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The GLP-1 Verdict
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Ranked #382 · Grade C

RxPepsDirect review

RxPepsDirect (Peptide RX LLC) is a per-vial compounded GLP-1 telehealth platform whose advertised vial prices are not the whole cost: a flat medical visit charge and flat overnight delivery are added to…

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Semaglutide
From $79/mo (starting dose, visit fee and shipping included, compounded)
Tirzepatide
From $99/mo (starting dose, visit fee and shipping included, compounded)
Coverage
28 states
Brand-name
Compounded only

The scorecard

RxPepsDirect scored on our six published factors. See the methodology.

Real-world results55/100
Price honesty28/100
Prescriber access56/100
Formulary choice82/100
Cancellation fairness56/100
Member support64/100

What we like

  • Every component of the price is published on the site — the vial tiers, the flat visit charge and the flat overnight delivery — so the all-in monthly cost can be worked out before ordering
  • No subscription and no commitment: you pay per order, and one visit charge covers up to three peptides on the same prescription
  • Real 503A telehealth Rx — licensed NP/PA prescribers under medical director Dr. Jonathan Snipes (NPI 1821250077), dispensed by Optimal Balance Pharmacy, Texas Board #34829
  • Independent batch COA testing by Eagle Analytical (FDA-registered, A2LA ISO 17025): 54/54 sterility and endotoxin passes published publicly
  • Ships pre-reconstituted by FedEx overnight with syringes, alcohol wipes and a reusable cooled travel case included

The caveats

  • The advertised vial price is not the monthly cost: a flat $39 medical visit charge and $15 flat FedEx shipping land on every order, and the visit charge recurs on every reorder rather than once
  • Higher doses need more than one vial a month and the site publishes no price for the dose you titrate up to, so the figure above is a floor
  • Minimal clinical oversight: a roughly two-minute asynchronous intake, no live video consult, no labs required and no published dose-escalation monitoring
  • No LegitScript certification, and the company was founded in 2026 with no public track record or outcomes data
  • Only 28 states and DC — California is excluded, along with most of the Southeast (AL, AR, GA, MS, NC, SC, TN, VA)

The verdict

Best for: Shoppers who want the all-in per-order cost of a compounded GLP-1 with no subscription, in 28 states. RxPepsDirect (Peptide RX LLC) is a per-vial compounded GLP-1 telehealth platform whose advertised vial prices are not the whole cost: a flat medical visit charge and flat overnight delivery are added to…

Ranked #382 of 499 providers we have reviewed — for comparison, read the CoreAge Rx review, our #1 pick. On the board it sits between Royal Medical Center, 55/100 above and Shapely at 55/100 below, with the Teleios Health ruling the next one down.

If that ruling leaves you undecided, the 7 programmes we rank against RxPepsDirect are graded on the same six factors and listed in score order. We have also ruled on it directly: CoreAge Rx vs RxPepsDirect goes to CoreAge Rx, 94/100 to 55/100.

Compare with other providers

All 498 other providers we've reviewed, in our overall ranking order.

Every other program we track (492)

Pricing, states and verification reflect RxPepsDirect's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on RxPepsDirect's site. Not medical advice; see our disclosure.

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