Peptide therapy pricing varies widely depending on the compound, the provider, whether the protocol includes physician oversight, and your location. This guide breaks down what you can realistically expect to pay for the most common protocols in 2026, what should be included in a legitimate price, and how to evaluate whether a quote represents good value.
Tides pricing (2026)
Tides offers physician-prescribed injectable protocols with all costs bundled into a single monthly subscription. There are no hidden fees, separate physician consultation charges, or surprise pharmacy costs. Every subscription includes the health assessment, physician evaluation, the medication itself, and ongoing physician access.
| Compound | Category | Monthly price | Included |
|---|---|---|---|
| Sermorelin | Anti-aging and body composition | $229/month | Assessment, prescription, medication, physician check-ins |
| NAD+ | Longevity and cellular energy | $229/month | Assessment, prescription, medication, physician check-ins |
| B12 | Energy and metabolic support | $145/month | Assessment, prescription, medication, physician check-ins |
| Glutathione | Antioxidant and cellular health | $145/month | Assessment, prescription, medication, physician check-ins |
| Methylene Blue | Cognitive and mitochondrial support | $145/month | Assessment, prescription, medication, physician check-ins |
| Lipo-C | Fat metabolism support | $145/month | Assessment, prescription, medication, physician check-ins |
Market context: what these protocols typically cost elsewhere
Traditional peptide clinics and telehealth providers vary widely in their pricing structures. Some charge physician consultation fees separately from the medication. Others charge a membership fee plus per-compound costs. The price ranges below reflect typical market rates in 2026. Tides pricing is designed to be transparent and all-in.
| Compound | Typical market range | Notes |
|---|---|---|
| Sermorelin | $200 to $400/month | Physician fees sometimes separate |
| NAD+ injectable | $150 to $350/month | Clinic IV treatments cost $250 to $1,000 per session |
| B12 injectable | $50 to $150/month | Wide range based on frequency and provider |
| Glutathione injectable | $100 to $250/month | Clinic IV treatments more expensive |
| Methylene Blue (oral) | $79 to $150/month | Emerging cognitive health category, limited telehealth providers |
| Lipo-C injectable | $100 to $200/month | Lipotropic blends vary widely by formulation and provider |
| Semaglutide (compounded) | $200 to $600/month | Not currently offered through Tides |
Good to know: Very low prices can be a warning sign. Pharmaceutical-grade compounded peptides have minimum production costs. If a provider is offering Sermorelin for $75 per month, it is worth asking serious questions about the quality of the compound and whether a physician is actually reviewing your protocol.
What a legitimate protocol should include
A well-structured peptide protocol is not just a monthly medication shipment. It should include:
- A physician health assessment before any prescription is written
- A licensed physician's review and prescription, not just a nurse practitioner or automated intake
- Medication compounded at a licensed U.S. pharmacy (not imported or unverified)
- Ongoing physician access for check-ins and protocol adjustments
- Clear pricing with no hidden fees or separate consultation charges
Insurance and HSA/FSA coverage
Most insurance plans do not cover compounded injectable protocols. However, FSA and HSA funds can typically be used for physician-prescribed medical treatments. Peptide protocols prescribed by a licensed physician generally qualify. This can effectively reduce your out-of-pocket cost by 20 to 35 percent depending on your tax bracket. Check with your FSA or HSA administrator to confirm eligibility for your specific plan before assuming coverage.
Is it worth the cost?
The value question depends on what you are comparing to and what your goals are. For anti-aging and body composition, Sermorelin at $229 per month compares favorably to synthetic HGH at $500 to $2,000 per month, with a more favorable safety profile. For energy and longevity, NAD+ at $229 per month sits well below the cost of monthly IV clinic treatments, which typically run $300 to $1,000 per session. For basic metabolic support, B12 and Glutathione at $145 per month represent a cost-effective way to access physician-supervised injectable protocols. The key is choosing a provider that includes real physician oversight, not just a subscription to a medication.