Skin+ (Multi-Active Rx) in Maryland
Doctor-prescribed Skin+ (Multi-Active Rx) 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. Reorder in one tap when you need more.
What Skin+ (Multi-Active Rx) does
A multi-active prescription cream blending tretinoin, GHK-Cu peptide, NAD+, and spilanthol with cosmetic actives — cell turnover, repair, and smoothing in one nightly step. Compounded; not FDA-approved.
- Tretinoin cell turnover
- GHK-Cu + NAD+ repair
- Spilanthol smoothing
- All-in-one nightly cream
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 Skin+ (Multi-Active Rx) to patients across Maryland, including Baltimore, Frederick, Rockville, Gaithersburg and Bowie. All shipments use the same FDA-registered compounding pharmacy regardless of city.
Skin+ (Multi-Active Rx) in Maryland — FAQ
Is Skin+ (Multi-Active Rx) legal to prescribe in Maryland?
Yes. Skin+ (Multi-Active Rx) 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 Skin+ (Multi-Active Rx) cost in Maryland?
Skin+ (Multi-Active Rx) starts at $199 (one-time) 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.