Peptide therapy online in Maryland: prices and state rules
The short answer
Maryland residents can get peptide protocols prescribed online. Maryland Health Occupations 1-1003 requires a clinical evaluation before a telehealth prescription and lets the practitioner do it by a synchronous or an asynchronous interaction. Maryland's boards had published no statement on peptides as of October 29, 2026. Prices begin at $68/mo, and compounded medications are not FDA-approved.
What Maryland rules say
Maryland's telehealth law names both synchronous and asynchronous evaluations, and its Board of Pharmacy has fined an out-of-state pharmacy for shipping in without a permit. Peptides themselves have not been addressed. Links go to the Maryland Code and Board records.
| Topic | What it says | Source |
|---|---|---|
| Peptides | A Maryland Board of Pharmacy or Board of Physicians statement on peptides: no published statement found as of October 29, 2026. | health.maryland.gov/pharmacy (searched) |
| Evaluation | A practitioner "shall perform a clinical evaluation that is appropriate for the patient and the condition" before treating or prescribing through telehealth. | Health Occupations 1-1003(b)(1) |
| Sync or async | That evaluation may use "a synchronous telehealth interaction or an asynchronous telehealth interaction". | Health Occupations 1-1003(b)(2) |
| Standard of care | Telehealth is held to in-person standards, and the practitioner must refer you to in-person care when that is clinically appropriate. | Health Occupations 1-1003(a) |
| Pharmacy permit | A nonresident pharmacy must "hold a pharmacy permit issued by the Board" to dispense to Maryland patients. | Health Occupations 12-403(e) |
| Sterile preparations | A nonresident pharmacy that will dispense compounded sterile preparations into Maryland must submit an inspection report with its permit application. | Health Occupations 12-403(f)(1)(v) |
| Enforcement | In 2023 the Board fined a New York compounding pharmacy $5,000 for dispensing into Maryland before it held a non-resident pharmacy permit. | Maryland Board of Pharmacy order, 2023 |
Our legal status page covers federal status per protocol. Peptide stacks and DSIP do not fall under the HHS policy; in Maryland, as elsewhere, a licensed provider may still prescribe them after reviewing an intake.
Maryland accepts an asynchronous clinical evaluation. Ours begins with a five-minute intake.
How the online visit works for Maryland patients
- The intake is your evaluation's starting point. About five minutes of questions on health history, medications and goals.
- A licensed US provider completes the evaluation, with physician oversight by Arora Health & Aesthetics, LLC. Prescribing happens only when appropriate, and if in-person care fits better, Maryland law expects a referral.
- A licensed US 503A pharmacy prepares it already reconstituted, with a label showing the concentration.
- Refrigerated delivery to Maryland. Like every state we serve (all 50), Maryland orders ship cold-chain, spend 2 to 3 business days in transit and need an adult signature.
Peptide prices for Maryland
Prices for Maryland match the national catalog to the dollar. Read the status column for each protocol's place under the HHS policy.
| Protocol | Status | Monthly | 3 months | 6 months | From | |
|---|---|---|---|---|---|---|
| Wolverine Stack | Blend: outside policy | $225 | $599 | $1,099 | $183/mo (6-month) | Start |
| Glow Stack | Blend: outside policy | $225 | $599 | $1,099 | $183/mo (6-month) | Start |
| KLOW Stack | Blend: outside policy | $225 | $599 | $1,099 | $183/mo (6-month) | Start |
| BPC-157 | Covered by HHS policy | $163 | $499 | $949 | $158/mo (6-month) | Start |
| Tesamorelin / Ipamorelin | Blend: outside policy | $225 | $599 | $1,099 | $183/mo (6-month) | Start |
| Tesamorelin | FDA-approved brand exists | $199 | $499 | $949 | $158/mo (6-month) | Intake coming soon |
| CJC-1295 / Ipamorelin | Blend: outside policy | $225 | $599 | $1,099 | $183/mo (6-month) | Start |
| Kisspeptin | Not named in the policy | $199 | $499 | $949 | $158/mo (6-month) | Start |
| Semax / Selank | Blend: outside policy | $225 | $599 | $1,099 | $183/mo (6-month) | Start |
| DSIP | Voted against, outside policy | $199 | $499 | $949 | $158/mo (6-month) | Start |
| MOTS-c | Covered by HHS policy | $199 | $499 | $949 | $158/mo (6-month) | Start |
| GHK-Cu | Not named in the policy | $199 | $499 | $949 | $158/mo (6-month) | Start |
| Epitalon | Covered by HHS policy | $199 | $499 | $949 | $158/mo (6-month) | Start |
| Compounded Tirzepatide | FDA-approved brand exists | $250 | $498 | $948 | $118/mo (12-month) | Start |
| Compounded Semaglutide | FDA-approved brand exists | $145 | $285 | $564 | $68/mo (12-month) | Start |
TB-500, KPV, standalone Semax, sermorelin and NAD+ are not on our catalog. Consider the Wolverine Stack, the KLOW Stack or Semax / Selank instead.
Maryland cities we ship to
The visit is online and delivery is statewide, so it is available in Baltimore, Columbia, Germantown, Silver Spring, Frederick, Rockville, Gaithersburg, Bethesda, Annapolis and Hagerstown, from the Eastern Shore to Western Maryland, wherever an adult can receive the package.
Prescribed by a provider. Made by a pharmacy. Verified.
Prescribed online, compounded by a licensed 503A pharmacy, delivered chilled across Maryland.
FAQ
Are peptides legal in Maryland?
Maryland had published no peptide rule or board statement as of October 29, 2026. Federal policy applies: since October 28, 2026, HHS allows licensed 503A pharmacies to compound BPC-157, TB-500, MOTS-c, Epitalon, Semax and KPV for patients holding a prescription. None of the six is FDA-approved.
Does Maryland require a video visit for a telehealth prescription?
No single format is required. Section 1-1003 calls for an appropriate clinical evaluation and allows it to be synchronous or asynchronous. If your provider decides you need a video call or in-person care, they will say so.
Does a pharmacy outside Maryland need a permit to ship to me?
Yes. Health Occupations 12-403 requires a nonresident pharmacy to hold a Maryland Board of Pharmacy permit, with an extra inspection report for compounded sterile preparations.
Has Maryland enforced its permit rule?
Yes. A 2023 Board of Pharmacy order fined an out-of-state compounding pharmacy $5,000 for dispensing into Maryland before obtaining its non-resident permit.
How much does peptide therapy cost in Maryland?
Epitalon starts at $158/mo and BPC-157 at $158/mo on the longest plan ($163 month to month). The lowest catalog price is $68/mo, all-in, with no membership.
Does insurance cover peptides in Maryland?
Compounded peptides are generally self-pay. Your plan can tell you whether anything applies to you.
Are peptides like Ozempic?
Semaglutide, the active ingredient in Ozempic, is itself a peptide, but most peptides work differently and are not GLP-1 medications. Branded semaglutide is FDA-approved; the compounded semaglutide a provider can prescribe here, from $68/mo, is not.
Can I get retatrutide?
Retatrutide is not offered here. The GLP-1 protocols available are compounded semaglutide and compounded tirzepatide, prescribed only after a licensed provider reviews your intake.
Open a Maryland intake
Baltimore, Bethesda or Ocean City: a licensed US provider reviews what you send, and a licensed 503A pharmacy compounds and mixes the protocol, then sends it cold-chain.
Where these facts come from
This page is educational and is not medical advice. Compounded medications are not FDA-approved. No results are implied or guaranteed. A licensed provider decides whether any protocol is appropriate for you, and sets any dose.