Refill requests are reviewed by our peptide nurse within 1 business day.
Once approved, you’ll receive a payment link which is valid for 24 hours.
If your payment link expires please contact your nurse, DO NOT submit a new refill request.
Following payment, your order will be processed and sent from our partner pharmacy to the shipping address you provide on your invoice.
Medications typically arrive within 5–7 business days.

First Name *

Last Name *

Phone *

SHIPPING ADDRESS *

City

State

Country

Postal Code

Email *

Name Of Your Peptide RN Case Manager *

Medication *

Semaglutide Dose Selction *

Tirzepatide Dose Selection *

How would you like to receive your EMPTY syringes to self draw your medication? *

Additional Notes

By checking this box, I consent to receive marketing and promotional messages, including special offers, monthly newsletter, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

I consent and agree to abide by my plan of care. I will inject my medication at the dose, frequency, and set day as directed by my plan of care and medical team. I will contact the medical team prior to changing my dose amount or injection day. I agree to discard any remaining medication 28 days after first use, even if unused product remains.