Compounded T3/T4 in Missouri
Doctor-prescribed Compounded T3/T4 for Missouri residents. Reviewed by licensed Missouri physicians, compounded at FDA-registered pharmacies, and shipped to your door.

How it works in Missouri
- Complete a free online intake (~5 minutes).
- A licensed Missouri 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 Missouri
Missouri permits telemedicine under RSMo 191.1145 and Board of Healing Arts rules. Asynchronous reviews are accepted for non-controlled prescriptions.
Missouri cities Pepti serves
Pepti delivers Compounded T3/T4 to patients across Missouri, including Kansas City, St. Louis, Springfield, Columbia and Independence. All shipments use the same FDA-registered compounding pharmacy regardless of city.
Compounded T3/T4 in Missouri — FAQ
Is Compounded T3/T4 legal to prescribe in Missouri?
Yes. Compounded T3/T4 is legal when prescribed by a physician licensed in Missouri and dispensed by an FDA-registered compounding pharmacy. Missouri permits telemedicine under RSMo 191.1145 and Board of Healing Arts rules. Asynchronous reviews are accepted for non-controlled prescriptions.
How long does shipping take to Missouri?
Most orders ship from our FDA-registered compounding pharmacy within 1–3 business days after physician approval. Delivery within Missouri typically arrives 2–4 business days after shipment. Pepti serves patients across Missouri including Kansas City, St. Louis, Springfield, and Columbia.
Do I need an in-person visit in Missouri?
No. Pepti operates as a fully telehealth platform in Missouri. Missouri permits telemedicine under RSMo 191.1145 and Board of Healing Arts rules. Asynchronous reviews are accepted for non-controlled prescriptions.
How much does Compounded T3/T4 cost in Missouri?
Compounded T3/T4 starts at $109/month at Pepti. Pricing is the same nationwide — no Missouri-specific markup. Shipping is free.
Pepti operates in Missouri through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.