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Clinical standards

How we prescribe.

Every Pepti prescription is written by an independent physician licensed in your state, after a review of your intake, identity, history, medications, and labs where the medication needs them. This page is the whole process: what is checked, who qualifies, who is declined, and what happens after approval.

24 hrs
physician decision
17 meds
require bloodwork first
100%
refunded if declined

Who prescribes

Physicians, named.

Pepti's medical team is led by board-certified physicians who set the clinical protocols every reviewing physician follows. They are independent medical professionals, not Pepti employees, and the prescribing decision is theirs alone.

Medical Director

Dr. Gene, MD

Dr. Gene is the Medical Director of Pepti, where he oversees clinical protocols, patient workflows, physician credentialing, and protocol implementation. Board-certified in Family Medicine, Dr. Gene brings a comprehensive approach to telehealth peptide and hormone therapy, with deep experience in compounded GLP-1 medications and non-invasive weight loss protocols. He focuses on patient education, informed consent, and ensuring every prescribing decision is grounded in current clinical evidence.

Profile and licensure
Chief Medical Officer

Dr. Laeeq, MD, MBA

Dr. Laeeq is a board-certified Internal Medicine physician with more than a decade of clinical experience across hospital medicine, telemedicine, and functional medicine. He completed his Internal Medicine residency at Rutgers University and is certified by the American Board of Internal Medicine, with additional board certification in Aesthetic Medicine and training in Functional Medicine. His clinical focus centers on preventive and metabolic health, hormone optimization, and personalized, root-cause care — reviewing each case against current clinical evidence.

Profile and licensure

The review

Six checks before a prescription.

A provider, not an algorithm, decides. These are the checks every request goes through, in order.

  1. 01

    Medical intake

    Your goals, health history, current medications, allergies, sex, height, and weight. Medications and allergies are mandatory — the intake will not submit without them, and "none" is an answer. Incomplete or inconsistent answers are a reason to decline.

  2. 02

    Identity verification

    A photo of your government-issued ID, matched to the name and date of birth on your intake. No prescription is written for an unverified identity.

  3. 03

    Contraindication screening

    The physician screens your history and conditions against the medication requested. For GLP-1s that means personal or family history of medullary thyroid carcinoma or MEN-2, pancreatitis, and pregnancy or planned pregnancy. Pregnancy and breastfeeding are screened for every treatment.

  4. 04

    Medication interaction check

    Your current medications are checked against the request. Examples the physician looks for: a GLP-1 with insulin or a sulfonylurea (hypoglycemia risk), a GLP-1 with warfarin, PT-141 with uncontrolled blood pressure.

  5. 05

    Labs, where the medication needs them

    Bloodwork is required before 17 medications are prescribed: the GLP-1s and every growth-hormone secretagogue. You can upload a recent lab report from any lab, or order Pepti's at-home panel. The intake names exactly which medication on your order needs labs, so a three-medication order is not held for all three.

  6. 06

    Decision within 24 hours

    The physician approves, places the request on hold to ask you a question through your account, or declines. A declined medication is refunded in full; on a multi-medication order only the declined line is refunded and the rest proceeds.

Eligibility

Who qualifies, and who we decline.

Not all patients qualify. Being declined is a clinical decision, not a paperwork one, and it is always refunded.

You can be prescribed when

  • You are at least 18, a current US resident, and seeking treatment for yourself
  • You live in a state where Pepti's physicians are licensed — 50 states
  • Your medications, allergies, and history are complete and consistent with your ID and labs
  • Nothing in your history contraindicates the medication requested
  • For GLP-1s: no personal or family history of medullary thyroid carcinoma or MEN-2, no history of pancreatitis, not pregnant or planning pregnancy
  • For medications that require labs: recent bloodwork on file before the prescription is written

We decline when

  • A contraindication in your history, or a medication interaction the physician judges unsafe
  • Pregnancy, breastfeeding, or planned pregnancy during treatment
  • Incomplete, inconsistent, or false intake answers, or an ID that does not match
  • A request the physician does not consider clinically appropriate for you, for any reason — the decision is the physician's alone
  • Anyone under 18, outside the United States, or ordering for someone else

Pepti does not prescribe controlled substances.

After approval

Doses, refills, and staying in touch.

Treatment is long-term, so the rules after approval matter as much as the review. Physician care, refill management, and messaging are in your monthly price; a plan with two or more medications is reviewed together and ships on one schedule.

The dose is the pharmacy's, not a guess

Every medication ships with a fixed pharmacy directions sheet (the sig) for that exact vial or cartridge, written in units, not a model-drafted dose. Your physician can adjust it from the chart without an appointment, and a change moves your refill date with it.

Increasing a dose

You ask from your account or the app. Your physician approves or declines. If approved, you pay the additional medication at the pharmacy's cost and the new dose applies to the next shipment. GLP-1s step up one strength at a time on the pharmacy's ladder; they are never doubled.

One vial per month

A monthly fill is one vial, cartridge, or bottle. Nothing extra is dispensed without a physician-approved dose change and a charge for it.

Refills are authorized, then reviewed

Your physician authorizes a set number of refills at approval. Each refill is reviewed before it goes to the pharmacy — timing, payment, and any change in your history — rather than sent automatically forever.

Message your physician anytime

Questions, side effects, and dose concerns go through your account or the app at no extra cost. Most replies come within 24 hours. Emergencies go to 911, not the app.

Pause or cancel anytime

Cancelling stops all future refills and charges immediately from your account. There is no contract and no cancellation fee.

Informed consent

What you agree to, in plain terms.

Pharmacy network accreditation

PCAB-accredited pharmacies on every order.

Every fulfillment runs through a PCAB-accredited pharmacy.

See the lab results
PCAB — Pharmacy Compounding Accreditation Board · Accredited
  • Rigorous third-party quality & safety inspections
  • Cleanliness and sterile processes
  • Proper ingredient sourcing
  • Accurate dosing and formulation
  • Staff training and procedures
  • Accredited by NABP & ACHC

Common questions

Prescribing, answered.

Dr. Gene
Physician Reviewed

Reviewed by Dr. Gene, MD · Board-certified Family Medicine

Every Pepti prescription is reviewed by a licensed U.S. physician before it's dispensed — and only provided if clinically appropriate.

A licensed physician who holds a license in your state — not an algorithm, and not Pepti staff. Pepti's medical team is led by Dr. Gene, MD (Medical Director) and Dr. Laeeq, MD, MBA (Chief Medical Officer). The physician is an independent medical professional and is solely responsible for the decision.

121 more questions about Pepti, answered.

Yes. Every treatment Pepti offers is prescription medication. You complete a free online assessment, a physician licensed in your state reviews it within 4 hours, and if it is appropriate they write the prescription. There is no in-person visit and no consult fee.

Start with the free assessment.

Five minutes. A licensed physician reviews it within 24 hours. Anything not prescribed is refunded.