The short answer is that the law does not name a profession. Federal compounding law lets a pharmacy compound a drug for an identified patient on a prescription made by a licensed physician or another licensed practitioner authorized by state law to prescribe drugs[1]. Who counts as that practitioner is decided state by state.
The compounds this site prices, each with a lawful route to a patient, are Semaglutide, Tirzepatide, Liraglutide, Orforglipron, Sermorelin, NAD+, Glutathione, GHK-Cu, PT-141 (bremelanotide). Each needs that prescription. Tesamorelin can be prescribed only as the approved brand, never compounded. The others have no lawful pharmacy route, as are peptides legal explains.
| Prescriber | Can prescribe? | What varies by state |
|---|---|---|
| Physician (MD or DO) | Yes | The state license must match where you are |
| Nurse practitioner | Yes, within state law | Whether a collaborating or supervising physician is required |
| Physician assistant | Yes, within state law | The form of physician supervision, and some medication limits |
Physicians
Doctors holding an MD or DO have the broadest prescriptive authority of any clinician[2]. For peptides, the practical limit is not their license type but its location, which the telehealth section below covers.
Nurse practitioners
Nurse practitioners have broader prescriptive privileges than physician assistants in some states, and there they do not need physician supervision[2]. The American Association of Nurse Practitioners, the profession’s own association, sorts states into full, reduced and restricted practice[3].
In a full-practice state, its map describes nurse practitioners evaluating, diagnosing and prescribing under the licensing authority of the state board of nursing alone[3]. Reduced and restricted states require a collaborative agreement or supervision[3]. For a peptide visit, that changes who stands behind the prescription, not whether you can get one.
Physician assistants
All physician assistants are required to have some level of physician supervision, and the form it takes varies by state law[2]. Some states also restrict which medications physician assistants may prescribe[2]. A telehealth seller that uses physician assistants should be able to tell you which physician supervises them in your state.
The state-license rule for telehealth
The Federation of State Medical Boards’ telemedicine policy says a physician must be licensed by the medical board of the state where the patient is located, because that is where the practice of medicine occurs[4]. It allows narrow exceptions, mostly for established care and consultations[4].
So the question to ask a telehealth seller is not whether its clinicians are licensed, but whether the one reviewing your intake is licensed in your state. The telehealth across state lines guide walks through what happens when you travel or move. How a prescription is written for two compounds in particular is in sermorelin prescription and PT 141 prescription.
Is any of them a controlled substance?
DEA’s alphabetical list of controlled substances, updated in August 2026, does not name semaglutide, tirzepatide, liraglutide, orforglipron, sermorelin, NAD, glutathione, GHK-Cu or bremelanotide[5]. The list names parent chemicals and notes that salts, isomers and derivatives can also be controlled[5], so the check is by name, not an exhaustive ruling.
What to ask before the visit
Ask the seller what kind of clinician will review your intake, whether that person is licensed in your state, and, for a nurse practitioner or physician assistant, who collaborates or supervises. The steps of a typical online visit, and what each costs, are in how online peptide therapy works. If you would rather see someone in person, see peptide therapy near me.