Six clinical-grade peptide compounds, reviewed by US-licensed prescribers and dispensed through 503A compounding pharmacies. The pharmacology is real — and so is the regulation around it.
Each protocol is reviewed individually. Pricing reflects the full month — clinician consult, pharmacy preparation, cold shipment, and ongoing monitoring are all included.
Best for: Injury healing, gut repair. The most studied peptide in the catalog — over 30 years of preclinical data.
Best for: Systemic repair, soft-tissue flexibility. Pairs with BPC-157 — the "Wolverine Stack" patients ask for by name.
Best for: Deep sleep, recovery, body composition. The gentlest growth-hormone secretagogue — no cycling required.
Best for: Focus, cognitive endurance. Injectable or intranasal. Fast-acting BDNF modulator.
Best for: Skin, hair, visible signs of aging. Naturally occurring; declines ~60% by middle age. Injectable or topical.
Best for: Sustainable weight loss, glycemic control. The most studied weight-loss pharmacology in modern medicine.
The most-asked-about combination in the catalog. BPC-157 is the local-acting tissue protector; TB-500 is the systemic, soft-tissue flexibility peptide. Patients in our intake stack them for chronic injuries that haven't fully resolved with rest and rehab.
We don't dispense them by default. A prescriber decides if the stack fits your intake. When it does, we ship it as a single protocol with combined dosing instructions and one shared monitoring cadence.
No appointments. No video calls unless your prescriber requests one. The clinical work happens asynchronously, the pharmacy work happens in parallel.
A 6-minute medical questionnaire covering goals, history, and current medications. Optional lab uploads. No video required.
A US-licensed prescriber reviews within 48 hours, asks follow-ups if needed, and writes a prescription only when the protocol fits.
Cold-shipped from a 503A compounding pharmacy with a self-administration kit, dosing schedule, and a clinical primer.
A wellness pulse from your prescriber every 90 days. Adjust the protocol, swap a compound, or pause anytime. No subscription handcuffs.
These compounds were always pharmacology. Putting them in the hands of careful clinicians, with proper monitoring, is the right way to do this.
Verified intake patients, eight to twenty weeks into their first protocol. Names changed only when patients asked.
"Threw out my left shoulder doing concrete work in 2022. Two cortisone shots, six months of PT, still couldn't sleep on it. Started BPC-157 in March, by week six the night pain was gone. By week twelve I was back to bench pressing."
"I hadn't slept more than five hours in a row since my second daughter was born. Started CJC/Ipamorelin after a hormonal panel — within ten days I was waking up before my alarm. The recovery from training is the bonus, the sleep is the actual gift."
"Three years of plantar fasciitis. Two providers told me to live with it. The Pepra prescriber put me on BPC-157 with TB-500 for eight weeks. I ran my first 10K in two years last weekend. I cried at the finish."
"I work in trial law. The deep-work loss after I turned fifty was the thing nobody warned me about. Semax intranasal, twice a day, three months in: the work is sharper, but more importantly the work feels possible again."
"Postpartum hair shedding hit hard at month four. My dermatologist couldn't prescribe anything beyond minoxidil. Pepra's prescriber walked me through GHK-Cu — eight weeks in, the regrowth at my temples is the most visible change of the whole protocol. Gentle, real."
"I've spent twenty years in primary care. The thing I appreciate about Pepra is that they don't pretend the data is more settled than it is. The intake is rigorous. The follow-ups are real. It's the version of telehealth I'd want my own family using."
A peptide is a short chain of amino acids — usually two to fifty. Many of the compounds Pepra dispenses are fragments of proteins your body already produces. That's why they tend to act on specific pathways with relatively narrow side-effect profiles.
We dispense through 503A compounding pharmacies under valid prescriptions issued by US-licensed clinicians. We are not a research chemical vendor. We do not ship internationally. We do not treat anyone under 25 unless their pediatrician has specifically referred them.
For each compound in the catalog we publish what the human evidence actually says — including where it doesn't yet exist. The intake screening is built around it.
Read the full clinical primer ↗If yours isn't here, our intake form is the right place to ask. Every question becomes a note to your prescriber.
The peptides Pepra dispenses are compounded under Section 503A of the Federal Food, Drug, and Cosmetic Act, which permits state-licensed pharmacies to prepare medications under a valid prescription for an individual patient.
In late 2023 the FDA placed several peptides — including BPC-157 — into Category 2 pending further safety evaluation. That review is now resolving; the compounds in our catalog are returning to Category 1, restoring the compounding pathway. We only dispense compounds covered by current Category 1 status.
Pepra is not a research-chemical vendor and does not sell to patients outside the United States.
Yes. BPC-157, TB-500, CJC-1295, Ipamorelin, Semax, GHK-Cu, and the compounded GLP-1s are prescription compounds when used therapeutically. Pepra connects you with a US-licensed prescriber — MD, NP, or PA — who reviews your intake within 48 hours and issues a prescription if appropriate.
The medication is then prepared by one of our 503A compounding pharmacy partners under that specific prescription, in your name, and shipped directly to you.
Pepra peptides range from $30 to $100 per month for single-compound protocols:
· Semax — from $30/mo
· BPC-157 — from $40/mo
· GHK-Cu — from $40/mo
· TB-500 — from $50/mo
· CJC/Ipamorelin — from $60/mo
GLP-1 protocols (compounded semaglutide or tirzepatide) range $200–$500/month depending on dose and titration phase. The clinician consult, secure messaging, and ongoing monitoring are included in every protocol.
Within 48 hours. If the clinician needs follow-up information they'll message you securely; otherwise the prescription is issued and your shipment is queued at the pharmacy.
Most patients receive their first vial within 5 to 7 business days of intake submission. Cold-chain shipping requires an adult signature.
Pepra ships to most US states. A small number have additional compounding-pharmacy restrictions; we'll let you know during intake if your state is currently unsupported and offer a waitlist.
We do not ship internationally and we do not treat any patient outside the United States.
Most of the compounds Pepra dispenses have well-characterized safety profiles in available data, with side effects that are mild and predominantly transient — most commonly injection-site irritation or brief nausea.
Each protocol carries its own risk-benefit profile. Common contraindications include pregnancy, active malignancy, and some endocrine conditions. Your prescriber screens for these during intake; that's the core of why a clinician — not a checkout flow — issues the prescription.
We are honest about evidence quality. Some compounds have decades of animal data and limited human trials; others have hundreds of thousands of human prescription-years. We say which is which on every product page.
Yes. There are no minimum commitments. Pause from your dashboard before your next refill ship date and the protocol stops; resume when you're ready and your prescriber reviews any updates first.
We will never auto-renew a protocol after it ends without an explicit clinical re-review.
Compounded peptides are paid out of pocket — they aren't covered under standard pharmacy benefits in 2026. We accept HSA and FSA cards on every protocol. Your monthly statement is itemized and can be submitted to your benefits administrator.
GLP-1 protocols sometimes qualify for partial coverage when there's an ICD-10 indication; we don't bill insurance directly but we'll provide the documentation if you choose to.
Tell us during intake. Drug-interaction screening is one of the first checks the prescriber does. Some combinations are perfectly fine, some warrant lab work first, and a small number are reasons not to start. The intake form has a free-text field for everything you're currently taking, including supplements.
Most peptides are destroyed by stomach acid before they reach circulation, which is why nearly every one in the catalog is delivered subcutaneously or intranasally. We provide everything you need for self-administration — the syringes, the bacteriostatic water, the alcohol pads, the dosing schedule, and a one-page primer that walks you through it the first time.
Most patients say their first injection is the only nervous one.
A US-licensed prescriber reviews within 48 hours. If a protocol fits, your first cold-shipped vial arrives within a week. If it doesn't, you'll hear that too — and won't be charged.
