SS-31 (Elamipretide) (Injectable) in Arizona
Doctor-prescribed SS-31 (Elamipretide) (Injectable) for Arizona residents. Reviewed by licensed Arizona physicians, compounded at FDA-registered pharmacies, and shipped to your door.
All-in monthly price
No membership fee · this is the full price · free shipping · avg 4-week supply
Add in-depth bloodwork
Optional — add a physician-reviewed at-home blood panel to your plan.
Your sex-hormone baseline plus the safety markers that matter on therapy — blood counts, liver and kidney function — from one painless upper-arm device. Matched to your sex (PSA for men; progesterone & FSH for women). No needle, no clinic, physician-reviewed.
This treatment requires licensed provider review and approval. Treatment is not guaranteed. If prescribed, medication is fulfilled by a licensed U.S. pharmacy where permitted by law. Compounded medications are not FDA-approved or FDA-cleared.
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.
How it works in Arizona
- 1Complete a free online intake (~5 minutes).
- 2A licensed Arizona physician reviews your case within 24 hours.
- 3Your prescription ships from our FDA-registered compounding pharmacy.
- 4Free shipping arrives 2–4 business days later. Refills ship automatically when your supply runs out — cancel anytime.
What SS-31 (Elamipretide) (Injectable) does
Targets cardiolipin in the inner mitochondrial membrane, restoring cellular energy production.
Amounts shown are per unit. Compounded fresh at a US FDA-registered pharmacy.
Quality
Every batch independently tested
Every medication batch dispensed through Pepti is independently tested by a qualified third-party laboratory for applicable quality and safety standards before the pharmacy releases it. Batches are tested to the same standard used by 503B outsourcing facilities.
Sterility
USP <71>Confirms the finished preparation is free of viable microorganisms.
Bacterial endotoxins
USP <85>Screens for endotoxins that can cause fever or inflammatory reactions.
Potency
AssayVerifies the labeled concentration of the active peptide is what is in the vial.
Purity
HPLCChecks the active peptide against impurities and degradation products.
Identity
Mass spectrometryConfirms the peptide in the vial is the correct molecule.
pH
USP <791>Confirms the solution sits within the range specified for injection.
Particulate matter
USP <788>Checks the finished vial for visible and sub-visible particles.
Container closure integrity
USP <1207>Confirms the vial seal holds so sterility is maintained through the beyond-use date.
Recent lots
- Lot 100526-SS-2
Tested 2026-10-07 · Biolink Life Sciences Carolinas
Sterility
Sterile
Endotoxin
<2 EU/mL
Potency
98.1%
- Lot 092826-SS-2
Tested 2026-09-30 · Biolink Life Sciences Carolinas
Sterility
Sterile
Endotoxin
<2 EU/mL
Potency
98.2%
- Lot 092126-SS-2
Tested 2026-09-23 · Biolink Life Sciences Carolinas
Sterility
Sterile
Endotoxin
<2 EU/mL
Potency
98.2%
Telemedicine in Arizona.
Arizona allows telemedicine prescribing under ARS § 32-3248. The Medical Board permits asynchronous patient relationships for non-controlled prescriptions. Pepti is available in all 50 states and Washington, D.C.
Arizona cities Pepti serves
+ 18 more cities
, Yuma, Avondale, Flagstaff, Queen Creek, Maricopa, Casa Grande, Lake Havasu City, Marana, Prescott Valley, Oro Valley, Prescott, Sierra Vista, Bullhead City, Apache Junction, San Luis, Sahuarita, El Mirage, KingmanYour protocol
How SS-31 is prescribed in Arizona.
Who it's for
- Adults interested in mitochondrial support for energy and recovery
- Patients whose physician is targeting cellular energy rather than a single symptom
Your physician decides whether SS-31 is appropriate for you after reviewing your intake and labs.
Directions & duration
Inject 0.25 mL (25 units) subcutaneously Monday through Friday mornings.
What's included
- Licensed physician review of your intake, history, and labs
- Medication compounded to your prescription by a PCAB-accredited, FDA-registered pharmacy
- Every batch independently tested before release
- Sterile syringes and alcohol prep pads for injectables
- Tracked delivery to your door, refills on schedule
- Message your physician anytime; dose changes without an appointment
Storage & handling
- Store refrigerated (36–46°F / 2–8°C) at all times, including before first use.
- One vial is your monthly supply. A fresh vial ships to your Arizona address every 28 days on your refill schedule, so you're always well inside the beyond-use date on your label.
- Protect from light. Wipe the stopper with an alcohol pad before every draw.
- Dispose of syringes in the sharps container per the included instructions.
What to expect
A typical course of SS-31 in Arizona.
The science
How SS-31 works, and what the research shows.
How it works
SS-31 (Elamipretide) targets cardiolipin in the inner mitochondrial membrane, restoring electron transport chain efficiency and protecting against oxidative damage.
Critical for cellular energy production.
Clinical evidence
Elamipretide is one of the few peptides in this class with a real human trial program: randomized controlled trials in Barth syndrome (TAZPOWER), primary mitochondrial myopathy, and mitochondrial eye disease.
Results have been mixed — some endpoints improved while other trials missed their primary endpoints — and it is not FDA-approved.
Its cardiolipin-binding, mitochondria-stabilizing mechanism is well documented in the literature.
References
- Szeto HH. First-in-class cardiolipin-protective compound as a therapeutic agent to restore mitochondrial bioenergetics · Br J Pharmacol (2014) · PMID 24117165
- Birk AV, Liu S, Soong Y et al.. The mitochondrial-targeted compound SS-31 re-energizes ischemic mitochondria by interacting with cardiolipin · J Am Soc Nephrol (2013) · PMID 23813215
- Reid Thompson W, Hornby B, Manuel R et al.. A phase 2/3 randomized clinical trial followed by an open-label extension to evaluate the effectiveness of elamipretide in Barth syndrome, a genetic disorder of mitochondrial cardiolipin metabolism · Genet Med (2021) · PMID 33077895
- Thompson WR, Manuel R, Abbruscato A et al.. Long-term efficacy and safety of elamipretide in patients with Barth syndrome: 168-week open-label extension results of TAZPOWER · Genet Med (2024) · PMID 38602181
- Karaa A, Bertini E, Carelli V et al.. Efficacy and Safety of Elamipretide in Individuals With Primary Mitochondrial Myopathy: The MMPOWER-3 Randomized Clinical Trial · Neurology (2023) · PMID 37268435
- Karaa A, Haas R, Goldstein A et al.. A randomized crossover trial of elamipretide in adults with primary mitochondrial myopathy · J Cachexia Sarcopenia Muscle (2020) · PMID 32096613
- Karaa A, Haas R, Goldstein A et al.. Randomized dose-escalation trial of elamipretide in adults with primary mitochondrial myopathy · Neurology (2018) · PMID 29500292
- Karaa A, Bertini E, Carelli V et al.. Genotype-specific effects of elamipretide in patients with primary mitochondrial myopathy: a post hoc analysis of the MMPOWER-3 trial · Orphanet J Rare Dis (2024) · PMID 39574155
- Ehlers JP, Hu A, Boyer D et al.. ReCLAIM-2: A Randomized Phase II Clinical Trial Evaluating Elamipretide in Age-related Macular Degeneration, Geographic Atrophy Growth, Visual Function, and Ellipsoid Zone Preservation · Ophthalmol Sci (2024) · PMID 39605874
- Butler J, Khan MS, Anker SD et al.. Effects of Elamipretide on Left Ventricular Function in Patients With Heart Failure With Reduced Ejection Fraction: The PROGRESS-HF Phase 2 Trial · J Card Fail (2020) · PMID 32068002
- Zhao C, Zhuang X, Gao J. Elamipretide: The first cardiolipin-directed mitochondrial therapeutic for Barth syndrome approved under accelerated approval · Drug Discov Ther (2026) · PMID 41260682
Citations are provided for educational purposes. They do not constitute medical advice. Always discuss any peptide protocol with your prescribing physician.
PCAB-accredited pharmacies on every order.
Every fulfillment runs through a PCAB-accredited pharmacy.
See the lab results
- 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
Frequently asked
about SS-31 (Elamipretide) (Injectable) in Arizona.
Yes. SS-31 (Elamipretide) (Injectable) is legal when prescribed by a physician licensed in Arizona and dispensed by an FDA-registered compounding pharmacy. Arizona allows telemedicine prescribing under ARS § 32-3248. The Medical Board permits asynchronous patient relationships for non-controlled prescriptions.
Most orders ship from our FDA-registered compounding pharmacy within 1–3 business days after physician approval. Delivery within Arizona typically arrives 1-3 business days after shipment. Pepti serves patients across Arizona including Phoenix, Tucson, Mesa, and Chandler.
No. Pepti operates as a fully telehealth platform in Arizona. Arizona allows telemedicine prescribing under ARS § 32-3248. The Medical Board permits asynchronous patient relationships for non-controlled prescriptions.
SS-31 (Elamipretide) (Injectable) starts at $249 at Pepti. Pepti is subscription-based — your refill ships when your supply runs out, and you can cancel anytime. Pricing is the same nationwide — no Arizona-specific markup. Shipping is free.
Yes — Pepti is available in all 50 states and Washington, D.C. Wherever you are in the country, a physician licensed in your state reviews your intake and your medication ships from an FDA-registered compounding pharmacy.
You don't need an in-person peptide clinic — Pepti provides doctor-prescribed SS-31 (Elamipretide) (Injectable) entirely online anywhere in Arizona. A physician licensed in Arizona reviews your intake, and your medication ships from an FDA-registered compounding pharmacy to your door. Unlike "research use only" peptide sites, every Pepti order requires a valid patient-specific prescription and a licensed dispensing pharmacy.
No. "Research use only" SS-31 (Elamipretide) (Injectable) is sold with no prescription, no physician, and no dispensing pharmacy, and is not legally sold for human use — independent testing of research-grade peptides has repeatedly found underdosing, mislabeling, and contamination. Prescription SS-31 (Elamipretide) (Injectable) is compounded for you at an FDA-registered US pharmacy after a licensed physician's review. When comparing SS-31 (Elamipretide) (Injectable) options in Arizona, only consider providers that can name their prescribing physicians and their dispensing pharmacy.
33 more questions about Pepti, answered.Show fewer
Pepti serves all of Arizona. A physician licensed in Arizona reviews every order within 4 hours, the prescription is compounded by a state-licensed, FDA-registered pharmacy, and it ships free and tracked to any Arizona street address. The price is the same as every other state.
Yes. The whole process is online in Arizona: a free assessment, physician review, messaging, dose changes, and refills through your Pepti account or the Hello Pepti app. No clinic visit is required.
Pepti ships SS-31 (Elamipretide) to Arizona directly from the pharmacy: free, tracked, unbranded, in insulated packaging with ice packs for refrigerated medication. The pharmacy compounds in 1-3 business days and delivery takes 1-3 business days after shipment. PO Boxes are not accepted.
Every treatment on Pepti's catalog ships to Arizona. Eligibility is confirmed during the assessment from your Arizona shipping address, and if anything ever cannot ship to your address it is refunded.
The same as everywhere Pepti serves: one all-in monthly price per treatment that includes the medication, the physician, and shipping, with no Arizona-specific markup and no membership or consult fee. Every price is on the product page.
Yes. Pepti's physicians hold licenses in Arizona, and only a physician licensed where you live reviews and prescribes your order. Their names and credentials are on the providers page.
Yes. Pepti's partner pharmacies are state-licensed, FDA-registered 503A compounding pharmacies licensed to dispense into Arizona, and every batch is independently tested before it ships.
Targets cardiolipin in the inner mitochondrial membrane, restoring cellular energy production. SS-31 (Elamipretide) 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.
SS-31 (Elamipretide) is commonly prescribed for: Adults interested in mitochondrial support for energy and recovery; Patients whose physician is targeting cellular energy rather than a single symptom. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. SS-31 (Elamipretide) is prescription-only. The free online assessment takes about five minutes, a physician licensed in Arizona reviews it within 4 hours, and if approved the prescription goes to the pharmacy. If not approved, the medication charge is refunded.
No. SS-31 (Elamipretide) can be prescribed from the assessment alone. Bloodwork is required only for the GLP-1s and growth-hormone secretagogues, and the intake tells you if a medication on your order needs it.
SS-31 (Elamipretide) 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.
Once per fill, $249 each time, when the next vial ships. It renews until you cancel, which you can do anytime from your account with no cancellation fee.
The compounded SS-31 (Elamipretide) 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.
Reported side effects of SS-31 (Elamipretide) are usually mild: mild redness or swelling at injection site; temporary fatigue or headache; mild nausea (uncommon). The physician screens your history, medications, and allergies 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 SS-31 (Elamipretide) 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 SS-31 (Elamipretide) to a plan with another treatment and both go through one assessment and one physician review, shipping together on one schedule. Each keeps its own catalog price. The physician reviews the combination and can adjust it.
No. Compounded SS-31 (Elamipretide) is not FDA-approved. It is prepared to your physician's prescription by a state-licensed, FDA-registered 503A pharmacy and every batch is independently tested before release.
Yes, when prescribed by a licensed physician and dispensed by a licensed pharmacy, which is how Pepti provides it in Arizona. Research-use-only SS-31 (Elamipretide) sold without a prescription is labeled not for human use and is a different product.
SS-31 (Elamipretide) targets cardiolipin in the inner mitochondrial membrane, restoring electron transport chain efficiency and protecting against oxidative damage. At Pepti it is prescribed to support mitochondrial membrane repair, cellular energy, organ protection, anti-aging. Individual response varies, and your physician sets expectations at approval.
SS-31 (Elamipretide) targets cardiolipin in the inner mitochondrial membrane, restoring electron transport chain efficiency and protecting against oxidative damage. Critical for cellular energy production. Compounded SS-31 (Elamipretide) is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
SS-31 (Elamipretide) is prescribed for mitochondrial membrane repair, cellular energy, organ protection, anti-aging. It is commonly requested by adults interested in mitochondrial support for energy and recovery; patients whose physician is targeting cellular energy rather than a single symptom. Whether it is appropriate for you is the reviewing physician's decision.
SS-31 (Elamipretide) is studied for mitochondrial membrane repair, cellular energy, organ protection, anti-aging. 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.
Elamipretide is one of the few peptides in this class with a real human trial program: randomized controlled trials in Barth syndrome (TAZPOWER), primary mitochondrial myopathy, and mitochondrial eye disease. Results have been mixed — some endpoints improved while other trials missed their primary endpoints — and it is not FDA-approved. Its cardiolipin-binding, mitochondria-stabilizing mechanism is well documented in the literature. References are listed on this page.
SS-31 (Elamipretide) is generally not prescribed with: active cancer or history of cancer (unless approved by oncologist); pregnancy or breastfeeding; severe kidney or liver disease; known allergy to the peptide or excipients. The physician screens for these in your intake, and anything that rules SS-31 (Elamipretide) out means it is not prescribed and is refunded.
At Pepti. Complete the free assessment, a physician licensed in Arizona reviews it within 4 hours, and if appropriate SS-31 (Elamipretide) is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $249 per month, all-in. Not prescribed means refunded.
Injectable vial: 5 mL at 10 mg/mL, containing 50 mg SS-31 (Elamipretide). Injectable vial: 5 mL at 2 mg/mL, containing 10 mg SS-31 (Elamipretide). One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Not currently. SS-31 (Elamipretide) ships as a multi-dose vial with sterile syringes and prep pads. The pepti Pen is available for 10 other treatments.
$249 per month covers the compounded SS-31 (Elamipretide), 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. SS-31 (Elamipretide) 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.
SS-31 (Elamipretide) ships to 50 states, free and tracked, in insulated unbranded packaging. Eligibility is confirmed during the assessment from your shipping address.
SS-31 (Elamipretide) (Injectable) in every state
Pepti is available in all 50 states and Washington, D.C.
Pepti operates in Arizona through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.