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MadeMed

MadeMed prints a strength and a schedule for every peptide it sells. A blood test comes before the prescription. Nothing is sold by the month.

Review by Paul Hardy, standards editor · Updated October 2026

The short version

The dosing detail here is real. Sermorelin is 9 mg in 3 mL, taken daily. NAD+ is 1,000 mg a month across eight injections. Both require a blood test first. Two things undercut that. The shortest plan is three months prepaid, with no refunds. The site also publishes two state lists that cannot both be true.

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Lowest listed: Sermorelin sublingual, from $109/mo

The About page and four product pages list 40 states; four other product pages list 23, including three the 40-state list excludes

Visit MadeMed →

MadeMed is a cash-pay telehealth service with nine products. Four are compounded GLP-1s, in an injection or a sublingual tablet. Two are sermorelin, again as an injection or a tablet. Two are NAD+, as an injection or a nasal spray. The ninth is a combination troche for sexual health. There is no monthly plan on any peptide.

What MadeMed prescribes, by goal

Weight

  • SemaglutideFDA-approved
    • Injection (compounded)Price not published
    • Sublingual (compounded)Price not published
  • TirzepatideFDA-approved
    • Injection (compounded)Price not published
    • Sublingual (compounded)Price not published

Each GLP-1 prints its titration ladder in milligrams, weekly for the injections and daily for the tablets. The cost comes only as a quarter paid at once. Injectable semaglutide is billed $717 every three months and tirzepatide $1,197. The sublingual tablets are $657 and $897. With no one-month plan, these four carry no ranked monthly price on this site.

Longevity

  • NAD+Legal to compound
    • Injection (compounded)From $209/mo
    • Nasal spray (compounded)From $279/mo

NAD+ injections are $209 a month on a quarterly plan. The protocol is printed. It is 1,000 mg a month, eight injections of about 125 mg, every three to four days. The nasal spray is $279 and prints 7,500 mg a bottle at 500 mg per mL. It gives no per-spray dose.

Recovery

  • SermorelinLegal to compound
    • Injection (compounded)From $179/mo
    • Sublingual (compounded)From $109/mo

Injectable sermorelin is $179 a month, quarterly, and prints 9 mg in 3 mL as a daily injection. The oral tablet is $109 and prints 1,000 mcg. The two figures do not reconcile. 9 mg over 30 days is 300 mcg a day, and the oral page benchmarks against 900 mcg.

Sleep

  • SermorelinLegal to compound
    • Injection (compounded)From $179/mo
    • Sublingual (compounded)From $109/mo

The sublingual sermorelin tablet is taken once daily, at bedtime, under the tongue. That is the clearest dosing instruction on the site.

Each “From” figure is the seller’s own starting price, in the unit the seller states. Where a required fee or a package length changes what one month costs, the smaller line under it is our arithmetic, not a figure the seller prints. Compounded preparations are not FDA-approved.

Who prescribes

A licensed clinician

MadeMed names one physician. Dr. Thai Pham is described as a board-certified internist with over 25 years of practice. No license number or state is given. The terms name the medical group as well. It is Xpedicare, LLC, and MadeMed states plainly that it does not employ the providers.

The intake is an online questionnaire. A video visit is not mentioned anywhere, and the FAQ says no call is needed. A physician reviews it within a day. Sermorelin and NAD+ add a lab step before that review. A $39 quarterly consultation fee is folded into the monthly price. Dose increases wait for a quarterly check-in and your own request.

Are labs required?

Required for three products

Three products require a blood test before a prescription. Sermorelin injections need an IGF-1 result. Both NAD+ products need a comprehensive metabolic panel. You get the draw at Labcorp or Quest, or upload a result from the last six months. No lab price is printed. The oral sermorelin page asks for no lab at all.

Ready to start with MadeMed?

Lowest listed price: Sermorelin sublingual, from $109/mo. Confirm it on the seller’s own site.

Visit MadeMed →

What it claims, and what it cites

The weight-loss numbers are the weakest part. A 15 to 20 percent loss is claimed for semaglutide. Tirzepatide is given 20 to 25 percent. No trial is named for either. The sexual-health troche goes further and calls PT-141 FDA-approved for low sexual desire. The approved product is a brand injection for one condition in premenopausal women. This is not that product.

On MadeMed’s siteSource it gives
On MadeMed’s site“15-20% average body weight loss.”Source it givesNone given
On MadeMed’s site“PT-141 is FDA-approved for low sexual desire”Source it givesA reference to "FDA guidelines for the brand-name version (Vyleesi)", which is approved for one diagnosis in premenopausal women
On MadeMed’s site“1000mcg sublingual = clinically equivalent dose to 900mcg injectable”Source it givesNone given
On MadeMed’s site“Powered by Patented NanoNAD+ Technology”Source it givesNone given

Sold by MadeMed, not listed here

The tadalafil, PT-141 and oxytocin troche
A combination product; this site lists a compound only where it is sold on its own.

How it bills

Eight of the nine products have no monthly rung. The shortest is three months, billed in one charge. Sermorelin injections are $537 a quarter and the tablets $327. NAD+ injections are $627 and the nasal spray $837. Six-month plans take $10 a month off each of those. The GLP-1s are sold the same way. A quarter runs from $657 for sublingual semaglutide to $1,197 for injectable tirzepatide. Shipping is free and overnight. Cancellation takes effect at the end of the paid period, and nothing is prorated. MadeMed emails you seven days before each charge. Pausing stops billing at once. If a physician declines you, the refund is everything minus a $39 visit fee.

Availability: The About page and four product pages list 40 states; four other product pages list 23, including three the 40-state list excludes

LegitScript: seal displayed on the seller’s site

For and against

  • For: Strength and schedule printed for both peptides
  • For: Blood test required before sermorelin or NAD+
  • For: Names the medical group in its terms
  • For: Seven days' notice before every charge
  • Against: No monthly plan on any peptide
  • Against: Two state lists that contradict each other
  • Against: Three different pharmacies named
  • Against: No refund is ever prorated

The evidence behind what it sells

Right for

Readers who want a printed milligram and a required lab before starting sermorelin or NAD+.

Look elsewhere if

Anyone who wants to try one month first, or who needs to know which state list applies.

Other sellers for weight

MadeMed

Frequently asked questions

Does MadeMed require labs for sermorelin?
Yes, for the injection. An IGF-1 blood test is required before prescribing. The sublingual tablet page asks for no lab.
How much sermorelin does MadeMed ship?
The injection is 9 mg in 3 mL as a 30-day supply, taken daily. The tablet is 1,000 mcg, taken nightly under the tongue.
Can I buy one month of a MadeMed peptide?
No. The shortest plan is three months, charged in one payment, and refunds are never prorated.

See what MadeMed prescribes today

MadeMed sets its own prices, plans and the states it serves. Check them before you start.

Visit MadeMed →
Written by Paul Hardy from MadeMed’s own public pages, against the published methodology. No outcome is claimed first-hand and no score is given. A partnership never changes what this page says; see how the site is paid.