How it works

How to get peptides prescribed online

6 min read Updated August 2026 US-licensed providers

The short answer

You complete an online intake covering your goals, health history, and medications. A US-licensed provider reviews it, orders bloodwork where indicated, and meets you by video if your state requires it. If treatment is appropriate, they write the prescription and a licensed US pharmacy compounds and ships it to your door. The consult is free, providers are available with US-licensed providers, and nothing ships without a provider agreeing to it.

The five steps, start to finish

The process is the same whether you are asking about a GLP-1, a growth-hormone peptide, or testosterone. What changes is how much lab work sits in the middle of it.

Step	What happens	Your part
1. Intake	You share your goals, health history, current medications, and what you want to improve	About 10 to 15 minutes online
2. Provider review	A US-licensed provider reads your intake and decides whether treatment is appropriate, or asks for more information	Answer any follow-up questions
3. Labs, where indicated	Bloodwork is ordered when it is clinically needed, and is required before testosterone therapy	A lab draw, then wait for results
4. Prescription	If treatment is appropriate, the provider prescribes and sets your starting dose and titration plan	Confirm your plan and pay
5. Pharmacy and shipping	A licensed US pharmacy compounds your medication and ships it discreetly and free	Store it as instructed and start on schedule

Timing varies by state, by whether labs are needed, and by pharmacy volume. Testosterone takes longest because the lab result has to come back first.

Do I need bloodwork?

Sometimes, and it depends on the treatment. This is one of the clearest ways to separate a real clinic from a storefront.

Testosterone therapy: yes. Testosterone is prescribed to men with low testosterone confirmed by lab testing, so bloodwork is required before you start, and periodic labs continue while you are on it. A clinic that will start you on testosterone with no labs is skipping the diagnosis.
GLP-1 medications: sometimes. A provider may order labs depending on your history, for example if there is a question about your metabolic or thyroid history. It is not automatic for everyone.
Growth-hormone peptides such as sermorelin and tesamorelin: sometimes. A provider may check baseline labs, including IGF-1, where they judge it useful for monitoring.
PT-141 and NAD+: usually not routinely, though your history may prompt a provider to ask for labs anyway.

If you have had bloodwork done recently, bring it. Recent results can often be used rather than repeating the draw. Your provider decides what is current enough to rely on.

Do I need a video visit, and which states is this available in?

Not always. Telehealth rules are set state by state. A US-licensed provider reviews your intake in every case, and where your state requires a synchronous visit before prescribing, that visit happens by video. Where it does not, the review can be asynchronous, which is why some people are prescribed without ever getting on a call.

Expert Health works with US-licensed providers, and availability varies by state. Specific products can vary by state on top of that, because some states place extra restrictions on particular treatments. The intake will tell you where you stand before you pay for anything.

Separately from the medical visit, you can book a free call with a health specialist to talk through your goals before you start. That call is not the medical consult and no prescription comes from it, it just helps you work out which direction to go. Book it on the consult page.

What you get when you start

Every plan is priced all-in rather than as a medication sticker with extras bolted on:

A free call with a health specialist, with no obligation to buy
A prescription only if a provider agrees treatment is appropriate for you
Medication compounded by a licensed, FDA-regulated US pharmacy
Free, discreet shipping to your door, with supplies and dosing instructions
Provider check-ins every four weeks so your dose tracks how you respond

Full prices for every treatment are published on the peptide therapy cost guide, starting at $129 per month for testosterone and $199 per month for semaglutide or sermorelin.

Semaglutide, as low as $199/mo Prescribed by a US-licensed provider, compounded by a licensed US pharmacy, shipped free. See the full plan and what is included.

See Semaglutide

What can stop a prescription

A provider can say no, and on a legitimate service that happens regularly. It is worth knowing the common reasons before you start, so a decline does not come as a surprise.

Your labs do not support the diagnosis. Testosterone therapy in particular is for men with low testosterone confirmed by testing, not a general enhancement.
Your history includes a contraindication, or a medication that interacts with what you asked for.
The treatment you asked for does not match the goal you described, and something else fits better.
You are pregnant, breastfeeding, or trying to conceive, which rules several treatments out.
Your state restricts the specific treatment, or providers are not available where you live.
The product is not currently being prescribed. Availability in this category changes, and a clinic should tell you rather than take the order.

Several treatments here are compounded, which means they are not FDA-approved. Sermorelin and NAD+ are not FDA-approved for the uses they are marketed for, and tesamorelin is FDA-approved for HIV-associated lipodystrophy only, so any body-composition use is off-label. A provider weighs that with you rather than around you.

Where to start

If you already know which treatment you want, the fastest path is the product page and its intake. If you do not, start with the free call and work backwards from the goal. Either way nothing is charged until a provider has agreed treatment is appropriate and you have seen the price.

Useful next reads: how to choose an online peptide clinic if you are still comparing, peptides vs TRT if you are deciding between the two, and how Expert Health works for the short version. To begin, book your free consultation.

Frequently asked questions

How do I get peptides prescribed online?

Complete an online intake covering your goals, health history, and current medications. A US-licensed provider reviews it, orders bloodwork where it is clinically indicated, and meets you by video if your state requires it. If treatment is appropriate the provider writes a prescription, and a licensed US pharmacy compounds and ships the medication to you.

Do I need bloodwork to get peptides prescribed?

For testosterone therapy, yes. It is prescribed to men with low testosterone confirmed by lab testing, and periodic labs continue while you are on it. For GLP-1 medications and growth-hormone peptides, a provider orders labs where your history makes them clinically useful rather than automatically for everyone.

Do I have to do a video visit?

Not always. It depends on your state. A US-licensed provider reviews your intake in every case, and where your state requires a live visit before prescribing, that happens by video. Where it does not, the review can be asynchronous and you may never need to get on a call.

How long does it take to get a prescription?

It varies by state, by whether labs are needed, and by pharmacy volume. The intake itself takes about 10 to 15 minutes, and the longest step is usually waiting for bloodwork to come back, which is why testosterone typically takes longer to start than a GLP-1. Your provider will tell you where you are in the process.

Which states can I get peptides prescribed in?

Expert Health works with US-licensed providers, and availability varies by state. Specific products can vary by state on top of that, because some states place additional restrictions on particular treatments. The intake checks your state before you pay for anything.

Can I get peptides without a prescription?

Not legitimately. Peptides such as sermorelin, tesamorelin, and PT-141, along with GLP-1 medications and testosterone, are prescription treatments in the US. Sites that sell them without a prescription do so by labeling them research chemicals not intended for human use, which means no provider assessed you and no licensed pharmacy prepared the product.

What if the provider says no?

That happens, and it is a sign the review is real. A provider may decline if labs do not support the diagnosis, if your history includes a contraindication, if the treatment does not match your goal, or if your state restricts it. The consultation is free, so a decline costs you nothing.

Who actually writes the prescription?

An independent, US-licensed provider licensed in your state. Expert Health connects you with that provider and does not write prescriptions itself. The medication is then compounded and dispensed by a licensed, FDA-regulated US pharmacy.

This article is for general educational purposes and is not medical or legal advice. Statements have not been evaluated by the FDA, and treatments referenced are not intended to diagnose, treat, cure, or prevent any disease. Compounded medications are not FDA-approved. Individual results vary. Always consult a licensed provider before starting any treatment.