A month of sermorelin tablets runs a typical $189 from sellers that publish a price. The injection runs $189. The tablet is the newer listing of the three, and the thinnest. The sermorelin price board carries every seller behind these figures.
| Tablet (swallowed) | Under the tongue | Injection | |
|---|---|---|---|
| Lowest published month | $95 | $89 | $90 |
| Typical (median) month | $189 | $169 | $189 |
| Highest published month | $299 | $299 | $349 |
| Sellers publishing a month | 19 | 18 | 140 |
The spread inside each column is wider than the gap between columns. That is the practical point: the route matters less to the bill than which seller writes it. The sermorelin cost guide breaks a single month into its parts.
Why a pharmacy may make a sermorelin tablet at all
Federal law lets a pharmacy compound from a bulk substance in three cases[1]. One of them is a substance that is a component of a drug the agency has approved[1].
Sermorelin qualifies through GEREF. FDA determined on March 4, 2013 that GEREF was not withdrawn from sale for reasons of safety or effectiveness[2].
That condition names a substance, not a route. Nothing in it limits a compounder to the dosage form the approved product used. More on the status is in is sermorelin FDA approved.
What the approved product actually was
Both GEREF applications were injections[2]. One covered 0.5 mg and 1.0 mg base per vial, under NDA 20-443[2]. The other covered 0.05 mg base per ampule, under NDA 19-863[2].
Their holder discontinued both in 2008 and asked FDA to withdraw the applications[2]. No approved sermorelin tablet has ever existed in the United States.
One more condition of the law matters here. A pharmacy may not regularly compound copies of a commercially available drug product[1]. No sermorelin product is commercially available to copy.
What a swallowed peptide is up against
Peptides are unstable in the gut. A 2025 review describes rapid breakdown by digestive enzymes and acid[3]. Absorption is poor because the molecules are large and water-loving[3].
The mouth is the alternative that route claims. The review notes the lining there is well supplied with blood and skips first-pass liver metabolism[3].
It also names the costs of that shortcut. The lining limits what crosses, saliva washes the dose away, and enzymes in saliva break peptides down[3].
No published human study gives sermorelin by mouth. PubMed indexes 332 sermorelin records. Two of them mention a tablet, lozenge or sublingual route, and neither describes dosing a person that way.
Questions worth asking before the first refill
- Is the tablet swallowed or held under the tongue, and for how long?
- How many milligrams per tablet, and how many tablets a month?
- Does the quoted price include the consult, and what does month two cost?
The last one is where most of the money moves. Turning a vial or bottle into a per-month figure is set out in how long a sermorelin vial lasts. The visit itself is covered in sermorelin prescription.