Bi-Est Cream (BHRT) in Maryland
Doctor-prescribed Bi-Est Cream (BHRT) for Maryland residents. Reviewed by licensed Maryland physicians, compounded at FDA-registered pharmacies, and shipped to your door.

How it works in Maryland
- Complete a free online intake (~5 minutes).
- A licensed Maryland physician reviews your case within 24 hours.
- If approved, your prescription ships from our FDA-registered compounding pharmacy.
- Free shipping arrives 2–4 business days later. Refills auto-ship monthly.
What Bi-Est Cream (BHRT) does
Bi-Est is a compounded bioidentical estrogen cream containing both estradiol (E2) and estriol (E3). Helps balance hormones during perimenopause, menopause, and beyond. Available in multiple strengths customized to your needs.
- Bioidentical estrogen
- Topical application
- Customized dosing
- For perimenopause & menopause
Telemedicine in Maryland
Maryland permits telemedicine prescribing under COMAR 10.32.05 and Board of Physicians regulations. Both video and asynchronous visits establish the physician-patient relationship.
Maryland cities Pepti serves
Pepti delivers Bi-Est Cream (BHRT) to patients across Maryland, including Baltimore, Frederick, Rockville, Gaithersburg and Bowie. All shipments use the same FDA-registered compounding pharmacy regardless of city.
Bi-Est Cream (BHRT) in Maryland — FAQ
Is Bi-Est Cream (BHRT) legal to prescribe in Maryland?
Yes. Bi-Est Cream (BHRT) is legal when prescribed by a physician licensed in Maryland and dispensed by an FDA-registered compounding pharmacy. Maryland permits telemedicine prescribing under COMAR 10.32.05 and Board of Physicians regulations. Both video and asynchronous visits establish the physician-patient relationship.
How long does shipping take to Maryland?
Most orders ship from our FDA-registered compounding pharmacy within 1–3 business days after physician approval. Delivery within Maryland typically arrives 2–4 business days after shipment. Pepti serves patients across Maryland including Baltimore, Frederick, Rockville, and Gaithersburg.
Do I need an in-person visit in Maryland?
No. Pepti operates as a fully telehealth platform in Maryland. Maryland permits telemedicine prescribing under COMAR 10.32.05 and Board of Physicians regulations. Both video and asynchronous visits establish the physician-patient relationship.
How much does Bi-Est Cream (BHRT) cost in Maryland?
Bi-Est Cream (BHRT) starts at $159/month at Pepti. Pricing is the same nationwide — no Maryland-specific markup. Shipping is free.
Pepti operates in Maryland through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.