— Pricing Guide · 2026
How Much Does Tesamorelin + Ipamorelin Cost?
This blend pairs tesamorelin (a GHRH analog studied for visceral fat) with ipamorelin (a selective growth-hormone secretagogue) in a single nightly vial for combined GH-axis support. At Pepti, Tesamorelin + Ipamorelin is $259 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 ships as a multi-dose vial with sterile syringes and alcohol prep pads included. Two active peptides, one of them the higher-cost tesamorelin, compounded into a single vial.
— Insurance
Paying for Tesamorelin + Ipamorelin.
Compounded Tesamorelin + Ipamorelin is a cash-pay prescription and is not covered by insurance or Medicare. HSA and FSA funds can usually be applied.
— Common questions
Tesamorelin + Ipamorelin pricing,
answered.
Tesamorelin + Ipamorelin costs $259 per month at Pepti. 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 Tesamorelin + Ipamorelin 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. Tesamorelin + Ipamorelin 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 Tesamorelin + Ipamorelin is not FDA-approved; it is prepared to a physician's prescription by a state-licensed, FDA-registered pharmacy.
No. Compounded Tesamorelin + Ipamorelin 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 $259 covers a licensed physician, a state-licensed FDA-registered compounding pharmacy, and independent batch testing for identity, purity, potency, sterility, and endotoxins. You are paying for the medication to be what the label says it is.
Yes. Adding a second medication to the same plan takes 5% off every item, three takes 8% off, and four or more takes 10% off — on every refill, not just the first. A two-medication plan with Tesamorelin + Ipamorelin brings it to $246 per month.
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 $259 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 Tesamorelin + Ipamorelin 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 $259 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 questions25 more questions about Pepti, answered.
A compounded nightly blend of tesamorelin and ipamorelin for GH-axis support, visceral fat reduction, and recovery. Compounded; not FDA-approved. Tesamorelin + Ipamorelin 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.
Tesamorelin + Ipamorelin is $259 per month at Pepti. 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.
Tesamorelin + Ipamorelin is commonly prescribed for: Adults who want tesamorelin's fat-focused GH pulse plus ipamorelin's gentler secretagogue action; Patients pursuing body recomposition with sleep and recovery support. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. Tesamorelin + Ipamorelin is prescription-only. The free online assessment takes about five minutes, a physician licensed in your state reviews it within 24 hours, and if approved the prescription goes to the pharmacy. If not approved, the medication charge is refunded.
Yes. Tesamorelin + Ipamorelin is one of the medications Pepti requires recent bloodwork for before it is prescribed. Upload a recent lab report from any lab, or order Pepti's at-home panel; the physician reviews the results with your assessment.
Tesamorelin + Ipamorelin 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.
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.
The compounded Tesamorelin + Ipamorelin 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.
Like any prescription medication, Tesamorelin + Ipamorelin can have side effects, and the physician screens your history, current medications, and allergies for anything that would make it inappropriate 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 Tesamorelin + Ipamorelin 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 Tesamorelin + Ipamorelin to a plan with another treatment and every medication is 5% off, three are 8% off, and four or more are 10% off, on every refill. The physician reviews the combination and can adjust it.
Compounded Tesamorelin + Ipamorelin is not FDA-approved. A brand-name form of the active ingredient is FDA-approved for specific indications; Pepti's version is compounded to your physician's prescription by an FDA-registered 503A pharmacy and prescribed off-label.
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 Tesamorelin + Ipamorelin sold without a prescription is labeled not for human use and is a different product.
Dual growth-hormone-axis stimulation: tesamorelin, a stabilized GHRH analog, drives the pituitary's natural GH pulses through the GHRH receptor, while ipamorelin amplifies release through the separate ghrelin receptor — selectively, without meaningful cortisol or prolactin elevation. At Pepti it is prescribed to support tesamorelin visceral fat, ipamorelin gh pulse, body composition & recovery, nightly injection. Individual response varies, and your physician sets expectations at approval.
Dual growth-hormone-axis stimulation: tesamorelin, a stabilized GHRH analog, drives the pituitary's natural GH pulses through the GHRH receptor, while ipamorelin amplifies release through the separate ghrelin receptor — selectively, without meaningful cortisol or prolactin elevation. The two mechanisms are complementary rather than redundant. Compounded Tesamorelin + Ipamorelin is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
Tesamorelin + Ipamorelin is prescribed for tesamorelin visceral fat, ipamorelin gh pulse, body composition & recovery, nightly injection. It is commonly requested by adults who want tesamorelin's fat-focused GH pulse plus ipamorelin's gentler secretagogue action; patients pursuing body recomposition with sleep and recovery support. Whether it is appropriate for you is the reviewing physician's decision.
Tesamorelin + Ipamorelin is studied for tesamorelin visceral fat, ipamorelin gh pulse, body composition & recovery, nightly injection. 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.
Tesamorelin is the best-evidenced peptide in the GH class — FDA-approved (Egrifta), with phase 3 trials showing 15–18% visceral fat reduction (Falutz et al., N Engl J Med 2007). Ipamorelin's selectivity was established in its original characterization (Raun et al., Eur J Endocrinol 1998), though it never completed clinical development. The pairing itself has not been trialed and is prescribed off-label. References are listed on this page.
At Pepti. Complete the free assessment, a physician licensed in your state reviews it within 24 hours, and if appropriate Tesamorelin + Ipamorelin is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $259 per month, all-in. Not prescribed means refunded.
Injectable vial: 5 mL, containing 15 mg Tesamorelin + 10 mg Ipamorelin. One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Not currently. Tesamorelin + Ipamorelin ships as a multi-dose vial with sterile syringes and prep pads. The pepti Pen is available for 10 other treatments.
$259 per month covers the compounded Tesamorelin + Ipamorelin, 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. Tesamorelin + Ipamorelin 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.
Tesamorelin + Ipamorelin ships to all 50 states and Washington, D.C, free and tracked, in insulated unbranded packaging. Eligibility is confirmed during the assessment from your shipping address.
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and what they cost.
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