Peptide & Wellness Therapy Request Form

Clinical Oversight

Includes medical-grade peptides dispensed under licensed provider guidance.

Expert Dosing Plan

Each protocol is customized by a clinician based on your goals and lab results.

Instruction & Support

Injection instructions, and provider follow-up.

Sterile Delivery Supplies

All syringes, wipes, and prep materials included for safe use.

High-Quality Pharmacy

Medications sourced from FDA-registered compounding pharmacies.

Ongoing Optimization

Follow-up dosing adjustments and support to help you reach long-term goals.

Premium regenerative peptide therapies, medically guided and compounded for purity and potency — with ongoing injection support and physician oversight.

Please enter a valid 2-letter state abbreviation to see current pricing.

Select Your Therapy

Member GLP-1 Therapies

⚠️
Important: Vials must be used within 3–4 months of opening. Ordering a vial that lasts longer than this may not be approved. Your provider will confirm the appropriate vial size.

Order Summary

    Estimated Total: $0.00

    Important Safety Information

    These are medical prescription therapies which require a medical evaluation / consultation. They are not prescribed for performance enhancement purposes. Determination of medical necessity and appropriateness of the medication is at the sole discretion of the prescribing provider.