Defy, Marek, and Maximus aren’t on this list

You’ll see these names on other “best peptide” lists. We checked each one on May 15, 2026. None of them currently sell peptides on the public site. Here’s what’s actually on each:

• Defy Medical: Tampa-based concierge clinic with a wide service line covering TRT, HRT, GLP-1 weight loss, Trimix, ketamine therapy, primary care, and aesthetics. Does not currently advertise prescription peptides on the public site. Strong fit for concierge MD-led hormone care; not a peptide telehealth service in 2026.
• Marek Health: Hormone optimization platform founded in 2021. Peptides are referenced in blog content but there is no public peptide service or formulary page. Strong choice for TRT plus deep biomarker labs.
• Maximus: All-inclusive TRT plus growth hormone peptide service licensed in all 50 states. Carries sermorelin only; does not offer BPC-157, TB-500, CJC-1295, or other commonly requested peptides as standalone protocols.
• Hone Health: Mainstream men’s health telehealth covering TRT, HRT, GLP-1 weight loss, hair loss, and thyroid. No peptides advertised on the public site.
• Tailor Made Compounding: A 503A compounding pharmacy in Kentucky, licensed in 46 states. Sells to physician practices and clinics, not directly to consumers. Patients can only access Tailor Made’s peptides through a third-party telehealth clinic that has them as a compounding partner.

2026 update: what changed in the compounded peptide landscape

Three shifts moved this list between the original May 2025 build and this June 2026 refresh.

The FDA 503A position settled. Mass compounding by 503B outsourcing facilities ended on March 19, 2025. Patient-specific prescriptions written under 21 U.S.C. § 353a and filled by a 503A pharmacy stayed legal. By April 2026, fourteen of the nineteen Category 2 peptides flagged in late 2024 had been moved back to Category 1, restoring legal compounding access for most peptides on this comparison. The practical effect: services that fill through a named 503A pharmacy kept their formularies intact, while services that leaned on 503B bulk supply had to narrow what they offer. If you want to understand the distinction that now separates a stable formulary from a shrinking one, read what a 503A pharmacy is.

New GLP-1-first entrants added thin peptide lines. Mochi Health and Henry Meds, both large GLP-1 weight-loss platforms covering roughly 50 states, now surface a single peptide (typically sermorelin or an NAD+ form) alongside semaglutide and tirzepatide. Neither publishes a deep peptide formulary, and neither lists per-peptide pricing on the public site. They are weight-loss services with a peptide add-on, not peptide-first telehealth. See the dedicated breakdowns for RxPepsDirect vs Mochi Health for how the formularies and pricing actually compare.

Some services quietly dropped peptides. Several TRT and concierge brands that older listicles still credit with peptide programs no longer advertise prescription peptides on their public sites (covered in the section above). The net result of all three shifts: the peptide telehealth field is broader by headcount but shallower by formulary than the listicles suggest, and the gap between a published 46-peptide catalog and a one-peptide add-on is now the clearest way to tell the two kinds of service apart.

Why pre-reconstituted shipping matters

Most compounded injectable peptides ship as a lyophilized (freeze dried) powder that the patient has to reconstitute with bacteriostatic water before the first dose. That step is where a lot of first-time patients stall: drawing the right volume of water, swirling rather than shaking, calculating the resulting concentration, and storing the vial correctly. A mistake at this step can ruin the vial or produce an inaccurate dose.

RxPepsDirect removes that step. Optimal Balance Pharmacy ships injectable peptides pre-reconstituted, FedEx overnight, in a reusable cooled travel case. The medication arrives ready to draw and inject, held cold in transit, with no mixing math on the patient's end. For someone new to peptide therapy, that is the difference between a vial they can use the day it lands and a vial that sits in the fridge while they look up a reconstitution calculator. It also reduces a real dosing-error risk, since the concentration is set by the pharmacy rather than by the patient at the kitchen counter.

Shipping logistics are set by the fulfilling pharmacy, not the telehealth brand, so confirm the format and the cold-chain method before you order from any service. Many subscription services ship a powder vial via standard ground; that is workable, but it is a different out-of-box experience than a pre-reconstituted, overnight, cooled delivery.

The 28-state licensure question

State coverage is the single most common reason a patient cannot use the service they want, so it is worth being precise. RxPepsDirect prescribes in 28 U.S. states through its medical director, Dr. Jonathan Snipes (NPI 1821250077). That is narrower than Eden Health (roughly 50 states) or Mochi Health and Henry Meds (also roughly 50), and it is an honest constraint: if you live outside those 28 states, RxPepsDirect cannot write your prescription today, regardless of how deep the catalog is.

The trade-off is real and worth naming plainly. The broadest-coverage services in this comparison (Eden, Mochi, Henry) are GLP-1-first with a thin peptide line, so wide state coverage tends to come paired with a shallow formulary. The deepest formularies (RxPepsDirect at 46 peptides, Victory Select at roughly 16) come with tighter coverage: 28 states and 4 states respectively. There is no service in this comparison that pairs a deep published peptide catalog with 50-state coverage. If you live in one of the 28 RxPepsDirect states, you get the deep catalog and transparent pricing; if you do not, a broader-coverage service with a narrower list may be your only option.

Before you commit to any peptide telehealth service, confirm two things in this order: that the service is licensed in your state, and only then that it carries the specific peptide you want. Checking them the other way around is how patients end up attached to a formulary they cannot legally access. For how the visit fee and medication cost break down once you have confirmed coverage, see peptide therapy cost explained.

How to choose between them

Three questions narrow it down fast:

1. Where do you live? Victory Select is the only broad-formulary peptide service available in just 4 states; patients outside TX, CO, NY, or FL need to look elsewhere regardless of preference. RxPepsDirect covers 28 states. Eden Health covers about 50.
2. Do you want one peptide or several? For a single targeted SKU like sermorelin or NAD+, any of the services here can fill the script. For a multi-peptide protocol (CJC-1295/Ipamorelin plus BPC-157 plus GHK-Cu, for example), RxPepsDirect and Victory Select are the only services with the full formulary on the public site.
3. Do you want a subscription or pay-as-you-go? Every service on this list except RxPepsDirect bundles the medication into a monthly recurring charge. RxPepsDirect charges a one-time $39 medical visit fee per order and lets the pharmacy bill the patient directly at wholesale.

Bottom line

The peptide telehealth field in 2026 is smaller than the listicles make it look. RxPepsDirect has the biggest public catalog (46 peptides), the most transparent pricing (every price published), and the only pay-per-visit model. Victory Select has a similarly deep list in 4 states. Nava, Aspire, Eden, and HydraMed Rx are useful for narrower use cases or weight-loss-led patients. Most of the bigger TRT and concierge brands you’ll see in other lists don’t actually sell peptides on their public sites right now.

Compare the full RxPepsDirect catalog or start a $39 visit.