Physician-Prescribed Peptides, Compounded in the USA | NextEra Rx
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Proposed protocol

This is what your prescriber is considering based on your intake. It is not a prescription until they sign it, and it can change once your labs come back.

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Titration plan

Nobody gets moved up a dose on a calendar. Each step needs the previous one tolerated, and your prescriber can hold you anywhere on this ladder for as long as it takes.

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Your panel

Ordered Sep 2. Results normally post 2–4 days after your draw, and your prescriber reads them before you see a protocol.

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Quest Diagnostics · 4419 Guadalupe St, Austin TX · 2.4 mi. Fast 8–12 hours, water is fine.

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No results on file yet

Once your first draw posts, every marker lands here with its reference range and a trend line, so you can see the direction rather than a single snapshot.

Orders

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Ships to

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Cold-chain where the compound needs it, in plain packaging with no drug name on the outside. Sharps container and return mailer included.

Refills

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Care team

Replies within one business day. For anything urgent, call 911 or your local emergency number.

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Pick any slot and we will move it. No fee, no limit on reschedules.

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Demo portal populated with sample data. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. Nothing here is medical advice.

Licensed telehealth · 48 states

Physician
Prescribed

Peptides.

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How it works

Five simple steps. Delivery in days.

Start your intake
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What we treat

Licensed prescribers.
USA-compounded.
Massive selection.

Twenty-one compounds tracked. Everything we dispense ships from a US-licensed pharmacy against a real prescription, with every lot assayed and the report filed to your order number.

See all compounds

People, not before-and-afters.

We don't run transformation grids. We publish named members, their protocol, their labs, and how long it took.

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Individual results vary and are not guaranteed. Members shown gave written consent and were not paid for their statements. Outcomes depend on adherence, dose, nutrition, activity and individual physiology. Statements describe personal experience, not expected results.

Quality

Made in America. Tested before it ships. Proof in your account.

Every prescription is dispensed by a US-licensed pharmacy operating under USP <795> and <797> standards. Every lot is assayed by an independent ISO/IEC 17025 laboratory for identity, purity, endotoxin and sterility. Your certificate of analysis is filed against your order number — not a stock PDF.

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Start with bloodwork. Not a shopping cart.

A 6-minute intake, a lab panel, and a video visit with a licensed prescriber. You leave with a plan built on your numbers — there's a right protocol for everyone, and we'll find yours.

Start your intake
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What we can prescribe today, and what is on the way.

One page, kept current. Every compound we dispense, every one still waiting on a regulatory decision, and the phase each one is actually in. Click any row for the mechanism, the evidence and how it is dispensed.

What the three statuses mean

AVAILABLE NOW

Eligible for patient-specific compounding under Section 503A. Your prescriber can write it today and a licensed pharmacy can fill it.

RULEMAKING PENDING

Nominated or in active drug development, with no determination yet. No US pharmacy may legally compound it in the meantime — including ours.

UNDER REVIEW

A decision has been made against it, or the evidence is thin enough that we would not prescribe it anyway. The row says which.

A list is not a prescription

This board is the shelf. Your prescriber decides what comes off it.

Nothing here gets written without a conversation first. A licensed prescriber reads your labs, your history and what you are trying to change, then writes a prescription for you individually — and a licensed compounding pharmacy makes that exact preparation for one patient, one order.

That is the difference between this and a site selling research chemicals with a “not for human consumption” sticker. Ours come with a prescriber, a licensed pharmacy and a lab report for your lot.

← Status board
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Regulatory status

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What it does

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Evidence summaries are provided for education and do not constitute a claim that this product will treat, cure or prevent any disease. Your prescriber decides whether any therapy is appropriate for you.

Also on the board

Science & regulation

Know exactly what you are putting in your body.

How peptides work, how they are made, and what the research genuinely supports. Everything on this page is here so the conversation with your prescriber starts from the same information — current as of {{ updatedDate }}.

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What this means for you

The short version, without the legal vocabulary.

A compounded medication is made for one patient against one prescription. That is a different thing from a mass-manufactured drug, and it is why your provider — not a product page — decides what you get.

It also means compounded preparations are not FDA-approved and have not been reviewed by the FDA for safety or effectiveness. Your provider weighs the evidence for each one with you before writing anything.

What you should expect from us: a real prescriber, a licensed pharmacy, a lab report for your specific lot, and a straight answer when the evidence for something is thin.

Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. Nothing on this page is medical advice or a promise of a result. Whether any compound is appropriate for you is a clinical decision made by a licensed prescriber after reviewing your history and labs.

Answered directly

The questions people actually type.

Each answer is written to stand on its own, so you get the whole picture in three sentences rather than a page of hedging.

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Prescribed, grey market, or neither.

The three ways people get peptides in the United States, side by side, including the parts that do not flatter us.

What matters Prescribed & compounded Research-chemical sites Typical telehealth
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Read it all. Then talk to a prescriber.

The regulation is the easy part to explain. Whether any of it applies to you is a clinical question, and it takes one intake and one set of labs to answer.

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How it works

Your Goals.
We'll get you there.

Tell your prescriber what you actually want back — the weight off, the energy up, the recovery time down. They read your labs and build the protocol around that answer, not around whatever is easiest to ship.

5 min Intake
1 visit With a prescriber
<9 days First dose delivered

What actually happens, step by step.

No hidden stage, no surprise upcharge, no "your order is being reviewed" for three weeks. Here is the whole thing.

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Pricing

What it costs — and what you save by stacking.

One flat price per protocol. Labs, prescriber time, medication, shipping and follow-up are inside the number — there is no separate membership fee and nothing renews without you saying so.

Save up to 34%
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Bundled protocols

Stack the protocol. Drop the price.

Every bundle below is built from compounds a prescriber can dispense today — nothing pending, nothing hypothetical. Intake, labs and the video visit are included in all three.

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Prices are illustrative and subject to your prescriber's assessment. Bundle pricing reflects the medications listed at standard starting doses; your prescriber may adjust the protocol, which changes the price. Compounded and brand medications are generally excluded from insurance coverage and are paid out of pocket. Medication is only dispensed after a licensed prescriber issues a valid prescription; a consultation does not guarantee one, and a bundle purchase is refunded in full if you are not prescribed.

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Medically reviewed by Adrian Vega, MDMedical DirectorReviewed {{ reviewedDate }}
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Peptides

Peptides, prescribed with care.

Fourteen compounds your provider can prescribe today, each one compounded for you individually. Every entry below tells you what it is for, what the evidence actually shows, and what your provider will want to see before writing it.

Available now · {{ peptidesAvailCount }} compounds

Fourteen compounds you can start this week.

One visit, one set of labs, and your provider can prescribe across the whole list — fourteen compounds, blends counted once. Everything is made for you individually by a licensed compounding pharmacy — no waitlists, no “coming soon”.

No needles required

Hate needles? Say so.

Needle anxiety is common and it is not something to be embarrassed about — tell your prescriber in the visit and it becomes part of the plan rather than a reason to skip treatment. Several protocols run entirely without an injection, and for the ones that do not, there is usually a way to make the first month easier.

Topical

GHK-Cu cream

The copper peptide at 2mg/g, applied nightly. It is also the form with the strongest evidence behind it — most of the published GHK-Cu work is topical, not injected.

Nasal

NAD+ nasal spray

300mg/mL as a daily spray instead of a subcutaneous dose or an infusion. It also sidesteps the flushing that comes with pushing NAD+ too fast.

Sublingual

Oxytocin troches

A peptide that dissolves under the tongue, paired with sildenafil or tadalafil for sexual health. No injection, no swallowing a tablet.

Oral

Capsules and tablets

Whole protocols run orally — enclomiphene for the hormone axis, finasteride and minoxidil for hair, methylene blue, metformin. Not peptides, but often the right answer.

And if an injection is the right call anyway

Almost everyone who dreads it is picturing a blood draw. These are insulin-gauge needles into the fat of the abdomen or thigh — most members describe it as less than a pinch by the second week. Your prescriber walks you through the first one on video, and we send an autoinjector pen if that helps.

Talk it through first

Why our list is longer than theirs.

Most sites list a handful and put the rest behind a waitlist. We built the prescriber network and pharmacy partnerships to cover all fourteen, so the conversation with your provider is about what actually helps you — not about what we happen to stock.

Every dose is made for one patient against one prescription, assayed by lot, and shipped with the report filed to your order. Breadth and rigour are not a trade-off here.

Ahead of the curve

Most clinics offer four. We offer fourteen.

Because everything is prescribed patient-specific and compounded to order, your provider is not picking from a shelf. They build the protocol around your labs and your goal, from the full list.

One intake. One set of labs. One video visit. Everything after that is your provider and your pharmacy doing the work.

Medical intake Step {{ stepNum }} of 05 · {{ stepMins }}

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Tick anything that applies — past or present
Current medications and supplements
If labs are needed Optional · your provider decides
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Submitting this books your video visit and nothing else. No card is taken now. A prescriber licensed in your state reviews this before you meet, and may decide that peptide therapy is not the right answer for you — that outcome is included.

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Intake received

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A prescriber licensed in {{ fStateLabel }} will read this before your visit. You will get an email within one business day with lab options near you and a link to book.

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Quality & testing

Injection grade. Made in America. Certified lot by lot.

Every vial we dispense is prepared in a US-licensed compounding pharmacy operating to FDA cGMP and USP standards, filled sterile, assayed by an independent ISO 17025 laboratory, and released only against a prescription signed by a licensed physician. No grey market. No “research use only.” No mystery supply chain. Just the best of the best, every single vial.

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Chain of custody

Five hands touch your vial. All five are licensed and on the record.

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The full panel

Thirteen tests. Every lot. No exceptions.

This is the complete release panel for a sterile injectable peptide — identity through container integrity. A lot that fails any single line does not ship, and it does not get re-tested until it passes. It gets destroyed.

USP · cGMP · ISO 17025
Test Method Specification Standard
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Retention samples held 12 months past BUD Failed lots quarantined and destroyed COA archived against your order
Standards we operate to

The paperwork nobody wants to read, kept anyway.

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Prescription only

A doctor signs for it. Not a shopping cart.

Sterility and purity mean nothing if the wrong person is holding the syringe. Every injectable on this site requires a full intake, labs where indicated, and a prescriber licensed in your state who is willing to put their DEA and license number on the order.

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Read a COA in 30 seconds

Most people never open theirs. Here's what to look for — and what a legitimate one always contains. If a seller can't produce all six, walk.

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What “FDA” actually means on this page

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About

We built the company we couldn't find as patients.

Two years ago our founder was buying peptides from a website that shipped from an address it wouldn't disclose, with a label that said “not for human consumption” and a checkout that said otherwise. There was no prescriber, no lab report, no recourse. Millions of people are still doing that. NextEra Rx exists to make the legitimate route the easy one.

Who signs your prescription

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Partners

Promote something you won't have to delete later.

Affiliates get pre-cleared creative, a compliance-reviewed claims list, and a payout that doesn't depend on you overselling. Accounts that follow the claims list don't get pulled.

Apply to the program
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Say this

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Never this

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Affiliates must disclose a material connection in every post per the FTC Endorsement Guides. Testimonials must reflect the endorser's genuine experience. We audit partner content and terminate for uncorrected claims violations — that policy is what keeps the program, and your account, alive.

FAQ & legal

The questions we get asked before checkout.

Required disclosures

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NextEra Rx

Physician-prescribed peptide and metabolic therapy. Licensed telehealth, US-compounded, independently assayed.

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NextEra Rx is a technology platform. It does not practice medicine or dispense medication. Medical services are provided by independently owned professional practices; prescriptions are dispensed by independent US-licensed pharmacies. Compounded medications are not FDA-approved and are not evaluated by the FDA for safety, efficacy or quality. No statement on this site should be read as a claim to diagnose, treat, cure or prevent any disease. A prescription is issued only where clinically appropriate following an evaluation by a licensed prescriber. Individual results vary. This site does not provide medical advice — talk to your clinician.

© 2026 NextEra Rx · All trademarks are the property of their respective owners and their use does not imply affiliation or endorsement.