Skin+ (Multi-Active Rx) in North Carolina
Doctor-prescribed Skin+ (Multi-Active Rx) for North Carolina residents. Reviewed by licensed North Carolina physicians, compounded at FDA-registered pharmacies, and shipped to your door.

How it works in North Carolina
- Complete a free online intake (~5 minutes).
- A licensed North Carolina 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 North Carolina
North Carolina permits telemedicine under the NC Medical Board's Position Statement 1.0. Asynchronous review with subsequent communication is permitted for non-controlled medications.
North Carolina cities Pepti serves
Pepti delivers Skin+ (Multi-Active Rx) to patients across North Carolina, including Charlotte, Raleigh, Greensboro, Durham and Winston-Salem. All shipments use the same FDA-registered compounding pharmacy regardless of city.
Skin+ (Multi-Active Rx) in North Carolina — FAQ
Is Skin+ (Multi-Active Rx) legal to prescribe in North Carolina?
Yes. Skin+ (Multi-Active Rx) is legal when prescribed by a physician licensed in North Carolina and dispensed by an FDA-registered compounding pharmacy. North Carolina permits telemedicine under the NC Medical Board's Position Statement 1.0. Asynchronous review with subsequent communication is permitted for non-controlled medications.
How long does shipping take to North Carolina?
Most orders ship from our FDA-registered compounding pharmacy within 1–3 business days after physician approval. Delivery within North Carolina typically arrives 2–4 business days after shipment. Pepti serves patients across North Carolina including Charlotte, Raleigh, Greensboro, and Durham.
Do I need an in-person visit in North Carolina?
No. Pepti operates as a fully telehealth platform in North Carolina. North Carolina permits telemedicine under the NC Medical Board's Position Statement 1.0. Asynchronous review with subsequent communication is permitted for non-controlled medications.
How much does Skin+ (Multi-Active Rx) cost in North Carolina?
Skin+ (Multi-Active Rx) starts at $199 (one-time) at Pepti. Pricing is the same nationwide — no North Carolina-specific markup. Shipping is free.
Pepti operates in North Carolina through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.