How the route works.
How clinical review and separate pharmacy review would work if treatment visits open, and what the current Promise waitlist means.
The short version
Promise is currently accepting waitlist signups. Signup is not a treatment request and does not result in a prescription. If treatment visits open, any treatment request would require clinical review; prescribing and pharmacy fulfillment would remain separate decisions.
The planned process if treatment visits open.
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Choose a treatment and answer its health questions
Every treatment has its own online questionnaire. It asks about your health history, the medicines you take, relevant conditions and what you are hoping for. The questions differ between treatments because the things that matter differ: what a provider needs to know before prescribing a growth-hormone peptide is not what they need to know for a GLP-1 medicine.
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A licensed provider reviews the request
A licensed provider reads what you wrote and makes the decision: prescribe, or decline. This review happens for every request. There is no version of the route that skips it.
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Pharmacy review is a separate step
A prescription does not guarantee preparation or dispensing. A pharmacy must separately determine whether it can fulfill the prescription under the applicable requirements.
What “not everyone qualifies” means
It means the provider’s review is real. A treatment can be a poor fit for reasons that have nothing to do with how much someone wants it: a health condition, another medicine, pregnancy or breastfeeding, or a goal the treatment has not been studied for. A provider can also decline because a treatment is not offered in your state.
A no is not a judgment of you. It is the part of the route that a research-only purchase does not have, and it is the reason the route exists.
States and availability
Promise Peptides lists a planned service area of all 50 states and Washington, DC. Any future treatment availability would vary by state and treatment.
Promise Peptides is currently taking waitlist sign-ups. Joining is not a medical request and no prescription comes from it.
What a prescription does and doesn’t mean
A prescription means a licensed clinician reviewed your health and decided a treatment was appropriate for you. It does not make a compounded medicine FDA-approved: FDA states that it does not verify the safety, effectiveness or quality of compounded drugs before they are marketed.1
It also does not change the research behind a peptide, which for many peptides comes mostly from animal studies. The peptide library sets out that evidence peptide by peptide, with the species named for every finding.
Where Peak fits
Peak is a guide. We don’t see your answers, we are not part of the review, and we don’t prescribe or sell anything. We explain the route and link to Promise, and Peak may earn money when readers become Promise patients.
Promise waitlist
Read about a treatment and view its waitlist.
Join the Promise waitlistPeak may earn money when readers become Promise patients.
Sources
- U.S. Food and Drug Administration. Compounding and the FDA: Questions and Answers.