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Graded #157

RxPepsDirect

RxPepsDirect (Peptide RX LLC) is a per-vial compounded GLP-1 telehealth platform offering semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, dispensed through Optimal Balance Pharmacy (503A, Texas) after a $39 asynchronous online medical visit.

Visit RxPepsDirect ↗We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Semaglutide
$79/mo (starting dose, visit fee and shipping included, compounded)
Tirzepatide
$99/mo (starting dose, visit fee and shipping included, compounded)
Coverage
28 states
Brand-name
Compounded only

Weigh RxPepsDirect against the full graded field on the best semaglutide providers scorecard, or line it up against its closest alternatives. Because RxPepsDirect dispenses compounded medication, it’s worth understanding whether compounded semaglutide is legit and safe.

Factor breakdown

Each of the six graded dimensions. See the methodology.

Cost value86/100
Dose & formulation64/100
Clinical oversight69/100
Labs & monitoring52/100
Fulfillment70/100
Contract terms55/100

Strengths

  • 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 Ranking #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

Where it loses points

  • 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)

Bottom line — Grade C

Best for: Shoppers who want the all-in per-order cost of a compounded GLP-1 with no subscription, in 28 states.

Ranked #157 of 544 on this scorecard. See our top-scoring pick, CoreAge Rx (#1), for comparison.

Visit RxPepsDirect ↗

Closest here

The rankings grading nearest RxPepsDirect — the realistic shortlist.

Lavender Sky Health#155

Lavender Sky Health is a marketplace of about ten compounding pharmacies rather than a single-price provider, each with its own ladder of prepaid tiers and month-to-month plans.

Measured#156

Measured is a metabolic-health membership pairing GLP-1 treatment with 1:1 nutrition support and board-certified provider care.

Somi Health#158

Somi Health is a telehealth weight-loss provider offering compounded GLP-1 medications - compounded semaglutide and tirzepatide injections plus an oral semaglutide tablet.

GOAL.MD#159

GOAL.MD is a St. Louis-based telehealth platform offering compounded semaglutide alongside brand-name bridges to Ozempic, Wegovy, and Zepbound.

Trava Health#160

Houston-based DTC telehealth offering compounded semaglutide+B12 and tirzepatide+B12 through SIX named 503A compounding pharmacy partners disclosed on Trava's own Terms + Telehealth Consent pages (Postmeds/TruePill, EHT/Curexa, Apostrophe, XeCare, Wells American/Promed, Optimal Balance/OBP).

VyrarX#161

VyrarX is a LegitScript-certified telehealth platform offering compounded semaglutide (from $179/month) and compounded tirzepatide (from $329/month) via weekly injection, prescribed by licensed US physicians.

The 20 rankings nearest this one

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Pricing/verification reflect RxPepsDirect's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on RxPepsDirect's site. Not medical advice; see our disclosure.

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