BPC-157/TB-500/KPV
Three synergistic peptides: tissue repair (BPC-157), systemic recovery (TB-500), and potent anti-inflammatory (KPV).
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.
What It Is
This triple stack adds KPV (a powerful anti-inflammatory peptide derived from alpha-MSH) to the BPC-157/TB-500 foundation for maximum healing and inflammation control.
How It Works
BPC-157 repairs tissue, TB-500 promotes systemic recovery, and KPV suppresses inflammatory pathways (NFkB). Together they create a comprehensive healing environment.
Who It's For
Those with inflammatory conditions alongside injury. Gut healing protocols. Post-surgical recovery with significant inflammation.
Who Should Avoid It
Same as BPC-157/TB-500. Flag for autoimmune conditions.
Protocol & Pricing
OBP Pharmacy Price
$120/15mg+15mg+15mg
You pay pharmacy price. No markup.
Starting Dose
20 units (0.6mg/0.6mg/0.6mg)
Form
Injectable vial (5mL, 3mg-3mg-3mg/mL, 15mg+15mg+15mg total, no copper)
Dosing Protocol
20 units subcutaneous injection daily, Monday to Friday. 20 units = 0.2mL × 3mg/mL = 0.6mg each of BPC-157, TB-500, and KPV per injection.
Beyond Use Date
90 Days from compounding (USP <797>)
Optimal Balance Pharmacy assigns this date and prints it on your vial label. Always follow the label. Once a multi-dose vial is punctured, the in-use date on the label is shorter than the compounding date shown here.
Stacking Guide
Stacks Well With
Do Not Combine With
Three-peptide recovery stack, no copper
Read the BPC-157/TB-500/KPV protocol guide
The middle rung of the recovery ladder: BPC-157 and TB-500 for repair, KPV for inflammation, and GHK-Cu deliberately left out. Explains the four situations that call for a no-copper vial, and states plainly that no study compares it against the four-peptide version.
Related Peptides
Independently tested
BPC-157/TB-500/KPV lab test reports
Every BPC-157/TB-500/KPV batch dispensed by Optimal Balance Pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited) for sterility (ScanRDI or Celsis) and bacterial endotoxin (USP <85>). The most recent report:
| Submission | Lot | Sample | Sterility | Endotoxin | |
|---|---|---|---|---|---|
| ETX-260303-0405 | 030326-03 | BPC-157/TB/KPV 3-3-3mg/ml (NO COPPER) (5ml) NC* | Pass | Pass <2 EU/mL / 375 EU/mL | Download |
Eagle Analytical Services is an independent FDA-registered laboratory, A2LA accredited to ISO 17025, based in Houston, Texas. They have no commercial relationship with RxPepsDirect. RxPepsDirect prescribes; Optimal Balance Pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Browse our full quality program on the quality page.
How to get BPC-157/TB-500/KPV prescribed online
BPC-157/TB-500/KPV is available by prescription through a licensed telehealth visit and dispensed for human use by a named 503A pharmacy. That is what separates it from research-use-only vials sold without a prescription. There is no subscription and no membership, just a one-time visit fee.
- 1
Complete a $39 medical visit. Answer a short intake about your health history and your goals for BPC-157/TB-500/KPV. The $39 fee is the only charge RxPepsDirect collects, paid once, not a recurring subscription.
- 2
A licensed provider reviews it. A US-licensed nurse practitioner or physician reviews your intake and, if BPC-157/TB-500/KPV is appropriate for you, writes a patient-specific prescription. The starting dose is typically 20 units (0.6mg/0.6mg/0.6mg).
- 3
The pharmacy compounds and ships it. Optimal Balance Pharmacy, a 503A pharmacy in Texas, compounds BPC-157/TB-500/KPV and ships it pre-reconstituted by FedEx overnight in a reusable cooled case. Your fill is Injectable vial (5mL, 3mg-3mg-3mg/mL, 15mg+15mg+15mg total, no copper), and you pay the pharmacy $120/15mg+15mg+15mg at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.
RxPepsDirect prescribes BPC-157/TB-500/KPV in the 29 jurisdictions its medical team is licensed in. Start a $39 visit or browse the full Recovery & Repair range. Comparing services first? See how RxPepsDirect stacks up against seven other providers in our best telehealth for compounded peptides comparison.
Common questions about BPC-157/TB-500/KPV
- What is the BPC-157/TB-500/KPV triple combo?
- The BPC-157/TB-500/KPV triple combo is a single injectable that adds KPV (a tripeptide derived from alpha-MSH) to the BPC-157/TB-500 base. KPV is a small anti-inflammatory peptide associated with reduced cytokine signaling, particularly in gut tissue and chronic inflammatory conditions. The triple combo targets healing (BPC-157), angiogenesis and cell migration (TB-500), and inflammatory tone (KPV) in one injection.
- What does KPV add to the BPC-157/TB-500 combo?
- KPV's primary contribution is anti-inflammatory effect via downregulation of NF-kB signaling and pro-inflammatory cytokines. In a healing protocol, this complements the angiogenic and migration mechanisms of BPC-157 and TB-500 by addressing the chronic inflammation that often accompanies poorly-healing tendon or gut injuries. KPV is also used stand-alone for gut and inflammatory bowel protocols.
- How is the triple combo dosed?
- Common protocols deliver the BPC-157/TB-500 doses described on the standard combo product (250-500 mcg BPC-157 + 2-5 mg TB-500) plus 200 to 500 mcg of KPV per dose, all in one injection. Frequency is typically daily for 2 weeks then tapered to 2 to 3 doses per week. Optimal Balance Pharmacy compounds the triple blend against RxPepsDirect prescriptions; your provider sets the protocol.
- Where do I inject the triple combo?
- Subcutaneously into the abdomen, upper outer thigh, or back of the upper arm using a 31-gauge, 5/16-inch needle on a U-100 insulin syringe. For localized injury work, inject as close to the target tissue as safely possible. Sterile syringes are included with every RxPepsDirect shipment.
- How is the triple combo supplied?
- Compounded by Optimal Balance Pharmacy under a 503A patient-specific prescription. Ships pre-reconstituted and ready to inject in cold-chain packaging. Every batch is tested by Eagle Analytical Services for sterility and bacterial endotoxin; the Certificate of Analysis is published on this product page.