Search "sermorelin cost online" and you get a column of monthly prices. Nearly every one of them is the month-one rate. The ongoing rate (what you actually pay starting in month two, for a treatment that typically runs six to twelve months) appears on fewer than half the clinic pages we checked, and two clinics refuse to name it at all before intake.
This article uses prices verified directly from clinic product pages, recorded in our database between September 9 and 14, 2026. We show both columns where both exist, flag the derivation when we computed a monthly equivalent from a supply price, and name the clinics that only disclose month one.
What Sermorelin Is
Sermorelin is a synthetic peptide that stimulates the pituitary gland to release growth hormone. It is not itself growth hormone. Compounded sermorelin acetate can be legally prescribed through 503A compounding pharmacies pursuant to a valid patient-specific prescription. The FDA has confirmed the ingredient was not withdrawn from sale for reasons of safety or efficacy. Clinics offering it online typically prescribe after a short intake questionnaire, and some require a baseline IGF-1 lab test first.
Why every online sermorelin prescription is compounded
GEREF (sermorelin acetate for injection, manufactured by Serono) was approved by FDA for diagnosing growth hormone deficiency in children and was used off-label in adults for years. The product was discontinued by 2008, and no FDA-approved sermorelin product is marketed today.
In 2013, FDA's Federal Register (document 2013-04827) formally determined that GEREF "was not withdrawn from sale for reasons of safety or effectiveness." That finding opens the door for compounding: under section 503A of the FD&C Act, a pharmacy can legally prepare a drug that has been approved and later discontinued, provided it was not pulled for safety or effectiveness reasons. So what an online clinic prescribes is made to order at a compounding pharmacy.
503A compounding pharmacies operate under state pharmacy boards and compound for individual patients under a valid prescription. This is the more common arrangement for peptide prescriptions from longevity clinics. 503B outsourcing facilities are registered with FDA, held to cGMP manufacturing standards, and can supply product without a patient-specific prescription. FDA applies different scrutiny to outsourcing facilities for certain peptides: ipamorelin acetate is in FDA's category 2 list under the 503B interim policy, while sermorelin does not appear on that list as of October 2026. It is worth asking a clinic whether its pharmacy is 503A or 503B.
Sermorelin Prices at 13 Online Clinics
Each price below is sourced from the clinic's own product page and recorded on the date shown. "Not published" means the page exists, the product is offered, and no ongoing rate appears anywhere we could read.
| Clinic | Month 1 | Month 2+ | Dose | Verified |
|---|---|---|---|---|
| Embody | $49 (sale) | $99 | Not published | 2026-10-14 |
| Fidelity Medical Clinic | ~$99* | ~$99* (flat) | Not published | 2026-09-10 |
| He & She MD | $99 | $149/mo | Not published | 2026-09-14 |
| MyDrHank | $137 | $137 (flat, stated) | Not published | 2026-10-06 |
| Made Med | $169 | $169/mo | Not published | 2026-10-06 |
| bmiMD | $119 (3-month plan) | $99/mo (6-month plan) | Not published | 2026-10-06 |
| Precision Telemed | $149.99 | $179.99/mo | Not published | 2026-09-14 |
| Wellorithm | $150 | $200/mo | Not published | 2026-09-14 |
| Pallas Health | $139 (first month) | $179 every 4 weeks | Not published | 2026-10-16 |
| System Labs | None shown (price block) or $109 (FAQ) | $149/mo monthly or $129/mo quarterly (price block), or $219/mo (FAQ) | 9 mg | 2026-10-25 |
| Ivy Rx | $175 or $179† | Not published | Not published | 2026-10-01 |
| RxSpan MD | $179 | Not published | Not published | 2026-09-09 |
| Get Heally | $175 | Not published | Not published | 2026-09-14 |
* Fidelity Medical Clinic prices sermorelin as $198 for an 8-week supply. The $99/mo figure is our arithmetic, not a number the clinic prints.
† Ivy Rx shows two figures for the same product: "Sermorelin $175" on its homepage and "From $179 (use varies)" on its sermorelin product page (both read October 1, 2026), with no billing period beside either. Until late September it printed a commitment ladder (one month $225, three months $585, six months $1,050, paid upfront); that table is no longer on the page.
The Three Transparency Tiers
Tier 1. Both rates named on the page
Precision Telemed is the one clinic that explicitly labels the two prices in its own copy: "First month $149.99, then $179.99/mo." That is an $30/mo step-up, disclosed without prompting. It is the clearest sermorelin pricing in this set. See the Precision Telemed review.
System Labs also publishes both rates, and they show the largest absolute jump, but its sermorelin page does not agree with itself. On 6 October 2026 the header showed $89 for month one and $175 per month after on seven of eight fresh loads (and $109, then $219 on the eighth), while the FAQ on the same page says "First month is $109. After that, $219 per month." On a nine-month protocol that is $1,489 at the header's figures or $1,861 at the FAQ's, against $1,575 or $1,971 at the ongoing rate for all nine months. Either way the entry discount is one month's difference ($86 or $110), and nothing more. Read again on 16 October 2026, the price block showed sermorelin injection at $129 a month with no first-month figure and the ODT at $79, then $159, while the FAQ still said $109, then $219; we show the price block's figure and flag the contradiction. On 25 October 2026 that $129 was the quarterly plan ($387 a quarter), with $149 a month on the monthly plan, and the FAQ was unchanged. The entry price is a meaningful discount only if you cancel after one month, which is not how sermorelin is typically used. System Labs publishes the dose (9 mg/month), which almost nothing else in this set does. See the System Labs review.
Wellorithm shows "$150 first month, then $200/mo*" on its sermorelin page. The asterisk has no visible footnote anywhere on the page. The ongoing rate is named, which matters. But what the asterisk qualifies is not. See the Wellorithm review.
He & She MD states sermorelin at $99 for the first month, then $149/month, with a three-month plan priced at $397. The math checks: $99 + $149 + $149 = $397. The ongoing rate is real and verifiable from the page. See the He & She MD review.
Tier 2. Flat or calculable rates
MyDrHank prices every longevity product on its own page at a single rate, with no first-month promotion. Sermorelin is $137/mo. No entry discount, no step-up. See the MyDrHank review.
Made Med shows sermorelin at $169 a month, read on its own page on October 6, 2026. One rate, no first-month promotion. See the Made Med review.
bmiMD ties the monthly rate to the plan length: $119 a month on a 3-month plan and $99 a month on a 6-month plan, read October 6, 2026. The lower figure is the longest commitment, not an introductory discount. See the bmiMD review.
Pallas Health charges $139 for the first month of sermorelin, then $179 every 4 weeks (read 16 October 2026; it was $199 on 27 September). So there is an entry/ongoing distinction, and the 4-week cycle means 13 charges a year. See the Pallas Health review.
Embody prices sermorelin and NAD+ at $49 for the first month, then $99/month, and glutathione at a flat $99, each on its own subdomain. All three sit under a "Pre-Black Friday" sale banner, and no page names the rate after the sale (read 14 October 2026). See the Embody review.
Fidelity Medical Clinic is the outlier: it prices everything as supply packages, not monthly rates. The sermorelin supply is $198 for eight weeks, which works out to approximately $99/month. That arithmetic is ours. No monthly rate is ever printed on the site, which makes it hard to compare at a glance. And hard to spot any future change. See the Fidelity Medical Clinic review.
Ivy Rx used to belong here: until late September its product page printed every commitment tier with its per-month equivalent and the upfront total. As of October 1, 2026 that table is gone, and the page shows only "From $179 (use varies)" while the homepage shows $175. It now belongs with the clinics that do not publish an ongoing rate. See the Ivy Rx review.
Tier 3. Only month one disclosed
RxSpan MD marks every price on its longevity page as "(For the first month)". Sermorelin ODT at $179, NAD+ injection at $249, glutathione at $149. The page describes four billing cadences (monthly, quarterly, semi-annual, annual). For NAD+ injection its plan chooser prices them ($249 month to month, $199, $166 and $150 a month prepaid for 3, 6 and 12 months, read 16 October 2026); for sermorelin it does not, so you cannot calculate a six-month sermorelin total from what the page shows. See the RxSpan MD review.
Get Heally lists sermorelin at "$175 First Month" and "$175 / 1st mo" in two places. No ongoing rate appears anywhere on the page. The clinic is available in all 50 states and carries a broader treatment menu than most of this set (rapamycin, DUTCH testing, CGM). But on sermorelin pricing specifically, it is the same gap as RxSpan MD. See the Get Heally review.
Questions to Ask Before You Sign Up
For any clinic not in Tier 1 above, these are the questions the product page doesn't answer for you:
- What is the price starting in month two? Get the exact dollar figure in writing, not a range or a "subject to your plan" answer.
- Is the entry price conditional on a particular plan length? Some clinics apply the promotional first-month rate only if you pre-pay for three or more months.
- What is the dose? Most of this set does not publish it. System Labs (9 mg) and a few others do. Without the dose, cost-per-milligram comparisons are not possible.
- Does the price include telehealth consultations and labs, or are those billed separately? A plan that bundles quarterly labs is not directly comparable to a standalone injection program.
- Is the pharmacy 503A or 503B?
- Is the ongoing rate the same across all supply cadences? A monthly subscription and a quarterly pre-pay sometimes have different ongoing rates. Not just a one-time total difference.
The Bottom Line
If the ongoing rate is what determines whether a protocol is affordable, the clinics that only publish month one are telling you less than a third of what you need. Tier 1 clinics (Precision Telemed, System Labs, Wellorithm, He & She MD) give you both numbers before intake. Tier 2 clinics (MyDrHank, Made Med, bmiMD, Pallas Health, Embody, Fidelity, Ivy Rx) publish flat or stepped rates you can compare directly. Tier 3 clinics (RxSpan MD, Get Heally) require a conversation before you can quote a six-month total.
For a broader look at NAD+ clinic pricing, see NAD+ supplement vs. clinic cost and the full clinic ranking.
Sources
- Federal Register, 4 March 2013, document 2013-04827 (GEREF not withdrawn for safety or effectiveness). Read October 2026.
- FDA, Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act, https://www.fda.gov/drugs/human-drug-compounding/bulk-drug-substances-used-compounding-under-section-503a-fdc-act. Read October 2026.
- Clinic prices read directly from each clinic's own page; dates as noted in the table.
