Pepti review

Pepti is an online prescription service for compounded peptides, and its two GLP-1s are the reason most women find it: injectable semaglutide from $99 a month and injectable tirzepatide from $159. A licensed physician reviews a short online assessment and your recent labs, and the medication ships from a compounding pharmacy to your door. Pepti also sells a long menu of recovery, skin, sleep and longevity peptides, so it reads more like a peptide shop than a women's health clinic. Everything below comes from Pepti's own pages, read in October 2026.

How much does Pepti cost?

Pepti prices each medication by dose, and it now prints the whole ladder on its cost pages, product pages and homepage before you start an intake.

Compounded semaglutide: $99 a month at the 0.25 mg starting dose, $109 at 0.5 mg, $129 at 1 mg, $179 at 1.7 mg, $189 at 2 mg and $199 at 2.5 mg.

Compounded tirzepatide: $159 a month at the 2.5 mg starting dose, $179 at 5 mg, $189 at 7.5 mg, $239 at 10 mg, $249 at 12.5 mg and $319 at 15 mg.

That is a change from the summer, when Pepti's pages promised one flat price at every dose. The flat-price promise is gone, and the ladder is now the price. In practice that means the $99 figure lasts only as long as you stay on the starting dose. If your clinician steps you up to 1.7 mg of semaglutide, plan on $179. When a physician approves a higher dose, Pepti charges the difference on your next fill.

Each price covers the medication, the physician review and ongoing care, syringes and alcohol pads, shipping and unlimited messaging. There is no membership, consult or visit fee on top. One detail to budget for: a "month" at Pepti is a 28-day supply, and you are billed every 28 days, so some calendar months carry two charges and a year holds thirteen. The three-month prepay plan has been withdrawn, so there is no prepaid discount to weigh. Compounded medication is not covered by insurance, but Pepti says HSA and FSA cards are usually accepted.

What do you get for the money?

Two physicians are named on Pepti's providers page: a family medicine medical director and an internal medicine chief medical officer, each described as licensed across the country. Pepti says every intake is reviewed by an MD or DO, not a nurse practitioner. It does not publish either doctor's NPI number, so you cannot look them up in the national registry from its site.

The pharmacy side is more open than it was. Pepti's fulfillment policy names Olympia Pharmacy as part of its compounding network, says the exact dispensing pharmacy is printed on your label, and publishes third-party test results by lot for sterility, endotoxin and potency.

Labs are required before a GLP-1 is prescribed. You can upload results from the past 18 months for free, or order an at-home kit collected from your upper arm for $149. The women's version of the hormone panel adds progesterone and FSH. One product page claims labs are included in the medication price, while Pepti's own FAQ lists lab kits as a separate charge, so expect to pay for the kit if you do not have recent bloodwork.

How does starting with Pepti work?

You complete a free online assessment of a few minutes, add or upload your labs, and a physician reviews your case. Pepti quotes a review "within 24 hours" on some pages and "within 4 hours" on others. If you are approved, your prescription goes to the pharmacy, and Pepti says most first orders arrive within five to seven business days, shipped free and cold-packed. It ships to street addresses only, not PO boxes.

Pepti says it serves all 50 states and Washington, D.C., and it publishes the full list. Earlier this year its own pages listed only 36 states, so if you looked before and were turned away, it is worth checking again. A specific treatment can still be unavailable in a given state.

When is your card charged?

This is the one place Pepti's pages still disagree with each other. The how-it-works page says you pay nothing until a physician approves your treatment. The refund policy says payment is collected at checkout, before the provider reviews your intake, and refunded in full within five to ten business days if you are declined. The refund policy is the binding document, so assume your card is charged when you check out.

The same how-it-works page also says "nothing auto-ships," while Pepti's billing terms state plainly that your medication is a subscription that renews automatically every 28 days until you cancel. Go in expecting a subscription.

Can you cancel, and do you get a refund?

Yes, and the terms are fair. You can cancel each medication from your account at any time, with no cancellation fee, and canceling stops future charges. You can also pause for up to 90 days, and Pepti says billing stops while you are paused. Be careful with the "Hold my shipments" button, which is meant for travel: it delays delivery, but billing continues as normal.

Once medication has shipped it cannot be returned or refunded. Before the pharmacy processes your order, a cancellation is refunded in full, and damaged or wrong shipments reported within seven days are replaced or refunded. A few of Pepti's legal pages still mention a "Pepti Medical Membership" with its own price, even though every sales page says there is no membership fee. If anything at checkout is labeled a membership, ask before you pay.

Is Pepti a good fit for PCOS, perimenopause or menopause?

Only for the GLP-1 part. Pepti's hormones section lists no treatments for women, and it does not offer estrogen, progesterone or any menopause or PCOS program. If insulin resistance from PCOS is your main reason for considering semaglutide or tirzepatide, Pepti can prescribe the medication and its required labs give you a baseline, but nothing here is built around your cycle, your symptoms or midlife hormone changes. If you want weight and hormones handled by one clinician, look at a program that treats both.

You should also know what else is on the shelf. Pepti's catalog includes products such as Melanotan II and IGF-1 LR3 alongside its GLP-1s. Selling them does not change how your semaglutide is made, but it tells you this is a broad peptide store rather than a medical practice focused on women's metabolic health.

Who is Pepti best for?

Pepti suits a woman who is starting a compounded GLP-1 on a budget, wants every dose priced in writing before she begins, and likes being able to pause or stop without a phone call. It is less suited to someone already on a high dose, where the price is roughly double the starting figure, or to anyone who wants hormone care in the same place.

The bottom line

Pepti has fixed most of what made it hard to judge in the summer: the dose ladder is public, the state list matches its terms, and the pharmacy has a name. The price at your target dose is now easy to read, so read it, not just the $99. Assume you will be charged at checkout and billed every 28 days, use a true pause rather than a shipment hold if you need a break, and look elsewhere if perimenopause or menopause care is part of what you need.