10rx review

What it is

10rx is a nationwide direct-to-consumer telehealth program built around compounded weight-loss medication, with sermorelin and NAD⁺ offered alongside it for what the company frames as energy and recovery. You complete a free online health quiz, a licensed telehealth provider reviews your history — 10rx says its reviewers are board-certified — and licensed pharmacy partners ship if a prescription is issued. It is a cash-pay program and does not bill insurance.

How it works

Quiz-first and asynchronous: you fill in an online health questionnaire, a licensed provider reviews it, and medication ships. There is no baseline lab work in the default path, which matters more than it sounds for a growth-hormone-axis peptide — if you want an IGF-1 or metabolic panel before starting sermorelin, you will need to arrange it yourself. The company says it ships to all 50 states but publishes no state list, so eligibility is only really confirmed once the quiz has been reviewed. The transparency gaps are the substance of the assessment rather than a footnote to it: the legal operating entity is not published anywhere on the site, the pharmacy partners are described as licensed but never named, there is no terms-of-service page posted, and the FAQ answers load only via script. None of that is illegal, and all of it makes the company harder to hold to account than its peers.

Pricing transparency

10rx publishes roughly $198/mo for sermorelin and NAD⁺, which is the figure on our peptide board, and it publishes its compounded GLP-1 pricing openly too. Published pricing is a real point in its favour — plenty of providers in this batch make you apply before they will quote you. The questions worth asking before you pay are whether $198 covers one product or both, what dose that supplies, what happens to the price on refills, and what the cancellation terms are, because with no terms page posted there is nothing to read in advance.

Branded vs compounded

Compounded; not FDA-approved. Prescription required only if a licensed provider finds it appropriate. Sermorelin, NAD⁺ and the GLP-1 products are all compounding-pharmacy preparations, none therapeutically equivalent to an FDA-approved branded drug, and compounded sterile products are not reviewed by the FDA for purity and potency the way approved drugs are — which is exactly why an unnamed pharmacy partner is a substantive gap rather than a paperwork one. On the evidence, keep the two products apart. Sermorelin acts on the growth-hormone axis, which is a real and well-described mechanism, but the long-term human outcome data behind it stays thin. Injectable NAD⁺ has no controlled human outcome trials at all; the forms with actual trial data are the oral precursors NR and NMN, and what those trials show is that they raise blood NAD⁺, not that raising it changes how you feel or age. Individual results vary.

Pros and watch-outs

The evidence behind what 10rx prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• Sermorelin: a real GHRH drug, read against the anti-aging pitch

  An approved growth-hormone-releasing analog with a pediatric track record — and a longevity case built more on biomarkers than outcomes.

• NAD+ precursors (NR and NMN): what the human trials actually show

  They raise NAD+ and look safe short-term — but human evidence is surrogate-marker level, and no trial shows they extend healthspan.

How 10rx compares

A few alternatives worth a look, depending on what you’re optimizing for.

• Invigor Medical

  Prescription at-home NAD⁺ injections via telehealth

  See Invigor Medical →
• SLSystem Labs

  NAD⁺ bundled with glutathione, B-12 and sermorelin from one service

  See System Labs →
• Defy Medical

  The widest physician-supervised peptide menu with lab testing

  See Defy Medical →