Tesamorelin is one of the few compounds here with an approved product behind it, and that approval covers far less than the marketing implies.
An approved tesamorelin product exists in the United States for a specific problem in a specific group of patients. That is real, and it sets tesamorelin apart from most of what sells alongside it. It is also almost never the reason a telehealth company is offering it.
What these sellers dispense is a compounded preparation, marketed for body composition and general vitality rather than for the indication the approval covers. A compounded version of an approved drug is not itself an approved drug, and the two are easy to conflate in a checkout flow. The research article on tesamorelin sets out what the evidence actually covers.
Pricing splits along the same line: some sellers quote a monthly program and others quote a vial. A vial figure and a monthly figure look comparable in a table and answer different questions, so each row carries the qualifier that says which it is.
What this board covers
Providers dispensing compounded tesamorelin to US patients through a telehealth intake. The approved brand-name product moves through a prescriber and a pharmacy in the ordinary way and is not a telehealth comparison. A seller listing tesamorelin without a published price still appears, marked as publishing none.
Limited evidence
Quick picks
Top picks for tesamorelin
#
Provider
Score
Best for
From/mo
Visit
1
Trellis Vitality
10.0
body-composition tracking with named-pharmacy oversight on NAD+, glutathione and tesamorelin
$299/mo — per month, protocol
Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.
All 5 providers in this comparison publish a Tesamorelin price today. Trellis Vitality scores highest on pharmacy transparency, price and state coverage.
Full comparison matrix, every provider selling tesamorelin
Provider
Rating
From/mo
Compounds
States
Visit
Trellis Vitality
10.0
$299/mo — per month, protocol
3
All 50 states
Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Check the pricing unit before the number. A per-vial figure and a per-month program figure are not two quotes for the same purchase.
The score grades the seller. The evidence grade near the top grades the compound, and an approval covering one narrow use does not lift it.
Order is computed from declared facts and then price, so no row is positioned by hand and no commercial relationship moves one.
A blank price cell means the seller offers tesamorelin and does not publish what it costs.
Tesamorelin providers, reviewed
1. Trellis Vitality
Trellis Vitality frames its program around body-composition tracking rather than scale weight, pairing NAD+, glutathione and tesamorelin with at-home biomarker panels and a 90-day re-test, and names its dispensing pharmacy, VialsRX in Houston, by address.
$299/mo — per month, protocol
Strengths
Names its dispensing pharmacy, VialsRX in Houston, with a street address and phone number
Includes at-home biomarker panels and a 90-day re-test rather than relying on scale weight alone
No membership or consult fee is layered on top of the monthly peptide price
Accepts HSA/FSA funds
Trade-offs
Several headline statistics — a stated biomarker-improvement rate and an average annual-savings figure — are unsourced and cannot be independently checked
Its cited patient-satisfaction rating names no review platform, so it cannot be verified against a public record
The prescribing network it uses also serves several unrelated telehealth brands, so the clinical layer is not exclusive to Trellis
Refunds are decided per order rather than under a stated policy
Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Live Vital lists one of the deeper peptide menus in this roster — tesamorelin, CJC-1295, ipamorelin, BPC-157, TB-500, GHK-Cu, MOTS-C, glutathione and NAD+ — alongside its GLP-1 line, with coverage across all 50 states.
$199/mo — per month
Strengths
Lists tesamorelin, CJC-1295, ipamorelin, BPC-157, TB-500, GHK-Cu and MOTS-C on one menu — the broadest span in this roster
Operates across all 50 states
States plainly that its non-GLP-1 peptides lack FDA approval, rather than staying silent on the point
Trade-offs
The pharmacy that fills prescriptions is described only as "a licensed US pharmacy," not named
Its published tesamorelin and MOTS-C prices sit on pages that have been unlinked from the site's main navigation
Most of the menu, beyond tesamorelin and MOTS-C, carries no independently verified price
Live Vital is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Pepti prints one all-in monthly figure for every treatment it sells, in two formats side by side, and it is the only roster row that publishes both a fifty-state footprint and a price for epitalon.
$249/mo — vial price, an average four-week supply
Strengths
Prints an all-in monthly figure on every treatment card and states that no membership fee sits on top of it
Names the unit each figure covers, so a four-week supply is never left to be guessed at
Quotes a pen and a vial price side by side, which makes the format premium visible instead of buried in checkout
States its own coverage as all 50 states and Washington, D.C. in its site footer
Trade-offs
Bloodwork is a separate charge rather than part of the monthly figure, though recent labs can be uploaded instead
The 503A/503B compounding pharmacy it uses is described but never named
The PT-141 card gives no supply length, so its figure is the only one on the catalog that cannot be read as four weeks
CJC-1295, ipamorelin and TB-500 are sold only inside combination vials
Pepti is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Longevixx runs the widest single peptide menu on this roster — twenty programs, each quoted as a monthly figure — and it is the only seller here that lists PT-141, epitalon and semax at all.
$299/mo — starting rate, per month
Strengths
Publishes a monthly figure beside every one of its twenty peptide programs, not a starting price for the catalog as a whole
The only seller here listing PT-141, epitalon and semax, three compounds nothing else on this roster carries
Charges nothing when a request is turned down
Trade-offs
Semax, KPV, TB-500 and CJC-1295 are sold only inside combination vials, so the figure beside each is the price of a pairing rather than of that peptide alone
Its terms limit service to the states where the company operates without naming them, so coverage cannot be checked before signup
The compounding pharmacy that fills prescriptions is not named on the site
Every figure is a starting rate, and the catalog does not say what moves a program above it
Longevixx is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Rehydra+ Wellness grew out of a mobile IV-therapy business and now sells a broad peptide catalog — BPC-157, KPV, MOTS-C, tesamorelin, sermorelin and GHK-Cu — with prices posted openly on its storefront, though it names neither a legal entity nor the pharmacy that fills its orders.
$399/mo — starting at
Strengths
Publishes a phone and text line plus a named staff email, unusual for this category
Its catalog spans six named peptides beyond a GLP-1 and testosterone line
Consultations are free and financed payment plans are offered
Trade-offs
No legal entity is named anywhere on the site; the terms identify only the brand
Says it serves 20 states but never lists which ones, so coverage cannot be confirmed before intake
Its LegitScript badge is a self-hosted image linking to a generic checker page rather than a confirmable certification record
Neither the compounding pharmacy nor the prescriber network is named
Rehydra+ Wellness is not a paid partner; this link may earn a commission if that changes. Full disclosure.
A narrow approval used as a general endorsement. The approved indication describes a defined patient group, and quoting it beside body-composition marketing borrows credibility the marketing has not earned.
A price quoted per vial and read as a monthly cost. The vial figure is usually the larger sticker and the smaller commitment, which reverses the ranking a shopper thought they were making.
A published figure sitting on a page the seller no longer links from its own navigation. An unmaintained page can keep quoting a number the company has moved on from.
Tesamorelin described as growth hormone. It is a signaling molecule that acts upstream of the pituitary, and a seller blurring that is describing a different product than the one being shipped.
How this Tesamorelin board is scored
Every score above comes from four yes-or-no facts, each worth an equal quarter of the total. A provider that clears all four scores 10.0; clearing none scores 0.0. Nothing else moves the number.
Names its compounding pharmacy. The pharmacy that fills the prescription is disclosed by name, not left as "our pharmacy partners."
Publishes a price. A monthly figure appears on the site itself, with its billing cycle or plan term attached.
Ships to all 50 states. Nationwide coverage, not a partial state list a shopper has to check before starting an intake.
Includes labs in the price. Baseline bloodwork is bundled into the published price rather than billed as a separate line item.
A price shown here is always the provider's own published figure for Tesamorelinspecifically, never a number carried over from something else they sell. An FDA warning letter, where one exists, is disclosed on that provider's review — it never changes this score or this position, because most letters concern marketing and labeling claims, not the contents of a vial.
Frequently asked questions
Is tesamorelin FDA approved?
An approved tesamorelin product exists for a specific patient group. The tesamorelin sold through the programs on this board is a compounded preparation, and compounded status is not the same as approval.
Why is the compounded version marketed so differently?
The approval covers a narrow clinical problem, and the audience for that is small. The wellness market sells the same molecule for body composition and vitality, which the approval never addressed.
Is tesamorelin the same as sermorelin?
They act on the same pathway and are not the same molecule. The site's sermorelin comparison lays out how they differ, including which of the two has an approved product behind it.
Does a paid relationship move a provider up this board?
No. Order comes from the scoring inputs printed on the board itself, with price breaking a tie. Where a commercial relationship exists it is disclosed on that row and changes nothing about its position.
What does the date beside a price mean?
It is the day that figure was last checked against the seller's own site. Prices here change quietly, so the date is printed rather than assumed.
Are any of these Tesamorelin providers paid partners?
None of them today. All 5 Tesamorelin providers on this board are compared under the same rules, whether or not a link to them ever earns a commission.
How is this board scored?
Four yes-or-no facts, printed above in full. A warning letter, where one exists, is disclosed on that provider's own review and never moves this score.
