Compounded T3/T4 in Maryland
Doctor-prescribed Compounded T3/T4 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 Compounded T3/T4 does
A compounded thyroid capsule that combines both T4 (levothyroxine) and T3 (liothyronine) — the active hormone that standard T4-only prescriptions leave out. For patients whose energy, weight, and mood never fully recovered on Synthroid alone. Prescribed only after a physician reviews your thyroid panel (TSH, free T3, free T4), with the dose titrated to your labs and monitored over time.
- Compounded T4 + T3 together
- Energy, metabolism & mood
- Beyond T4-only (Synthroid)
- Dosed to your thyroid labs
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 Compounded T3/T4 to patients across Maryland, including Baltimore, Frederick, Rockville, Gaithersburg and Bowie. All shipments use the same FDA-registered compounding pharmacy regardless of city.
Compounded T3/T4 in Maryland — FAQ
Is Compounded T3/T4 legal to prescribe in Maryland?
Yes. Compounded T3/T4 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 Compounded T3/T4 cost in Maryland?
Compounded T3/T4 starts at $109/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.