What a sermorelin prescription costs, all-in

02The number on the page

Many sellers lead with a "starting at" figure. It is the lowest rung they sell. At some sellers that rung is an auto-refill plan, and a one-time order costs more.

Compare the figure you will pay in month two. Month one can carry a consult fee. It can also carry an introductory discount that ends.

03Five charges that sit outside the headline

• –Consult. Some sellers charge a one-time visit fee. Some fold it into the first order. Ask which.
• –Labs. A prescriber may want bloodwork first. Ask whether the draw and the panel are included.
• –Membership. A monthly or annual fee billed beside the medication. It is a separate line on your card.
• –Shipping and supplies. Syringes, alcohol pads and cold packs may be included or billed per order.
• –Prepay term. A three-month price divided by three is not a monthly price. You pay the whole term up front.

Add every line before you compare. For example, a plan listed at $119 with a $49 monthly membership costs $168 a month. A plan listed at $159 with no membership costs less.

04Why two quotes for the same peptide differ

Form is the first reason. Sermorelin is sold in several forms: injection, sublingual troche, oral preparation and nasal spray. Each is a different product with its own price.

Unit is the second reason. A monthly plan and a single vial are not the same purchase. A vial price stays a vial price here. It becomes a monthly figure only if the seller states how long a vial lasts.

Quantity is the third. Two vials at one price can hold different amounts. Where a seller states the milligrams, divide. Cost per milligram compares disclosed drug content across vial sizes. It does not establish equivalent treatment, usable supply or total cost.

05What the sellers we have priced charge

Each figure above is the seller's own published price, in its own unit. Fees are on each seller's review, line by line.

06What you are paying for

Sermorelin is a 29-amino-acid analog of growth hormone-releasing hormone. It prompts the pituitary to release growth hormone^[1].

It was once an approved drug. GEREF was approved in 1997 to treat children with idiopathic growth hormone deficiency^[2]. It was later withdrawn from sale. In 2013 the FDA determined the withdrawal was not for reasons of safety or effectiveness^[2].

That history is why pharmacies may compound it. Component status is one bulk-substance criterion under section 503A^[3]. Other compounding requirements still apply^[3]. Compounded sermorelin itself is not FDA-approved^[4].

The adult evidence is small. One trial gave 11 healthy men aged 64 to 76 a nightly 2 mg injection for six weeks^[5]. Nighttime growth hormone release rose. IGF-1 did not change, and neither did body composition^[5]. An opinion piece argues for wider adult use; it reports no new trial^[6].

The pediatric data name the common side effects: brief facial flushing and pain at the injection site^[1].

07The one question to ask

Ask the seller one thing before you pay. "What will I be billed in month two, including every fee?" If the answer needs an intake first, finish the intake before you commit to a term.