— Anti-Aging · Pricing Guide · 2026
How Much Does ASCEND Cost?
ASCEND pairs three growth-hormone secretagogues — CJC-1295, ipamorelin, and tesamorelin — with IGF-1 LR3, a long-acting analog of the growth factor that growth hormone acts through. It is prescribed, after physician review of labs, for body-composition and recovery protocols in adults.
— Medication
$289 all-in
Compounded vial from an FDA-registered US pharmacy, one monthly fill
— Physician
Included
Review and ongoing care — no consult fee, no visit fee
— Shipping
Included
Sterile syringes and alcohol prep pads in the box
— Messaging
Unlimited
Message your care team any time — no membership fee
Same medication in a pre-filled cartridge. Injector pen included free with your first order.
— The price
What you’re paying for.
At Pepti, ASCEND is $289 per monthly fill, all-in: the compounded medication from an FDA-registered US pharmacy, physician review and ongoing care, shipping, and unlimited messaging. There is no membership fee, no consult fee, and no visit fee on top. It is available as a standard vial for $289 or as a pre-filled pepti Pen for $289; the injector pen itself is included free with your first pen order. Four active peptides compounded into one vial, priced as a single blended prescription rather than four. Two of them, tesamorelin and IGF-1 LR3, are among the more expensive actives in the catalog.
— Insurance
Paying for ASCEND.
Compounded ASCEND is a cash-pay prescription and is not covered by insurance or Medicare. HSA and FSA funds can usually be applied.
— Common questions
ASCEND pricing,
answered.
ASCEND costs $289 per month at Pepti as a vial, or $289 as a pre-filled pepti Pen. That price is all-in — it includes the compounded medication, the licensed physician who reviews your assessment and manages your care, shipping to your door, and unlimited messaging with your care team. Refills are the same price each month; there is no separate membership, consult, or visit fee.
The compounded ASCEND from an FDA-registered 503A pharmacy, the vial with sterile syringes and alcohol prep pads, cold-chain shipping, the physician review of your assessment, ongoing physician care and dose adjustments, and unlimited messaging. If the physician does not approve you, the medication charge is refunded.
Yes. ASCEND is prescription-only. At Pepti you complete a free online assessment, a licensed US physician reviews it, and if it is appropriate for you the prescription is sent to a partner pharmacy that compounds it and ships it to you. Compounded ASCEND is not FDA-approved; it is prepared to a physician's prescription by a state-licensed, FDA-registered pharmacy.
No. Compounded ASCEND is a cash-pay prescription and is not covered by insurance or Medicare. Most patients can use HSA or FSA funds, since it is a physician-prescribed medication. Pepti does not bill insurance, which is part of why there are no consult or visit fees.
Research-use-only peptides are sold without a prescription, without a physician, and without a pharmacy. They are labeled "not for human use" for a reason: no one is verifying the identity, purity, sterility, or dose of what is in the vial. Pepti's $289 covers a licensed physician, a state-licensed FDA-registered compounding pharmacy, and independent batch testing — potency, sterility and bacterial endotoxin — at a third-party laboratory. You are paying for the medication to be what the label says it is.
No — every medication is its own catalog price however many are in the plan. Adding a second medication to the same plan means one assessment, one physician review and one shipment — each medication keeps its own catalog price. If you want several peptides for less, a pharmacy-compounded blend puts two to four in one vial at one price.
Once per fill. One vial is your monthly supply, and a fresh one ships about every 28 days depending on the dose your physician prescribes, billed at the same $289 each time. It renews until you cancel, and you can cancel anytime from your account. There is no contract and no cancellation fee.
Most peptide clinics price ASCEND as a medication fee plus an initial consult, a membership or program fee, and follow-up visit fees, and many require in-person visits. Pepti charges one monthly price of $289 that already includes the physician and shipping, with no consult, membership, or visit fees. Some clinics also dispense research-use-only peptides; Pepti dispenses only physician-prescribed, pharmacy-compounded medication.
— More questions27 more questions about Pepti, answered.
ASCEND combines CJC-1295, ipamorelin and tesamorelin, three peptides that prompt the body to release its own growth hormone, with IGF-1 LR3, the growth factor growth hormone works through. One vial for adults focused on a leaner, stronger body and faster recovery. Compounded; not FDA-approved. ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is prescription-only at Pepti: a licensed physician reviews your assessment and, if appropriate, prescribes it to be compounded by a state-licensed, FDA-registered pharmacy.
ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is $289 per month at Pepti as a vial, or $289 as a pre-filled pepti Pen. That is all-in: medication, physician review and ongoing care, shipping, and messaging. No membership, consult, or visit fees, and the price is the same in every state.
ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is commonly prescribed for: Adults who train hard and want more from recovery and lean-muscle gains; People over 35 noticing softer body composition and slower recovery; Patients already on a growth-hormone peptide who want the fuller stack; Anyone who wants the belly-fat research behind tesamorelin in the same vial. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is prescription-only. The free online assessment takes about five minutes, a physician licensed in your state reviews it within 4 hours, and if approved the prescription goes to the pharmacy. If not approved, the medication charge is refunded.
No. ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) can be prescribed from the assessment alone. If your physician wants labs for your care, they'll ask through your account; upload a recent lab report from any lab at no charge, or order Pepti's at-home panel.
ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is a subcutaneous injection into the abdomen or thigh with a small insulin syringe. Your kit ships with sterile syringes and alcohol prep pads, and the exact dose and schedule are printed on the pharmacy label. Dosing videos are in your account. It is also available as a pre-filled pepti Pen for $289.
One vial is your monthly supply at the dose your physician prescribes. A fresh vial ships about every 28 days, and the date moves if your physician changes your dose. Store it as the pharmacy label directs, refrigerated.
Once per fill, $289 each time, when the next vial ships. It renews until you cancel, which you can do anytime from your account with no cancellation fee.
The compounded ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) with sterile syringes and alcohol prep pads, free tracked shipping in an unbranded box with insulated packaging, the physician review, ongoing physician care and dose adjustments, and unlimited messaging.
Reported side effects of ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) are usually mild: mild redness or swelling at injection site; temporary fatigue or headache; mild nausea (uncommon). The physician screens your history, medications, and allergies before prescribing, the medication-specific consent lists the known risks, and you can message your physician about anything you notice. Seek emergency care for severe symptoms.
Response varies by person, goal, and dose, and ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is prescribed for ongoing use rather than a short trial. Your physician sets expectations at approval, tracks how you respond through your account, and adjusts the dose without an appointment.
Yes. Request it from your account or the app; your physician approves or declines. If approved you pay for the additional medication at the pharmacy's cost and the new dose applies to your next shipment.
Yes. Add ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) to a plan with another treatment and both go through one assessment and one physician review, shipping together on one schedule. Each keeps its own catalog price. The physician reviews the combination and can adjust it.
No. Compounded ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is not FDA-approved. It is prepared to your physician's prescription by a state-licensed, FDA-registered 503A pharmacy and every batch is independently tested before release.
Yes, when prescribed by a licensed physician and dispensed by a licensed pharmacy, which is how Pepti provides it in every state it serves. Research-use-only ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) sold without a prescription is labeled not for human use and is a different product.
CJC-1295 and tesamorelin copy the brain's growth-hormone-releasing signal, and ipamorelin copies the hunger hormone's signal, so the pituitary gland releases a larger nighttime pulse of growth hormone. At Pepti it is prescribed to support three growth-hormone peptides plus igf-1, lean muscle and recovery, studied for belly fat (tesamorelin), nightly injection, monday to friday. Individual response varies, and your physician sets expectations at approval.
CJC-1295 and tesamorelin copy the brain's growth-hormone-releasing signal, and ipamorelin copies the hunger hormone's signal, so the pituitary gland releases a larger nighttime pulse of growth hormone. IGF-1 LR3 is a long-acting form of the growth factor that growth hormone acts through, studied for muscle and tissue growth. Compounded ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is prescribed for three growth-hormone peptides plus igf-1, lean muscle and recovery, studied for belly fat (tesamorelin), nightly injection, monday to friday. It is commonly requested by adults who train hard and want more from recovery and lean-muscle gains; people over 35 noticing softer body composition and slower recovery; patients already on a growth-hormone peptide who want the fuller stack; Anyone who wants the belly-fat research behind tesamorelin in the same vial. Whether it is appropriate for you is the reviewing physician's decision.
ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is studied for three growth-hormone peptides plus igf-1, lean muscle and recovery, studied for belly fat (tesamorelin), nightly injection, monday to friday. Those are the goals it is prescribed to support at Pepti; results vary by person, dose, and consistency, and no outcome is guaranteed. Your physician tracks how you respond through your account.
No clinical trial has studied this exact combination. The evidence is for each peptide on its own, and your physician weighs that when deciding whether the blend fits you. References are listed on this page.
ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is generally not prescribed with: active cancer or history of cancer (unless approved by oncologist); pregnancy or breastfeeding; severe kidney or liver disease; known allergy to the peptide or excipients. The physician screens for these in your intake, and anything that rules ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) out means it is not prescribed and is refunded.
At Pepti. Complete the free assessment, a physician licensed in your state reviews it within 4 hours, and if appropriate ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $289 per month, all-in. Not prescribed means refunded.
Injectable vial: 5 mL, containing 6 mg CJC-1295 + 12 mg Ipamorelin + 10 mg Tesamorelin + 1 mg IGF-1 LR3. One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Yes. ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is available as a pre-filled pepti Pen cartridge for $289 per month, versus $289 as a vial. Same medication, same pharmacy; the reusable injector is free with your first pen order. Choose the format in the cart or ask your physician.
$289 per month covers the compounded ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3), the physician review, ongoing physician care including dose adjustments and refill review, unlimited messaging, and free tracked shipping. There is no membership, consult, visit, or refill fee; the only separate charges are optional at-home lab panels and a physician-approved dose increase billed at pharmacy cost.
Yes. ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) is on Pepti's live catalog, which lists only treatments a partner pharmacy can compound and ship today. If a physician prescribes it, it ships; if it ever cannot be dispensed, the charge is refunded.
ASCEND Blend (CJC-1295 / Ipamorelin / Tesamorelin / IGF-1 LR3) ships to 49 states and Washington, D.C, free and tracked, in insulated unbranded packaging. Eligibility is confirmed during the assessment from your shipping address.
— More in Anti-Aging
Other Anti-Aging treatments,
and what they cost.
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Ipamorelin + Sermorelin$219/moSee cost 
ETERNAL Blend (GHK-Cu / BPC-157 / TB-500 / Epithalon)$279/moSee cost 
EUPHORIA Blend (MOTS-c / BPC-157 / GHK-Cu / Kisspeptin-10)$279/moSee cost 
TITAN Blend (Tesamorelin / CJC-1295 / Ipamorelin / BPC-157)$289/moSee cost
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Free intake review by a licensed physician. Medication refunded if not approved.
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