Our top picks
Longevity specialist
Longevity-focused telehealth offering NAD+ therapy, rapamycin, metformin off-label, and topical peptide formulations. Established player in the longevity-medicine space.
Pros
Longevity-medicine specialist
Topical and injectable formats
Free online medical evaluation
Cons
Limited peptide catalog vs specialists
Higher price for some compounded items
NAD+ + sermorelin + glutathione
Modern telehealth clinic offering medical weight loss (GLP-1), longevity peptides (NAD+, sermorelin, glutathione), hormone therapy, and sexual wellness. Licensed US providers; medication shipped from FDA-registered partner pharmacies.
Broad menu (GLP-1, peptides, HRT, sexual wellness)
Free shipping; medication-only billing
Ships to 49 states (excludes Louisiana for GLP-1)
No insurance billing
Sterile compounds unavailable in 10 states
Compounded peptide telehealth offering semaglutide, tirzepatide, NAD+, AOD-9604, and a recovery/sexual-wellness range. 503A/503B pharmacy partners, board-certified medical director.
Recurring affiliate commissions
90-day cookie window
Dedicated peptide-therapy specialization
No brand-name medications
No insurance / FSA only
LegitScript-certified telehealth platform offering compounded GLP-1s, peptide therapy, NAD+, and a compounded men's wellness formula (Tadalafil + PT-141 + Oxytocin).
LegitScript certified
PT-141 combination formula
Both injectable and oral options
Affiliate program details limited
Annual club membership for best pricing
Rapamycin & longevity protocols
Longevity-medicine telehealth with physician-designed protocols for rapamycin, metformin, SGLT2 inhibitors, oxytocin, and brand-name GLP-1s.
Longevity-medicine focus (rapamycin, metformin, SGLT2)
Physician-designed personalized protocols
Low $25/mo membership entry
Niche longevity focus, smaller catalog
Medication costs are separate
NAD+, sermorelin, VIP
Data-driven men's health telehealth offering TRT, peptide therapy (sermorelin, NAD+, VIP), and FDA-approved GLP-1s, with sister brand Joi for women.
Data-driven men's hormone & peptide therapy
Peptides (sermorelin, NAD+, VIP) plus TRT
Offers FDA-approved GLP-1 medications
Lab and membership costs add up
Async-leaning provider interaction
NAD+, sermorelin, glutathione
Peptide- and longevity-focused telehealth with a deep menu: PT-141, NAD+, sermorelin, glutathione, GHK-Cu, sexual wellness, and GLP-1 treatments across all 50 states.
Deep peptide menu (PT-141, NAD+, sermorelin, GHK-Cu)
Sexual-wellness and longevity specialist
Serves all 50 states
Compounded only
Less brand recognition than larger players
NAD+ + sermorelin
Broad-menu telehealth offering GLP-1s (brand-name + compounded), longevity peptides (NAD+, sermorelin, glutathione, GHK-Cu), sexual wellness, and hair growth across all 50 states.
Wide menu: GLP-1, NAD+, sermorelin, sexual wellness
Both brand-name and compounded options
Serves all 50 states with low intro pricing
Add-on pricing can stack up quickly
Async-first model with less live provider time
GH peptides
Men's hormone-optimization telehealth (testosterone, enclomiphene) plus compounded GLP-1s and growth-hormone peptides in oral, cream, and injectable formats.
Men's hormone optimization (testosterone, enclomiphene)
Compounded GLP-1 and growth-hormone peptides
Multiple delivery formats (oral, cream, injection)
Compounded only — no brand-name GLP-1
Marketing-forward, men-focused positioning
Compounded multi-category telehealth (hair, skin, sexual wellness, weight loss) adding sermorelin and compounded semaglutide via nationwide async prescriptions.
Broad compounded menu (hair, skin, sexual, weight)
Adds sermorelin and compounded semaglutide
Nationwide async prescriptions
Pricing not shown upfront
Generalist rather than peptide specialist
Women's midlife hormone-care telehealth (perimenopause/menopause) covered by insurance in all 50 states, adding GLP-1s and select peptides (CJC-1295, BPC-157).
Women's midlife hormone-care specialist
Insurance-covered visits in all 50 states
Adds GLP-1 and select peptides
Focused on perimenopause/menopause
Limited peptide menu
Holistic telehealth combining GLP-1 weight loss (compounded + brand-name), longevity peptides (NAD+, sermorelin), and testosterone therapy via nationwide video care.
Holistic program (GLP-1, longevity, TRT)
Compounded + brand-name medication options
Nationwide video care
Compounded meds are not FDA-approved
Pricing not transparent upfront
NAD+ therapy
Online GLP-1 telehealth platform connecting patients with state-licensed providers for compounded and brand-name (Wegovy, Zepbound) GLP-1s, plus NAD+ therapy and sexual health.
Both compounded and brand-name GLP-1
Adds NAD+ therapy and sexual health
100% online expert care
State coverage not published
Platform connects to providers (not the provider itself)
Genetic-testing-led
Wellness-and-longevity brand offering genetic testing, peptides, NAD+ therapy, IV drips, and personalized supplement protocols via advisors and select clinics.
Popular genetic-testing-led protocols
Peptides, NAD+, and IV therapy
Personalized supplement plans
Wellness/supplement-heavy positioning
Limited physical locations
NAD+ + peptides
Hormone-optimization and longevity telehealth offering TRT, HGH/sermorelin, NAD+, and peptide therapy across all 50 states.
TRT plus NAD+ and peptides
Available in all 50 states
Dedicated wellness concierge
Higher $325 entry
Established telehealth offering medical weight loss (semaglutide), TRT, sermorelin, enclomiphene, and sexual-health treatments shipped nationwide.
Long-standing telehealth brand
Weight loss, TRT, and sermorelin
Nationwide shipping
NAD+ + longevity
Multi-category telehealth offering weight loss, TRT/hormone health, NAD+ and longevity therapy, sexual health, and peptide-based wellness.
Broad menu (weight loss, TRT, NAD+, sexual health)
Longevity and peptide focus
Message + video care
Data-driven telehealth using comprehensive bloodwork to guide hormone optimization, peptide therapy (BPC-157, sermorelin), longevity, and regenerative treatments.
Comprehensive bloodwork-led protocols
Peptide and hormone optimization
Longevity-focused care
Available in only 6 states
Physician-led hormone-optimization and anti-aging telehealth offering TRT, HRT for men and women, peptides, and medical weight loss with comprehensive lab work.
Physician-led hormone optimization
Men's and women's HRT + peptides
Comprehensive lab work
Hormone and growth-hormone therapy telehealth offering TRT, sermorelin/GH peptides, and semaglutide weight loss nationwide.
Growth-hormone and sermorelin focus
TRT and weight loss options
Nationwide telehealth
Wide price range ($200-$1000/mo)
Sermorelin
Men's and women's TRT telehealth offering testosterone, HCG, enclomiphene, sermorelin, and male-enhancement treatments from $98/mo.
Affordable $98/mo TRT
Male and female hormone therapy
Adds sermorelin and HCG
Smaller brand footprint
National network of bioidentical-hormone and functional-medicine practitioners offering HRT, weight loss, sexual health, and supplements via telehealth and in-person visits from $79.
Established bioidentical-HRT network
Functional-medicine approach
Telehealth + in-person options
Practitioner quality varies by location
Concierge-style pricing
Testosterone-therapy-focused telehealth also offering medical weight loss, anti-aging, and sexual health; serves most US states from $99/mo.
Affordable $99/mo TRT
Adds weight loss, anti-aging, sexual health
Telehealth across most states
Not available in AL, AK, AR, MO, HI
Women's sexual and reproductive health telehealth (BV, UTI, birth control, herpes) expanding into menopause care, PCOS, and longevity, nationwide.
Fast women's sexual-health prescriptions
Menopause and PCOS care added
Nationwide discreet delivery
Reproductive-health focus
Limited peptide offerings
Women's hormone-optimization telehealth (sister brand to Blokes) offering HRT, peptide therapy (sermorelin, NAD+), GLP-1 weight loss, and sexual wellness.
Women-focused hormone and peptide therapy
Sermorelin, NAD+, and GLP-1 options
Data-driven lab-led protocols
Telehealth offering brand-name (Wegovy, Zepbound) and compounded GLP-1s plus microdosing, NAD+, sermorelin, glutathione, and peptide hair formulas nationwide.
Brand-name + compounded + microdose GLP-1
Adds NAD+, sermorelin, glutathione
Comprehensive age-management telehealth offering TRT, women's HRT, thyroid/adrenal therapy, sexual health, weight loss, and longevity treatments.
Broad age-management menu
Men's and women's hormone therapy
Longevity and weight-loss options
Wellness telehealth offering GLP-1 weight management, NAD+, sermorelin, glutathione, lipotropics, and in-home wellness labs via phone/video care.
GLP-1 plus NAD+, sermorelin, glutathione
In-home wellness labs
Phone/video and e-consults
Established medical weight-loss telehealth offering GLP-1 programs and peptide therapy with physician supervision from $279/mo.
Long-running medical weight-loss brand
GLP-1 + peptide programs
Physician-supervised
Higher $279 entry
Compounded focus
Broadest peptide menu
Dedicated peptide-therapy telehealth pharmacy offering one of the broadest compounded peptide menus online (BPC-157, TB-500, CJC-1295/Ipamorelin, sermorelin, tesamorelin, thymosin alpha-1, PT-141, GHK-Cu, NAD+, MOTS-C, semax/selank, epithalon) shipped to all 50 states.
Extensive specialty peptide catalog
Nationwide (all 50 states)
Peptide-therapy specialist focus
Compounded only - no GLP-1 brand meds
Men's health and longevity telehealth offering testosterone therapy, sermorelin, NAD+, and GLP-1 weight loss nationwide.
TRT, sermorelin, and NAD+
GLP-1 weight loss included
Integrative and longevity telehealth (with mid-Atlantic centers) offering hormone optimization, peptide therapy, NAD+, and medical weight loss via virtual and in-person care.
Integrative longevity medicine
Hormone, peptide, and NAD+ therapy
Virtual + in-person options
In-person centers concentrated regionally
Telehealth offering GLP-1 weight loss, peptide therapy, NAD+, and B12 from $149/mo via async, video, and select in-person visits nationwide.
GLP-1, peptides, and NAD+
Async, video, and in-person options
Nationwide service
Newer brand
Frequently asked questions
What is the best telehealth for NAD+ and longevity treatments?
AgelessRx ranks first for longevity-medicine specialization (NAD+, rapamycin, metformin off-label). He & She MD is the best multi-category option that bundles NAD+ with sermorelin and glutathione. For the broadest peptide catalog (including BPC-157, MOTS-c, Epitalon), Peptide Therapy Rx is the best dedicated choice.
What peptides are commonly used for anti-aging?
The most common evidence-supported anti-aging peptides offered by US telehealth in 2026 are NAD+ (cellular energy/NAD biosynthesis), sermorelin and CJC-1295/Ipamorelin (GHRH/GHRP for endogenous growth-hormone support), glutathione (antioxidant), Epithalon (telomerase activator), MOTS-c (mitochondrial peptide), and GHK-Cu (copper peptide).
Is NAD+ FDA-approved?
Injectable NAD+ is not FDA-approved as a finished drug. It is dispensed by licensed compounding pharmacies under individual prescriptions from licensed clinicians. Topical and nasal-spray formats are also available through the providers listed here.
Prefer an in-person clinic?
Browse vetted in-person peptide-therapy clinics by state and city.