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Peptide Therapy Online: 57 Prescription Peptides From a 503A Pharmacy

Peptides are short chains of amino acids that act as signaling molecules, influencing fat metabolism, growth hormone release, tissue repair, sexual function, and immune response. Prescription peptide therapy uses pharmaceutical-grade compounded peptides written by licensed providers and dispensed by 503A pharmacies. RxPepsDirect connects you with a licensed prescriber in 28 states across weight loss, muscle growth, longevity, recovery, cognitive, sexual health, immune, and skin and hair categories. Every prescription is filled by Optimal Balance Pharmacy at wholesale pricing.


Independently tested

55 reports · 0 failures across 108 tests

ETX-260325-0188

3/30/2026

Semaglutide/Cyanocobalamin 3.4mg/500mcg/ml (2ml vial) S3.4

Sterility

Pass

Endotoxin

Pass

<2 EU/mL / 350 EU/mL

View all reports →

64 peptides

Weight Loss & Metabolic

Semaglutide/B12

The gold standard GLP-1 for weight management, paired with B12 for energy support.

Appetite SuppressionBlood Sugar ControlSteady Weight LossEnergy Support (B12)
From $25/1.2mg25 units (0.15mg) twice weekly
Weight Loss & Metabolic

Semaglutide/B6 + Glycine

Glycine-buffered semaglutide for patients who don't tolerate the B12 cofactor.

Appetite SuppressionSteady Weight LossB12-Free CofactorGlycine Buffer
From $175/10mgPer provider. Formulation reserved for B12-sensitive patients
Weight Loss & Metabolic

Tirzepatide/B12

Dual GIP/GLP-1 receptor agonist for enhanced metabolic support with B12.

Dual-Pathway ActionSuperior Weight LossBlood Sugar RegulationB12 Energy Support
From $45/12mg25 units (1.5mg) twice weekly
Weight Loss & Metabolic

Tirzepatide/B6 + Glycine

Glycine-buffered tirzepatide for patients who don't tolerate the B12 cofactor.

Dual-Pathway ActionSuperior Weight LossB12-Free CofactorGlycine Buffer
From $225/60mgPer provider. Formulation reserved for B12-sensitive patients
Weight Loss & Metabolic

Ondansetron 4mg ODT

Anti-nausea adjunct for GLP-1 patients. Generic Zofran orally disintegrating tablets.

Fast-ActingNo Water NeededTargets Nausea PathwayGeneric Pricing
$37.50/30 tablets1 tablet (4mg) every 8 hours as needed for nausea
Learn More →
Weight Loss & Metabolic

AOD-9604

A modified fragment of human growth hormone that targets fat metabolism without growth effects.

Targeted Fat LossNo Growth EffectsWell-ToleratedMetabolic Support
$80/6mg20 units (0.24mg)
Learn More →
Weight Loss & Metabolic

AOD-9604 Troche

Sublingual AOD-9604 troche. The growth hormone fragment that targets fat metabolism, in a no-needle daily form.

Targeted Fat LossNo NeedleSublingualDaily Protocol
$2.50/troche300mcg/troche
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Weight Loss & Metabolic

Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin)

Four-peptide body composition stack: lipolysis, mitochondrial support, visceral fat targeting, and clean GH pulse in one vial.

Four-Way SynergyVisceral + SubcutaneousMetabolic UpgradeSingle Vial
$125/36mg20 units (0.24mg AOD + 0.4mg MOTs-C + 0.4mg Tesa + 0.4mg Ipa)
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Weight Loss & Metabolic

5-Amino-1MQ

An NNMT inhibitor that activates cellular energy pathways to boost metabolism.

Metabolic BoostNAD+ SupportFat Cell ActivationEnergy Production
$80/25mg20 units (1mg)
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Weight Loss & Metabolic

Tesofensine

A triple monoamine reuptake inhibitor that suppresses appetite through central nervous system pathways.

Appetite ControlMetabolic BoostOral CapsuleTriple-Action
$2.25/cap500mcg/day
Learn More →
Weight Loss & Metabolic

Lipo-B (Cyanocobalamin/MIC)

A lipotropic injection combining cyanocobalamin (B12) with methionine, inositol, and choline for fat metabolism.

Fat MetabolismEnergy BoostLiver SupportAffordable
From $30/10mlPer protocol
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Weight Loss & Metabolic

Lipo-C (Cyanocobalamin/MIC/L-Carnitine)

Enhanced lipotropic injection adding L-carnitine to cyanocobalamin and MIC for improved energy and fat transport.

Enhanced Fat BurningMitochondrial SupportEnergy ProductionExercise Recovery
From $35/10mlPer protocol
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Muscle Growth & Body Composition

CJC-1295/Ipamorelin

The gold standard growth hormone secretagogue stack for lean muscle and recovery.

Lean Muscle GrowthFat LossDeep SleepRecovery
$100/10mg+10mg20 units (0.4mg/0.4mg)
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Muscle Growth & Body Composition

Sermorelin

A GHRH analog that stimulates your pituitary to produce more growth hormone naturally.

Natural GH BoostAnti-AgingSleep QualityBody Composition
$80/15mg20 units (0.6mg)
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Muscle Growth & Body Composition

Sermorelin/Ipamorelin

Combined GHRH + ghrelin mimetic for enhanced growth hormone stimulation.

Synergistic GH ReleaseConvenient ComboLean MuscleRecovery
$100/15mg+18mg20 units (0.6mg/0.72mg)
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Muscle Growth & Body Composition

Tesamorelin

FDA-studied GHRH analog known for reducing visceral fat and improving body composition.

Visceral Fat ReductionClinically StudiedMetabolic HealthBody Composition
$100/15mg20 units (0.6mg)
Learn More →
Muscle Growth & Body Composition

Tesamorelin High-Dose

Concentrated tesamorelin for advanced users on extended protocols.

Higher ConcentrationExtended ProtocolFewer RefillsVisceral Fat Focus
$200/24mg20 units (1.6mg)
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Muscle Growth & Body Composition

Tesamorelin/Ipamorelin

Premium GH secretagogue combination for maximum visceral fat reduction and body recomposition.

Maximum RecompositionDual PathwayVisceral Fat FocusPremium Stack
$120/12mg+6mg20 units (0.48mg/0.24mg)
Learn More →
Muscle Growth & Body Composition

Ibutamoren (MK-677)

An oral growth hormone secretagogue that increases GH and IGF-1 through the ghrelin pathway.

Oral Dosing24hr GH ElevationDeep SleepMuscle Growth
From $1.65/cap12.5-25mg/day
Learn More →
Muscle Growth & Body Composition

IGF-LR3

A long-acting IGF-1 analog for targeted muscle growth and recovery at the cellular level.

Direct Muscle GrowthCell HyperplasiaExtended Half-LifeRecovery
$145/1mg20-40mcg/day
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Muscle Growth & Body Composition

SLU-PP-332

An ERRγ agonist that mimics the molecular effects of exercise on muscle endurance.

Exercise MimeticEnduranceFat OxidationMitochondrial Density
$3.00/cap250mcg/cap
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Muscle Growth & Body Composition

SLU-PP-332/BAM-15 Capsules

Exercise-mimetic SLU-PP-332 paired with the mitochondrial uncoupler BAM-15 for body recomposition and metabolic output.

Exercise MimeticIncreased Energy ExpenditureBody RecompositionOral Daily
$3.50/cap100mcg SLU-PP-332 / 15mg BAM-15 per cap
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Recovery & Repair

BPC-157

A body protection compound that accelerates tissue repair in tendons, ligaments, muscle, and the GI tract.

Tissue RepairGut HealthAnti-InflammatoryJoint Recovery
$80/15mg20 units (0.6mg)
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Recovery & Repair

Wolverine Stack

The Wolverine Stack: BPC-157 and TB-500 in one vial. Local tissue repair plus systemic recovery in a single foundation healing peptide.

Comprehensive HealingSystemic RecoveryAnti-InflammatoryTissue Regeneration
$100/15mg+15mg20 units (0.6mg/0.6mg)
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Recovery & Repair

BPC-157/TB-500/KPV

Triple-action healing stack adding KPV's anti-inflammatory power to the BPC/TB foundation.

Triple HealingPowerful Anti-InflammatoryGut RepairSystemic Recovery
$120/15mg+15mg+15mg20 units (0.6mg/0.6mg/0.6mg)
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Recovery & Repair

KLOW

KLOW: BPC-157, TB-500, GHK-Cu, and KPV combined in a single vial. The 4-peptide comprehensive healing stack for tissue repair, recovery, and inflammation control.

KLOW StackFour-Way SynergyRegenerationAnti-Inflammatory
$120/15mg+50mg+15mg+15mg20 units (full stack)
Learn More →
Recovery & Repair

BPC-157 Capsules

Oral BPC-157 capsules. Ideal for gut healing and those who prefer oral over injectable.

Gut HealingNo InjectionsConvenientGI-Targeted
$2.50/cap500mcg/cap
Learn More →
Recovery & Repair

BPC-157/KPV Capsules

Oral BPC-157 paired with KPV. Gut-targeted tissue repair plus anti-inflammatory action in a single daily capsule.

Gut HealingAnti-InflammatoryNo InjectionsNF-kB Suppression
$4.50/cap500mcg/500mcg per cap
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Recovery & Repair

ARA-290

An innate repair receptor agonist that promotes tissue repair and neuroprotection.

NeuroprotectionTissue RepairPain ReductionAnti-Inflammatory
$80/30mg20 units (1.2mg)
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Recovery & Repair

GHK-Cu

A copper peptide that promotes wound healing, collagen synthesis, and tissue remodeling.

Collagen ProductionWound HealingAnti-AgingGene Activation
$80/50mg20 units (2mg)
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Recovery & Repair

Thymosin Alpha-1

An immune-modulating peptide that enhances T-cell function and supports immune recovery.

Immune EnhancementT-Cell SupportClinically ProvenBalanced Modulation
$80/15mg20 units (0.6mg)
Learn More →
Longevity & Anti-Aging

NAD+ Injectable

The cellular energy molecule. Injectable NAD+ for direct bioavailability and cellular rejuvenation.

Cellular EnergyDNA RepairCognitive ClarityLongevity
$100/1000mg20 units (20mg)
Learn More →
Longevity & Anti-Aging

NAD+ Nasal Spray

Intranasal NAD+ delivery for rapid absorption and cognitive benefits without injection.

No InjectionRapid AbsorptionCognitive FocusConvenient
$150/15ml10mg/0.1ml
Learn More →
Longevity & Anti-Aging

Epithalon

A telomerase-activating peptide that may help maintain telomere length. A key marker of cellular aging.

Telomere SupportCellular Anti-AgingPineal SupportSleep Quality
$80/10mg25 units (0.5mg)
Learn More →
Longevity & Anti-Aging

Epithalon High-Dose

High-concentration Epithalon for accelerated telomerase activation protocols.

Intensive ProtocolHigher ConcentrationFewer InjectionsTelomere Support
$130/50mg25 units (2.5mg)
Learn More →
Longevity & Anti-Aging

GHK-Cu + Epithalon

Combined copper peptide and telomerase activator for comprehensive cellular anti-aging.

Dual Anti-AgingConvenient ComboGene + TelomereStreamlined
$100/50mg+10mg20 units (2mg GHK-Cu + 0.4mg Epithalon)
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Longevity & Anti-Aging

MOTS-C

A mitochondrial-derived peptide that enhances metabolic function and exercise capacity.

Mitochondrial HealthMetabolic SupportExercise CapacityAMPK Activation
$80/10mg20 units (0.4mg)
Learn More →
Longevity & Anti-Aging

MOTS-C High-Dose

High-concentration MOTS-C for intensive mitochondrial and metabolic optimization protocols.

Intensive ProtocolHigher ConcentrationMetabolic OptimizationAdvanced
$130/50mg20 units (2mg)
Learn More →
Longevity & Anti-Aging

Elamipretide (SS-31)

A mitochondria-targeted peptide that stabilizes the inner membrane for optimal energy production.

Mitochondrial TargetedEnergy ProductionReduced Oxidative StressCellular Health
$100/75mg20 units (3mg)
Learn More →
Cognitive & Brain Health

Dihexa

A potent cognitive enhancer that promotes synaptic connectivity and neuroplasticity.

SynaptogenesisMemory EnhancementNeuroplasticityCognitive Performance
From $3.50/cap5mg/cap
Learn More →
Cognitive & Brain Health

DSIP

Delta Sleep Inducing Peptide. Naturally promotes deep, restorative sleep architecture.

Deep SleepNo DependencyCircadian SupportRecovery
$80/10mg5-15 units (0.1-0.3mg)
Learn More →
Cognitive & Brain Health

Semax/Selank Nasal Spray

Russian-developed nootropic combo. Semax for focus and Selank for anxiolytic calm.

Focus + CalmBDNF SupportAnxiolyticNootropic
$150/spray2.5mg/2.5mg
Learn More →
Cognitive & Brain Health

Methylene Blue 5mg

Low-dose mitochondrial electron carrier for neuroprotection and cognitive enhancement.

NeuroprotectionMitochondrial SupportLow DoseStarter
$1.75/cap5mg/cap
Learn More →
Cognitive & Brain Health

Methylene Blue 10mg

Standard-dose methylene blue for established users seeking cognitive and mitochondrial benefits.

Standard DoseCognitive EnhancementNeuroprotectionMitochondrial
$2.00/cap10mg/cap
Learn More →
Cognitive & Brain Health

Methylene Blue 15mg

Enhanced-dose methylene blue for experienced users in provider-guided protocols.

Enhanced DoseProvider-GuidedIntensive ProtocolExperienced Users
$2.25/cap15mg/cap
Learn More →
Cognitive & Brain Health

Methylene Blue 25mg

Maximum-dose methylene blue for advanced protocols under strict provider supervision.

Maximum DoseAdvanced ProtocolStrict SupervisionIntensive
$2.50/cap25mg/cap
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Sexual Health & Vitality

PT-141 (Bremelanotide)

The only FDA-studied peptide for hypoactive sexual desire. Works through central nervous system pathways.

Desire EnhancementWorks in the BrainBoth SexesFDA-Studied
$75/10mg20 units (0.4mg)
Learn More →
Sexual Health & Vitality

PT-141 Nasal Spray

Intranasal PT-141 for convenient, needle-free sexual desire enhancement.

No InjectionConvenientOn-DemandRapid Onset
$992.5mg/spray
Learn More →
Sexual Health & Vitality

Kisspeptin

A hypothalamic hormone that naturally stimulates the reproductive axis and enhances desire.

Natural HormonalReproductive AxisDesire EnhancementFertility Support
$80/5mg20 units (0.2mg)
Learn More →
Sexual Health & Vitality

Oxytocin Troche 50IU

Sublingual oxytocin for enhanced bonding, intimacy, and emotional connection.

BondingEmotional ConnectionIntimacySublingual
$4.00/troche50 IU
Learn More →
Sexual Health & Vitality

Oxytocin Troche 120IU

Higher-dose sublingual oxytocin for enhanced bonding effects.

Higher DoseEnhanced BondingStronger EffectsSublingual
$4.00/troche120 IU
Learn More →
Sexual Health & Vitality

Oxytocin Nasal Spray

Intranasal oxytocin for rapid bonding effects and social anxiety reduction.

Rapid OnsetNasal DeliverySocial AnxietyVersatile
$35/15ml100 IU/ml
Learn More →
Immune Optimization

KPV (in BPC Combos)

Potent anti-inflammatory tripeptide available in BPC-157 combination formulations.

Anti-InflammatoryNF-kB SuppressionCombo AvailableImmune Modulation
Via comboPer combo
Learn More →
Skin & Hair

GHK-Cu 1% Hair Restoration Solution

Compounded 1% GHK-Cu scalp solution. Tripeptide-copper complex for hair restoration and follicular support.

VEGF UpregulationFollicular SupportLeave-On ApplicationPickart Mechanism
$100/30mL1mL applied to scalp once daily
Learn More →
Skin & Hair

Cashmere Cream (GHK-Cu 3% / Niacinamide 4%)

Compounded 3% GHK-Cu and 4% niacinamide daily moisturizer. 30 to 60 times the copper-peptide concentration of OTC serums.

3% GHK-Cu4% NiacinamideDaily MoisturizerBarrier Repair
$45/30gmPea-sized amount once or twice daily
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Skin & Hair

GHK-Cu Biocosmetic Cream (GHK-Cu 3% / Estriol 0.003%)

Compounded 3% GHK-Cu with 0.003% topical estriol. Targeted at mature, post-menopausal, or estrogen-deficient skin.

3% GHK-CuTopical EstriolCollagen SupportMature Skin Formula
$100/30gmPea-sized amount once daily (evening)
Learn More →
Skin & Hair

GHK-Cu Biocosmetic + SNAP-8 Cream

Premium tier of the Biocosmetic line. Adds 1% SNAP-8 (topical Botox-alternative peptide) to the GHK-Cu and estriol base.

3% GHK-Cu1% SNAP-8Topical EstriolBotox-Alternative Mechanism
$120/30gmPea-sized amount once daily (evening)
Learn More →
Skin & Hair

GHK-Cu SNAP-8 Niacinamide Serum

Three-active serum: 3% GHK-Cu for collagen, 1% SNAP-8 for expression lines, 3% niacinamide for barrier repair. Lightweight aqueous vehicle.

3% GHK-Cu1% SNAP-83% NiacinamideBotox-Alternative Mechanism
$140/30mL3 to 5 drops applied to face once or twice daily
Learn More →
Skin & Hair

GHK-Cu Niacinamide Firm Boost Serum

Lightweight 3% GHK-Cu and 3% niacinamide serum for face and neck. Firming and barrier repair without the SNAP-8 layer.

3% GHK-Cu3% NiacinamideLightweight VehicleDaily Firming
$120/30mL3 to 5 drops applied to face once or twice daily
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Skin & Hair

Methylene Blue Anti-Aging Cream

Compounded 0.0064% methylene blue and 0.003% estriol cream. Targets mitochondrial dysfunction in aging skin without visible blue staining.

Sub-Staining Methylene BlueTopical EstriolMitochondrial SupportAnti-Aging
$50/30gmPea-sized amount once daily (evening)
Learn More →
Vitamins & Injectables

Methylcobalamin (B12)

Injectable methylcobalamin, the active, ready-to-use form of vitamin B12 for energy and methylation support.

Active B12 FormEnergy SupportMethylationSelf-Inject
From $30/10ml1mg (0.2mL) once weekly
Learn More →
Vitamins & Injectables

Vitamin B-Complex

Injectable B-complex (B1, B2, B3, B6) for energy metabolism and nervous system support.

Four B VitaminsEnergy MetabolismNervous SystemSelf-Inject
$40/30ml1mL once weekly
Learn More →
Vitamins & Injectables

Biotin

High-dose injectable biotin (vitamin B7) for hair, skin, and nail support and energy metabolism.

Hair, Skin & NailsHigh DoseEnergy MetabolismSelf-Inject
$65/10ml10mg (1mL) once weekly
Learn More →
Vitamins & Injectables

Vitamin D3

High-dose injectable vitamin D3 (cholecalciferol) for patients correcting documented deficiency.

High DoseCorrects DeficiencyBone & ImmuneSelf-Inject
$55/30ml50,000 IU (1mL) once monthly
Learn More →

🏥

503A Compliant Pharmacy

Pharmaceutical-grade compounding

👨‍⚕️

Licensed Providers

Every script written by a real clinician

📦

OBP Wholesale Pricing

You pay what the pharmacy charges


Frequently asked questions about peptide therapy

The honest 2026 answers to the questions patients ask before starting a peptide protocol.

What are peptides?

Peptides are short chains of amino acids, typically 2 to 50 residues long, that function as signaling molecules in the body. They bind to specific receptors and trigger downstream effects on metabolism, growth, tissue repair, and immune function. Therapeutic peptides like semaglutide, BPC-157, and tesamorelin mimic or modulate the body's own signaling to achieve a clinical outcome. Read the full peptide therapy guide.

How does peptide therapy work?

Peptide therapy works by using compounded prescription peptides to modulate a specific physiological pathway. A licensed provider evaluates your goal, prescribes the appropriate peptide and dose, and a 503A pharmacy compounds the medication. Most therapeutic peptides are injected subcutaneously; some are oral, nasal, or topical. Protocols typically run 8 to 16 weeks with bloodwork or symptom tracking to confirm response.

Are prescription peptides legal in the US?

Yes. Compounded peptides written by a licensed provider and dispensed by a state-licensed 503A pharmacy are legal prescriptions, the same legal class as compounded semaglutide or compounded testosterone. Research-grade peptides sold “for research use only” without a prescription are a separate regulatory category and are not legal for human use. Compare compounded vs research-grade peptides.

Who can prescribe peptides?

Any licensed physician (MD or DO), nurse practitioner, or physician assistant with prescriptive authority in the patient's state can prescribe compounded peptides. RxPepsDirect connects patients with licensed providers in 28 states (Dr. Jonathan Snipes, MD and Kim Callender, FNP-BC) through a $39 telehealth review. No in-person visit required for most peptide protocols.

What does prescription peptide therapy cost?

RxPepsDirect prices are 503A wholesale: $39 for the provider review, then OBP pharmacy pricing on the medication. Common starting points: semaglutide from $25 per vial, tirzepatide from $45 per vial, BPC-157 from $80, GHK-Cu from $50, sermorelin from $85, tesamorelin from $100. No subscription, no markup, no membership.

What peptide categories does RxPepsDirect cover?

Eight therapeutic categories: weight loss (semaglutide, tirzepatide, 5-Amino 1MQ, AOD-9604), muscle growth (CJC-1295/ipamorelin, sermorelin, tesamorelin), recovery and repair (BPC-157, TB-500, KLOW, Wolverine Stack), longevity (NAD+, epitalon, GHK-Cu), cognitive (semax, selank, methylene blue, dihexa), sexual health (PT-141, oxytocin), immune (KPV, thymosin alpha-1), and skin and hair (GHK-Cu topical, SNAP-8).

How do I get a peptide prescription online?

Three steps. (1) Choose your peptides from the catalog above and add to your protocol; the cart holds up to three SKUs. (2) Complete the medical intake and pay the $39 provider review. (3) A licensed provider reviews your intake within 24 to 48 hours, approves the appropriate protocol, and sends the prescription to Optimal Balance Pharmacy, which ships pre-reconstituted product overnight via FedEx. Compare RxPepsDirect to other peptide telehealth options.

How is RxPepsDirect different from research peptide vendors?

Research peptide vendors sell unregulated product labeled “not for human use” without a prescription. RxPepsDirect is a telehealth pathway to compounded prescription peptides from a 503A pharmacy. Every vial is USP-grade, batch tested by Eagle Analytical, written by a licensed provider, and shipped pre-reconstituted. The pricing matches research vendors because OBP wholesale prices are already at that level; the prescription pathway adds legal status, provider oversight, and testing certificates.