Cost guide

How much does tesamorelin cost?

6 min read Updated August 2026 US-licensed providers

The short answer

Compounded tesamorelin from a licensed telehealth clinic generally runs a few hundred dollars per month. At Expert Health it is $332 per month, or $997 for about a 10-week supply, including the consult, medication, and shipping. Brand Egrifta SV lists far higher, commonly in the low thousands per month. Tesamorelin is FDA-approved for HIV-associated lipodystrophy only, so other uses are off-label.

Tesamorelin prices at a glance

Tesamorelin is sold two ways: as the FDA-approved brand product Egrifta SV, and as compounded tesamorelin prepared by a licensed pharmacy on a prescription. The price gap is large, and so is the difference in what the medication is approved to be used for.

Option	Typical cost	What is included
Brand Egrifta SV	Commonly in the low thousands of dollars per month at list price	Medication only. Approved for HIV-associated lipodystrophy, and may be covered for that indication
Compounded via licensed telehealth	A few hundred dollars per month	Often bundles the consult, medication, and shipping
Expert Health (compounded)	$332 per month, or $997 for about a 10-week supply	Free consult, medication, free shipping, provider check-ins
Gray-market 'research' peptide vials	The lowest sticker price of all	No prescription, no provider, no pharmacy standards, sold as not for human use

Ranges are 2026 orientation figures, not quotes. Brand list prices are set by the manufacturer and your out-of-pocket cost depends on insurance. Compounded medications are not FDA-approved.

Tesamorelin (brand Egrifta SV) is FDA-approved for one use: reducing excess abdominal fat in adults with HIV-associated lipodystrophy. Prescribing it for weight loss, muscle, or longevity is off-label, and benefit for those uses has not been established.

Why the reason you are taking it changes the price

This is not a pricing trick, it is how coverage works. Brand Egrifta SV can be covered by insurance when it is prescribed for the indication it is approved for, HIV-associated lipodystrophy, with the diagnosis documented. In that situation the list price is not what you pay, and this is a conversation to have with your HIV care team rather than a telehealth clinic.

Everything else, including compounded tesamorelin and any off-label use, is paid out of pocket. Insurers do not cover compounded medications for goals the drug is not approved for, and you should not plan around them doing so.

What actually drives the price

Brand versus compounded. Brand Egrifta SV carries the manufacturer's list price. Compounded tesamorelin is prepared by a licensed pharmacy and costs far less, but it is not FDA-approved.
Dose. Tesamorelin is a daily injection and the dose is set by your provider, so a higher dose means a given supply runs out sooner.
Plan length. A multi-month plan usually costs less per month than paying month to month.
What is bundled. Some prices are medication only. Compare the all-in figure, including the consult, shipping, and follow-up.
Pharmacy standards. A licensed US compounding pharmacy costs more to work with than an unregulated supplier, and that difference is the reason to use one.

What you get at Expert Health

Expert Health prices tesamorelin at $332 per month, or $997 for about a 10-week supply, all-in rather than as a medication-only sticker:

A free call with a health specialist, with no obligation to buy
Tesamorelin compounded by a licensed US pharmacy and prescribed for you
Free, discreet shipping to your door
Provider check-ins, including glucose and IGF-1 review where your provider thinks it is warranted
A clear explanation of what is on-label, what is off-label, and what is not established

A provider has to agree treatment is appropriate before anything ships. Compounded medications are not FDA-approved, and any use outside HIV-associated lipodystrophy is off-label.

Tesamorelin, as low as $332/mo Prescribed by a US-licensed provider, compounded by a licensed US pharmacy, shipped free. See the full plan and what is included.

See Tesamorelin

Why compounded tesamorelin costs less than Egrifta

Egrifta SV is a brand-name product with a manufacturer's list price, a specialty distribution route, and an approved indication behind it. Compounded tesamorelin is prepared by a licensed pharmacy on an individual prescription, which is why the number is smaller. What you do not get with the compounded version is FDA approval of that specific product, and it is worth being clear-eyed that this is the trade.

If you are weighing the two growth-hormone peptides on price, sermorelin is the lower-cost option at $199 per month. See sermorelin vs tesamorelin for how they actually differ, and sermorelin cost for that breakdown.

Is the cheapest tesamorelin a good idea?

No. Tesamorelin is a prescription medication with real monitoring requirements, including blood sugar, and the cheapest listings online are research-chemical vendors shipping vials labelled as not for human use. There is no provider, no prescription, no named pharmacy, and no one to call. The saving is the exact value of everything that has been removed.

For how to choose a clinic properly, see where to get tesamorelin online and is Expert Health legit.

Frequently asked questions

How much does tesamorelin cost per month?

Compounded tesamorelin through a licensed telehealth clinic generally runs a few hundred dollars per month. At Expert Health it is $332 per month, or $997 for about a 10-week supply, including the free consult, the medication, free shipping, and provider check-ins.

How much does brand Egrifta SV cost?

Brand Egrifta SV commonly lists in the low thousands of dollars per month before insurance, though reported figures vary and your out-of-pocket cost depends on your coverage. It is FDA-approved for HIV-associated lipodystrophy, and may be covered when prescribed for that diagnosis.

Does insurance cover tesamorelin?

Brand Egrifta SV may be covered when it is prescribed for HIV-associated lipodystrophy, the indication it is approved for, with the diagnosis documented. Compounded tesamorelin and any off-label use are generally paid out of pocket.

Why is compounded tesamorelin cheaper than Egrifta?

Compounded tesamorelin is prepared by a licensed pharmacy on an individual prescription rather than carrying a brand manufacturer's list price. It is also not FDA-approved, which is the trade-off, and a licensed provider decides whether it is appropriate for you.

Is tesamorelin FDA approved for fat loss?

Only in one specific context. It is approved for the reduction of excess abdominal fat in adults with HIV-associated lipodystrophy. It is not approved for general weight loss, muscle building, or longevity, and using it for those goals is off-label with no established benefit.

How long does a $997 tesamorelin plan last?

About 10 weeks at a typical daily dose. The exact length depends on the dose your provider sets, since a higher daily dose uses the supply faster.

Is tesamorelin worth the extra cost over sermorelin?

That depends entirely on your situation and is a provider conversation. Tesamorelin has stronger trial data, but that data comes from the HIV lipodystrophy population it is approved for, so for other goals it is an off-label option at a higher price. Sermorelin is $199 per month against $332.

Can I buy tesamorelin without a prescription?

You should not. Tesamorelin is prescription only. Sites selling vials with no prescription are research-chemical vendors whose products are typically labelled as not for human use, with no pharmacy standards or clinical oversight behind them.

Sources

EGRIFTA SV (tesamorelin) for injection, full prescribing information · DailyMed, US National Library of Medicine

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.