Peptide Cost Calculator: Monthly Cost by Compound, Dose and Source (Telehealth vs Clinic)

Key takeaways

• The calculator turns a quote into a real monthly and yearly figure: medication cost from your dose, schedule, vial size and vial price, plus membership and lab fees, and the number of days one vial lasts.
• In October 2026 most telehealth peptide programs cost $150 to $450 a month all in. Sermorelin runs $150 to $400, PT-141 $60 to $200 and at-home NAD+ $105 to $350; brand GLP-1 cash programs charge $299 to $449 for Zepbound and $349 for Wegovy.
• The medication is often less than half the bill. A first visit ($0 to $200), baseline labs ($100 to $400), a membership ($0 to $100 a month), supplies and shipping all sit outside the headline price.
• A vial that outlasts its beyond-use date wastes money, so the calculator's answer is a floor: if you throw away a third of every vial, you pay for it anyway.
• Only legally prescribable products get a price here. Tesamorelin is lawful only as brand Egrifta, and BPC-157 and the other non-compoundable peptides have no legal price at all.

What a peptide costs depends less on the peptide than on four numbers in your quote: the dose, how often you take it, how much drug is in the vial, and what the vial costs. Enter them below and the calculator returns the monthly and yearly cost and how long a vial lasts. Under it are the typical October 2026 prices by compound and channel from our peptide therapy cost guide, collected October 9, 2026. Two related questions have their own pages: what BPC-157 costs at a clinic versus online and what NAD+ injections cost.

How the calculator works

The arithmetic is the same for any vial-based prescription:

• Doses per month = doses per week × 52 ÷ 12 (about 30.3 for a nightly dose, not 30 or 28).
• Drug used per month (mg) = dose in mcg × doses per month ÷ 1,000.
• Medication per month = drug used per month ÷ mg in the vial × price per vial.
• Total per month = medication + membership or visit fee + labs per year ÷ 12.
• Total per year = total per month × 12.
• One vial lasts = mg in the vial ÷ drug used per month × 30.4 days.

Here is how the default example moves when only the schedule changes (6 mg vial at $100, $50 a month in fees, $300 a year in labs):

The dose and the schedule move the bill more than the vial price does. Going from 300 to 500 mcg a night adds about $100 a month in this example, and a 'five on, two off' schedule saves about $44. If a program quotes a flat monthly price, run its dose through the calculator anyway: a low price often means a low dose, and a flat fee that does not change when your dose rises is worth knowing about in advance. For the syringe side of the same numbers, use the reconstitution calculator and the units converter.

Typical monthly cost by compound and channel, October 2026

The cost guide does not track per-compound clinic prices except for NAD+ drips, so the comparison by channel is easier to read as totals:

Telehealth is cheaper in almost every case because clinician time is shorter and the pharmacy relationship is direct. A clinic earns its price when you need a physical examination, an IV, or hands-on injection teaching. For GLP-1 drugs, insurance and the Medicare GLP-1 Bridge change the math entirely; our tirzepatide cost guide works through those routes.

The hidden costs the headline price leaves out

• Membership or platform fee: $0 to $100 a month, common with the lowest advertised prices.
• First visit and follow-ups: $0 to $200 to start, $0 to $100 per follow-up where they are not bundled.
• Labs: $100 to $400 at baseline and $50 to $250 at follow-up; mandatory for hormone programs and optional in some others.
• Supplies: $5 to $25 a month for syringes, swabs, bacteriostatic water and a sharps container, usually included with vials.
• Shipping: $0 to $30 per order, since peptides travel cold.
• Dose escalation and commitment: GLP-1 programs often price by dose, and the cheapest monthly prices usually require a 6- or 12-month plan paid upfront.
• The vial you throw away. A mixed vial is good only until the beyond-use date on its label, at most 28 days after the first puncture for a vial mixed with bacteriostatic water (our storage guide explains why). Suppose a 9 mg vial priced at $150, the same price per milligram as the example above, is prescribed at 200 mcg a night. On paper it lasts 45 days and the calculator shows $101 a month of medication. In practice you use 5.6 mg in 28 days, discard 3.4 mg, and open a new vial every four weeks, which costs about $163 a month. When the calculator's 'one vial lasts' figure is longer than the beyond-use date, ask the pharmacy for a smaller vial.

Prices that are not prices

Two kinds of numbers you will find online do not belong in a comparison with a prescription.

Research vials. Vials sold 'for research use only' cost a fraction of a pharmacy product because they are not one: no prescription, no pharmacist, no verified content, no beyond-use date. FDA's August 24, 2026 warning letters to five peptide vendors treated dosing calculators, injection instructions and bundled bacteriostatic water as evidence that research-labeled vials were being sold as drugs for people (ArentFox Schiff). We do not list vendors or their prices. The BPC-157 cost page explains what that money buys and what it does not.

Products no pharmacy may make. BPC-157, TB-500, CJC-1295, ipamorelin, MOTS-c and most 'healing' and 'longevity' peptides cannot be legally compounded in October 2026, so a clinic price for them is a price for a research vial with a consultation attached. Tesamorelin is a 44-amino-acid protein regulated as a biological product, and biological products are not eligible for compounding under 503A or 503B (FDA 2020), so the only lawful version is brand Egrifta and we show no compounded price. The legal tracker has the status of every compound.

Using the result

1. Price the first three months, not the first one. Add the first visit and baseline labs to month 1, then run the calculator at the dose you expect to be on by month 3.
2. Compare per milligram you will actually use. Two quotes with different vial sizes or doses are only comparable after the calculator has turned them into a monthly figure.
3. Ask the questions that change the number: what happens to the price at the next dose, whether there is a membership or cancellation fee, which pharmacy fills it, and whether you get a labeled vial with a concentration and a beyond-use date. The cost guide lists seven questions to ask before you pay.
4. Check HSA and FSA eligibility. Prescribed medicines and the visits to obtain them are generally qualified medical expenses (IRS Publication 502); keep the prescription and an itemized receipt.

If you are still choosing a provider, our directory of online peptide clinics compares pricing models on the same terms, and the complete guide to peptide therapy covers the steps from evaluation to monitoring.

Bottom line

A peptide price is a function of dose, schedule, vial size and vial price, plus the fees around them. In October 2026 most legitimate telehealth programs land between $150 and $450 a month, and clinics run higher. Put your own quote into the calculator, add the first-month labs and visit, check that a vial will not outlast its beyond-use date, and treat any price for a product no pharmacy may legally make as the price of a different product altogether.

Frequently asked questions

+−How much are peptides?

In October 2026, a prescribed compounded peptide through telehealth costs about $60 to $400 a month depending on the compound: PT-141 $60 to $200, sermorelin $150 to $400, and NAD+, which is not a peptide but is sold with them, $105 to $350 for at-home injections. Brand GLP-1 cash programs cost $299 to $449 a month for Zepbound and $349 for Wegovy. Add a first consultation, labs and any membership fee. Research vials sold online cost less because they are not a legal medication.

+−How much do peptide treatments cost per month?

Most telehealth peptide programs cost $150 to $450 a month with the medication included, and $200 to $500 in the first month once labs and the first visit are added. Local clinics and med spas typically charge $250 to $600 a month ongoing and $400 to $900 in the first month, largely because they mark up the medication two to four times and charge per visit.

+−Will insurance cover peptide therapy?

Compounded peptides are almost never covered; you pay cash. Brand GLP-1 drugs are covered by some commercial plans for obesity and by most for type 2 diabetes, usually with prior authorization. Prescribed medications and the visits to obtain them generally qualify for HSA and FSA funds under IRS Publication 502; supplements and anything bought without a prescription do not.

+−How long does a vial of peptides last?

Divide the milligrams in the vial by the milligrams you use per day. A 6 mg sermorelin vial at 300 mcg a night lasts 20 nights; at 300 mcg five nights a week it lasts about 28 days. But a mixed vial is only good until the beyond-use date on the pharmacy label, at most 28 days after the first puncture for a vial mixed with bacteriostatic water, so a vial that would last longer than that is partly wasted.

+−Are peptide injections worth it?

It depends on the compound, not the price. GLP-1 drugs have large outcome trials. Sermorelin raises growth hormone in small trials, usually at doses higher than clinics prescribe. NAD+ injections have no published human trials at all, and BPC-157 has no legal product. Read the evidence page for the compound before you compare prices.

+−Why are research peptides so much cheaper?

Because you are paying for an unlabeled vial, not a medication. A research vial has no prescription, no clinician, no pharmacy, no verified content and no legal path to human use; FDA treats products sold that way with dosing instructions as unapproved drugs and sent warning letters to five vendors in August 2026. The price is not comparable, and neither is the risk.

+−How much does sermorelin cost per month?

Roughly $150 to $400 a month through telehealth in October 2026, usually including the clinician visits, with injections advertised from about $120 and lozenges from about $99. Baseline labs, if required, add $150 to $400 in the first month. Because sermorelin is dosed nightly, the dose drives the price: at the same vial price, 500 mcg a night uses two-thirds more drug than 300 mcg.

+−Can I use my HSA or FSA for peptides?

Usually yes for a prescribed medication and the clinician visit, because prescribed drugs and medical care are qualified medical expenses under IRS Publication 502. Supplements, cosmetic peptides and anything bought without a prescription are not. Keep the prescription and an itemized receipt showing the drug name.

Sources

1. SourceHealingMaps. How much does sermorelin cost? The 2026 pricing guide (affiliate site; prices as listed by providers). Read for our cost guide, October 2026. (2026)
2. SourceHealingMaps. How much does NAD+ therapy cost in 2026? IV drips vs injections vs nasal spray (affiliate site). Read for our cost guide, October 2026. (2026)
3. SourceCompounding Finder. PT-141 (bremelanotide): compounded pricing directory.
4. SourceMedFinder. Tesamorelin: brand pricing (2026). (2026)
5. RegulatoryFDA. Notice to compounders: changes that affect compounding as of March 23, 2020 (biological products, including those with deemed biologics license applications, are not eligible for the exemptions in sections 503A and 503B). (2020)
6. NewsManaged Healthcare Executive. Novo Nordisk lowers Wegovy price for cash-paying patients (to $349 per month). November 2025. (2025)
7. RegulatoryThe White House. Fact sheet: most-favored-nation pricing agreements with Novo Nordisk and Eli Lilly (TrumpRx prices; Medicare terms). November 6, 2025. (2025)
8. SourcePrescriberPoint. LillyDirect Zepbound self-pay terms: $299 (2.5 mg), $399 (5 mg), $449 (7.5 to 15 mg) with refills within 45 days, as of February 2026. (2026)
9. SourceTesting.com. Compounded semaglutide cost: what you will pay monthly (August 2026). (2026)
10. SourceTelehealth Ledger. Compounded tirzepatide prices, September 2026 (price tracker with affiliate links). (2026)
11. NewsArentFox Schiff. RUO-ined: five peptide vendors learn that research use only is not a legal strategy (FDA warning letters of August 24, 2026). September 18, 2026. (2026)
12. RegulatoryIRS. Publication 502 (2025), Medical and Dental Expenses: what counts as a qualified medical expense for HSA and FSA purposes. (2025)