Updated September 2026Priced by the vial, billed by the orderRxPepsDirect review
The vial price is the smaller half of what an order costs, because a visit fee lands on every one.
The verdict
RxPepsDirect sells semaglutide with B12 from $25 for a 1.2mg vial and tirzepatide with B12 from $45 for 12mg. A flat $39 medical visit is charged on every order and $15 FedEx shipping is billed separately, so a first semaglutide order is $79 delivered.
Disclosure: This GLP is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. How we make money.
- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- States
- 28
- From
- From $79/mo
- Dose published
- Yes
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Named
- Availability
- 28 states
RxPepsDirect prescribes compounded peptides dispensed by a named 503A pharmacy, across more than seventy formulations. GLP-1 lines sit inside that catalog rather than being the whole of it.
Who writes the prescription, and what do they see?
Every prescription is stated to be written and countersigned by a licensed NP or PA in the patient's own state. The pharmacy that fills it is named on the site. Both facts are rarer than they should be in this category, and together they are the strongest thing here.
There is no subscription. A buyer pays for a visit and for whatever vials the clinician approves, then pays again at the next order. No labs and no coaching are included.
What happens when the dose goes up?
Because the model is per-vial, a dose increase changes the bill directly. A 1.2mg semaglutide vial covers roughly five weeks at 0.25mg a week, and a maintenance dose needs more of them in the same month. Milligram quantities sit beside every price, which is what makes that arithmetic possible at all.
What the price includes
At the starting dose, one semaglutide vial plus the visit is $64, and $79 once shipping is added. Tirzepatide is $84 before shipping. The figures rise with the dose rather than holding flat, and every refill carries the $39 visit again, so an annual cost depends on how many orders a buyer places.
What it claims, and what it cites
The GLP-1 lines are compounded preparations rather than manufactured products, so the FDA does not review them before dispensing. The compounding pharmacy is named, which is uncommon.
Where it holds up, and where it does not
- Strength: The compounding pharmacy is named
- Strength: Prescriptions countersigned in the patient's state
- Strength: Milligram quantity beside every price
- Strength: No subscription and no membership
- Limitation: A $39 visit fee on every order
- Limitation: $15 shipping billed separately
- Limitation: Cost rises as the dose rises
- Limitation: No labs or coaching included
What the evidence says about this kind of treatment
The assessment above is about RxPepsDirect. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A buyer at a starting dose who wants milligrams beside the price.
- Wrong for
- A buyer at a maintenance dose comparing against a flat monthly rate.
How RxPepsDirect compares
| Seller | Who it suits | Go |
|---|---|---|
 Framework | Buyers who convert a weekly rate into a calendar month before comparing it | See Framework → |
 HeliMeds | Buyers converting a twelve-week plan into calendar months before comparing it | See HeliMeds → |
 Injectco | Buyers paying once for a long run and expecting to stay low on the ladder | See Injectco → |
More GLP-1 telehealth sellers reviews: RegenicsRehydra+ WellnessRejuve MedsRemedy MedsREMEViRemote Pharmacy
Sponsored alternative
Bodybuilding Health+
Readers who want to start without committing a year of money
Check Bodybuilding Health+ availability →Frequently asked
- Is $25 what a first order costs?
- No. A $39 visit fee applies to every order and shipping is $15, so a first semaglutide order is $79 delivered.
- Does the visit fee apply to refills?
- Yes. Each refill carries the $39 visit again, which is the part a per-vial price hides.
- How long does one vial last?
- A 1.2mg semaglutide vial covers about five weeks at a 0.25mg weekly starting dose. A higher dose needs more vials in the same month.
- Is RxPepsDirect legit?
- RxPepsDirect is a GLP-1 telehealth sellers service. Its stated availability: 28 states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is RxPepsDirect expensive compared with other GLP-1 telehealth sellers?
- RxPepsDirect publishes a starting figure of $79/mo. Across the 225 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $76 to $399 with a median of $179, which puts RxPepsDirect below the median, toward the cheaper end. The other 18 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.