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Tesamorelin Cost: Monthly Price and What's Included

Tesamorelin costs $229 a month at PeRx, and that number already contains the provider review, the pharmacy, the supplies and overnight shipping. This guide shows what sits inside the price, why the FDA-approved brand Egrifta costs many times more, what changes when you pay without insurance, and how to read any tesamorelin quote before you hand over a card.

Medically reviewed by Dr. Cory Mellon, MD12 min read
Published
One month of tesamorelin arrives in one box: the vial, the supplies, the shipping, and the provider review behind it, at one price.
One month of tesamorelin arrives in one box: the vial, the supplies, the shipping, and the provider review behind it, at one price.

Key Takeaways

  • Tesamorelin is $229 per month at PeRx, billed per prescription rather than as a subscription. The Tesamorelin/Ipamorelin combination is $299. Prices reviewed on October 21, 2026.
  • The monthly price includes the provider review, the prescription, compounding by a state-licensed 503A pharmacy, insulin syringes and swabs, an injection guide, FedEx Overnight shipping in refrigerated packaging, and messaging with the care team. There is no separate consultation fee and no lab requirement.
  • Brand Egrifta is the FDA-approved tesamorelin, approved for excess abdominal fat in adults with HIV-associated lipodystrophy and dispensed through specialty pharmacies. It costs many times the compounded price, and insurance covers it only for that approved use, usually after prior authorization.
  • Compounded tesamorelin is not FDA-approved and is not billed to insurance. PeRx is cash-pay. Some HSA and FSA cards go through; the plan administrator decides, not the provider.
  • A tesamorelin quote is only comparable when it is itemized. Ask what the number includes, which type of pharmacy fills it, who follows up with you, and how a cycle ends.

At a glance (prices reviewed October 21, 2026)

Tesamorelin at PeRx

$229 per month, one-month supply per vial

Tesamorelin/Ipamorelin

$299 per month, two peptides in one vial

Included

Provider review, prescription, 503A compounding, syringes and swabs, injection guide, FedEx Overnight, care-team messaging

Consultation fee

None. The review is part of the price.

Labs

Not required and not billed

Multi-month

10% off a two-month supply, 15% off three months

Insurance

Not billed. Cash-pay; HSA/FSA depends on your plan.

Brand Egrifta

FDA-approved for one HIV-related use; many times the compounded price

Tesamorelin cost is a short question with a long answer. The short part: at PeRx Peptides, tesamorelin is $229 a month, and you can see current pricing for every peptide on one page. Prices reviewed on October 21, 2026 by the PeRx team. The long part is what that $229 contains, what the FDA-approved brand costs instead, and why two quotes for the same molecule can sit hundreds of dollars apart. This page covers the price, what is included, what you pay without insurance, what moves the number, how telehealth compares with the brand and with research sites, and how to judge any quote you are given. It extends the peptide therapy cost guide to one compound.

How Much Does Tesamorelin Cost per Month?

Three numbers answer this, and they describe three different products. Compounded tesamorelin through a telehealth provider is the one most people searching this phrase will end up with. Brand Egrifta is the FDA-approved drug, priced and distributed like a specialty medication. Research-chemical vials are the cheapest option on the internet and the one this page will tell you not to price at all, because the number is not the problem with them.

What PeRx Charges

Tesamorelin is $229 per month at PeRx. One vial is a one-month supply, and it is prescribed per cycle rather than sold as a subscription: a prescription covers up to three months inside a 100-day cycle, nothing renews on its own, and the cycle ends when the vials run out. A two-month supply takes 10 percent off and a three-month supply takes 15 percent off, applied before any coupon code. Three months of tesamorelin lists at $687 and comes to $584 after the three-month discount. The Tesamorelin/Ipamorelin combination is $299 a month, $897 for three months at list and $762 after the discount. A new patient pays the product price and nothing else at the start: there is no consultation fee, no enrollment fee and no charge until a provider approves the prescription. Dose is set by your prescriber, and the tesamorelin dosage chart explains what the published ranges look like.

What Brand Egrifta Costs

Egrifta is tesamorelin as an FDA-approved drug. The current label, Egrifta WR, is approved for the reduction of excess abdominal fat in adults with HIV who have lipodystrophy, and the label states that it is not indicated for weight loss because its effect on weight is neutral. It is dispensed through specialty pharmacies rather than a retail counter. Published prices for it conflict with one another, and the figures that circulate online range widely depending on the formulation and the source, so this page does not print one. What every source agrees on is the scale: a month of brand Egrifta costs many times what compounded tesamorelin costs. Insurance coverage, prior authorization and manufacturer co-pay programs apply to that approved use and vary by plan. The FDA approval status of tesamorelin explains the three Egrifta formulations and what the approval does and does not cover.

How Other Telehealth Programs Price It

Monthly prices for compounded tesamorelin vary by program, by the dose prescribed, by the type of pharmacy filling it, and by what is bundled into the headline figure. One program quotes a low number and bills the consultation, the labs, the supplies and the shipping separately. Another quotes a high number that already contains all of them. The honest comparison is not the headline but the itemized total for one month and for a full cycle. This page names no program and quotes no competitor price, because a number without its inclusions tells you nothing. Ask what is in the price, then compare.

What Is Included in the Monthly Price?

Every row below is what the $229 covers at PeRx. The tesamorelin cost at a clinic that bills some of these rows separately will look lower on the first page and higher on the invoice.

Provider review and prescription

In the monthly price?
Included
What it covers
A licensed provider reviews your intake, history and medications and decides whether to prescribe. No separate consultation fee.

Medication from a licensed pharmacy

In the monthly price?
Included
What it covers
Compounded tesamorelin from a state-licensed 503A pharmacy, batch-tested for potency, sterility, endotoxin and pH. Ships fully reconstituted and ready to use.

Supplies

In the monthly price?
Included
What it covers
Insulin syringes, alcohol swabs and a step-by-step injection guide in the box.

Shipping and cold chain

In the monthly price?
Included
What it covers
FedEx Overnight in refrigerated packaging with ice packs. No per-shipment charge.

Follow-up and messaging

In the monthly price?
Included
What it covers
Messaging with your care team and a check-in with the provider before each renewal. No visit fee.

Labs

In the monthly price?
Not required, not billed
What it covers
PeRx does not require labs for tesamorelin and does not order or bill them. If your provider wants a result checked, you arrange it with your own doctor or a lab, outside the PeRx price.

Two things are not in the price, and both are deliberate. PeRx does not bill insurance, so there is no claim, no co-pay and no explanation of benefits. And any lab work you choose to have done is between you and the lab. The dose and the pharmacy fill are set by the prescriber, not chosen from a menu, which is why the price is per month of product rather than per milligram. The Tesamorelin product page lists what ships and how.

Tesamorelin at PeRx

Provider-prescribed, compounded by a state-licensed 503A pharmacy, batch-tested, and shipped overnight ready to use. One price, nothing billed separately.

Tesamorelin Cost Without Insurance

For compounded tesamorelin, the price without insurance is the price. PeRx prescriptions are cash-pay: $229 a month, paid by card or Apple Pay, with no insurance billing on either side. That is not a workaround. Compounded medications are not FDA-approved products, and health plans, Medicare and Medicaid write their rules around approved drugs, so a compounded peptide made from a bulk ingredient falls outside most formularies no matter who prescribes it. Brand Egrifta is the other side of the same rule: plans that cover it do so for its approved use, excess abdominal fat in adults with HIV-associated lipodystrophy, and most require prior authorization first. Nothing on this page promises or implies coverage for compounded tesamorelin, because none should.

Some people can pay with an HSA or FSA card. IRS rules treat prescribed medicines as a medical expense, and many HSA custodians process the charge without a question, while FSA administrators more often ask for documentation. The plan administrator decides, not PeRx, so read HSA and FSA for peptide therapy and ask your administrator before counting on it. Manufacturer co-pay assistance exists for the branded product and applies to Egrifta and its approved use; it has nothing to do with a compounded prescription.

What Drives the Tesamorelin Price

Five things move a tesamorelin quote up or down. The prescribed dose and the vial size. A larger monthly amount means more drug in the vial, and a provider who prescribes by the patient rather than by a default will price by the patient too. The type of pharmacy. A 503A pharmacy compounds a prescription for one named patient under state licensing and USP standards; a 503B outsourcing facility makes larger batches under federal manufacturing rules, mostly for clinics. Both are legal routes with different cost structures, and the full explainer will be linked here when it is live. The formulation. Tesamorelin that ships ready to use costs more to prepare than a powder you have to mix and measure yourself, and it removes the most common dosing mistake. Bundled services. Consultation, follow-up, messaging and shipping either live inside the price or arrive as separate lines. Testing. Potency, sterility and endotoxin testing on every batch is part of what a licensed pharmacy charges for, and how PeRx tests its peptides lists what that covers.

A lower price can mean fewer of these, and sometimes that is fine. A patient who already has a doctor running labs and a pharmacist they trust may not need the bundle. What a lower price should never mean is a missing prescriber or an untested vial. This page does not claim PeRx is cheaper than any named source, because the comparison only works line by line, and what pharmaceutical-grade peptides means explains which lines matter most.

How Telehealth Compares With Brand Egrifta and Research Sites

Tesamorelin reaches people through three routes, and the tesamorelin cost of each is set by what stands behind the vial. The table reads across all three.

Who prescribes

Brand Egrifta
A physician, usually an HIV or endocrine specialist
Compounded tesamorelin by telehealth (PeRx)
A licensed provider after an online intake
Research-chemical vials
No one

Where it is made

Brand Egrifta
The manufacturer, under FDA drug approval
Compounded tesamorelin by telehealth (PeRx)
A state-licensed 503A pharmacy, per prescription
Research-chemical vials
Unknown; no pharmacy and no verified source

FDA status

Brand Egrifta
FDA-approved for its labeled indication
Compounded tesamorelin by telehealth (PeRx)
Not FDA-approved; compounded under a prescription
Research-chemical vials
Labeled not for human use; sold as a research chemical

Testing

Brand Egrifta
Manufacturer quality control under FDA oversight
Compounded tesamorelin by telehealth (PeRx)
Batch testing for potency, sterility and endotoxin
Research-chemical vials
A certificate of analysis at best, for a batch you cannot trace

Typical monthly cost level

Brand Egrifta
Highest by a wide margin; insurance only for the approved use
Compounded tesamorelin by telehealth (PeRx)
$229 at PeRx, all-in
Research-chemical vials
Lowest, and the price buys none of the rows above

The research-vial price leaves out everything the other two columns contain: no prescriber, no verified contents, no pharmacist, and no one to call if the vial is wrong. Those products are sold with a 'not for human use' label, and that label is a legal position rather than a quality grade. Where to buy peptides legally maps the three routes in detail, research peptides vs prescription peptides explains the quality gap, and is it safe to buy peptides online covers what independent testing has found in gray-market vials. PeRx does not sell research-use products.

Red Flags When Judging a Tesamorelin Price

Five signs that a low number is not a bargain. A price with no intake and no prescriber. If nobody reviews your history before the vial ships, you are buying from a research seller with a nicer website. A refusal to say which type of pharmacy fills it. A real provider can tell you whether the pharmacy is a state-licensed 503A or a 503B facility without hesitating. Hidden fees, or a different price at checkout. The number on the page and the number on the card should match. A 'research use only' label. That phrase means the product was never intended for people, at any price. Crypto-only payment. A seller that cannot take a card is a seller you cannot dispute.

Four questions settle most quotes. What exactly is included in the monthly price? Which pharmacy fills the prescription, and is it state-licensed? Who follows up with me, and does that cost extra? How do I stop, and does anything renew on its own? How to choose a telehealth peptide provider walks through the full checklist, and the answers for PeRx are on this page.

Is Tesamorelin Right for You?

Price is the second question. The first is whether tesamorelin fits you at all, and that is a clinical decision rather than a shopping one. The approved use is narrow: excess abdominal fat in adults with HIV-associated lipodystrophy. Every other use, including the body-composition goals most people have in mind, is off-label, and the evidence for those uses is more limited than the marketing around them suggests. Tesamorelin results goes through what the trials actually measured. The Egrifta label lists who should not use it: people with a disrupted hypothalamic-pituitary axis from pituitary tumor or surgery, hypopituitarism, head irradiation or head trauma; anyone with an active malignancy; anyone with a known hypersensitivity to tesamorelin; and anyone who is pregnant. A clinician applies those to your history. Tesamorelin side effects covers what the trials reported, and tesamorelin vs sermorelin is the comparison to read if the goal is growth hormone support rather than visceral fat.

Getting Tesamorelin Through PeRx Peptides

The path has four steps. You complete a short eligibility check online. A licensed provider reviews your history and decides whether to prescribe. If approved, a state-licensed 503A pharmacy fills the prescription and ships it overnight, ready to use. Before each renewal you complete a check-in with the provider. Nothing is charged until the provider approves, and the review is part of the price. How to get peptides prescribed online walks through each step, and the tesamorelin guide covers the compound itself.

If a provider decides a second growth hormone peptide belongs in the protocol, the Tesamorelin/Ipamorelin combination puts both in one vial at $299 a month, with the same inclusions; the tesamorelin and ipamorelin guide explains when it is chosen. Every option in the category is on the growth hormone peptides page, and current pricing is always one click away.

Ready to find out if tesamorelin is a fit?

New to PeRx: the eligibility check takes about a minute and is free, and a licensed provider reviews every order before it ships. Already a patient: message your care team with any question about pricing or renewals.

Tesamorelin Cost FAQs

$229 for a one-month supply, with the provider review, prescription, supplies and FedEx Overnight shipping included. Three months lists at $687 and comes to $584 after the automatic 15 percent discount. Prices reviewed on October 21, 2026.

Egrifta is an FDA-approved drug made by a single manufacturer, carries the cost of its approval program, and is dispensed through specialty pharmacies. Compounded tesamorelin is prepared per prescription by a 503A pharmacy and is not FDA-approved, which is why it costs a fraction of the brand.

Generally no. Compounded medications are not FDA-approved, and most health plans, Medicare and Medicaid exclude compounds made from bulk ingredients. Plans that cover Egrifta do so only for its approved HIV-related use, usually with prior authorization. PeRx is cash-pay and does not bill insurance.

Sometimes. A prescribed medicine is a qualified medical expense under IRS rules, and many HSA cards go through; FSA administrators more often ask for documentation. Eligibility is decided by your plan administrator, so ask before you pay. PeRx cannot promise it.

Because the price buys only the vial. There is no prescriber, no licensed pharmacy, no batch testing you can trace, no cold-chain shipping and no one to call if the contents are wrong. Those products are labeled 'not for human use' for a reason, and PeRx does not sell them.

Related Guides

Continue reading about peptides and protocols that pair well with this guide.

References and Review

PeRx prices on this page were checked against the live pricing page on October 21, 2026, and the brand facts come from the current Egrifta labels. Medically reviewed by Dr. Cory Mellon, MD. The price-review date in the opening paragraph is updated whenever a figure changes.

Theratechnologies Inc. EGRIFTA WR (tesamorelin) for injection, prescribing information, revised March 2025. DailyMed set ID 839334d3-8c1d-4c26-9036-2ab524a6ea75. Indication, limitations of use and contraindications cited above. View study

Theratechnologies Inc. EGRIFTA SV (tesamorelin) for injection, prescribing information. DailyMed set ID 3d783378-b02d-4f19-99dd-0fc91a042224. View study

U.S. Food and Drug Administration. "Compounding and the FDA: Questions and Answers." Compounded drugs are not FDA-approved; the agency does not verify their safety, effectiveness or quality before they are marketed. Also the source for the 503A and 503B distinction summarized above. View study

Medical Disclaimer

The information provided on this website, including all articles, guides, and educational content, is for informational and educational purposes only and is not intended as medical advice, diagnosis, or treatment. Nothing on this site should be construed as a substitute for professional medical advice from a qualified healthcare provider.

The majority of peptides discussed on this site are not approved by the U.S. Food and Drug Administration (FDA) for the indications described. They are classified as bulk drug substances and are available only through a licensed prescribing provider and compounding pharmacy. All treatments require a valid prescription and provider oversight.

The majority of published research on peptide therapies has been conducted in preclinical (animal) models. While early human data is encouraging, comprehensive clinical trial data remains limited for most peptide compounds. Individual results may vary significantly based on health status, injury type, and other factors. No specific outcomes are guaranteed.

Certain peptides discussed on this site are classified as prohibited substances by the World Anti-Doping Agency (WADA) and are banned by major sports organizations including the NFL, NCAA, UFC, NBA, MLB, NHL, and PGA. If you are subject to anti-doping testing, consult your governing body before considering any peptide therapy.

Statements on this website have not been evaluated by the Food and Drug Administration. Products and therapies discussed are not intended to diagnose, treat, cure, or prevent any disease.

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