Prescription only Made to order by a licensed pharmacy Shipping to 49 states Texas orders not accepted

LegitScript Certified

Longevity Cognitive Sexual Health Vitamins All peptides

Health form

See if you qualify.

For Sermorelin, $187.80. A licensed provider reads every answer before deciding. Provider review included. You are charged only if you are approved.

Fields marked required must be answered. Nothing you type here is used for advertising.

Test environment. Requests submitted here go to the pharmacy's sandbox and are not clinically reviewed.

1. About you

Legal first name required

Legal last name required

Date of birth required

You must be 18 or older.

Sex assigned at birth required

Female Male

Some questions below only apply to one sex.

Email required

Mobile phone required

Street address required

Apartment, suite (optional)

City required

State you will be in for your consultation and delivery required

Not available in Texas.

ZIP required

2. General Health History

What is your current height and weight? required

Do you take any prescription medicines, over-the-counter medicines, vitamins, or supplements? If yes, list each one with the dose and how often you take it. required

Are you allergic to any medicines or other substances? If yes, what are you allergic to, and what happens? required

Have you ever been diagnosed with or treated for any of these? required

heart disease or heart failure irregular heartbeat high blood pressure low blood pressure or fainting stroke blood clot or clotting disorder diabetes or prediabetes kidney disease liver disease thyroid disease cancer seizures bleeding disorder depression/anxiety/bipolar or other mental health condition serious illness/surgery/hospital stay in the past 12 months none of these

If any, briefly tell us when and any current treatment.

For female patients: Do any of these apply to you right now? required

pregnant or might be pregnant breastfeeding trying to get pregnant or planning to in the next 12 months periods stopped 12+ months had a hysterectomy none of these

For female patients who could become pregnant: Do you currently use birth control? required

Pill/patch/ring IUD/implant/shot condoms or other no not sexually active with a male partner

Is there anything else you would like the provider to know? You may upload recent lab results. (Optional)

3. Peptide

What is your main goal? required

recovery/injury healing body composition sleep anti-aging/skin sexual health other

If injury: briefly describe it and whether a doctor has checked it.

Do any of these apply to you? required

cancer treated now or in the last 5 years a lump, tumor, or growth that hasn't been checked pituitary or brain tumor ever diabetic eye disease competitive athlete who gets drug-tested (WADA, NCAA, pro league) none of these

Are you comfortable giving yourself a small under-the-skin injection, keeping medicine in the fridge, and using a sharps container? required

Yes No

4. Your agreement

I have read and agree to the Telehealth Informed Consent (version 10 September 2026). I have read and agree to the Terms of Service, the Privacy Policy and the Consumer Health Data Privacy Policy. Nerea Health may email me about this request and its outcome. Optional: Nerea Health may text me about this request, such as order updates and support replies. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to stop. See our Privacy Policy and Terms. I confirm the information above is accurate and complete to the best of my knowledge. I understand a licensed provider will review my answers and may request additional information, labs, or a live visit before prescribing.

Submitting does not guarantee a prescription. Compounded medications are not FDA-approved.

Nerea Health

Prescription peptides compounded by National Health Rx, a 503A pharmacy. Prescribed by licensed providers.

Goals

Longevity
Cognitive
Sexual Health
Vitamins

Platform

How it works
Browse peptides
Our pharmacy
FAQ

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About
support@nereahealth.com
866-638-0985
2415 Butler Hill Road, Benton, Louisiana 71006

Legal

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Refunds
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Consumer Health Data Privacy Policy

This platform facilitates telehealth consultations with licensed healthcare providers. Prescribing is done by independent licensed providers, not by Nerea Health. Telehealth consultations are provided by US Health and Wellness, Inc. (USHWN), ushwn.com, a Wyoming corporation at 30 N Gould St, Suite R, Sheridan, WY 82801. Its listed clinician is Medical Director Robert Vichich, M.D., NPI 1780983569. Compounded medications are dispensed by National Health Rx LLC, doing business as Partell Pharmacy, a 503A-licensed compounding pharmacy at 5835 S Eastern Ave, Suite 101, Las Vegas, NV 89119, (702) 791-3800, Nevada pharmacy permit PH02028. Compounded medications are not FDA-approved, and the FDA does not check them for safety or effectiveness before they go on sale. These statements have not been evaluated by the FDA. What you get out of it will not be the same as what someone else gets. Nothing here is medical advice; talk to your own clinician.

Nerea Health, 2415 Butler Hill Road, Benton, Louisiana 71006. support@nereahealth.com · 866-638-0985

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