Every program begins with a medical intake reviewed by an independent licensed provider. If treatment is appropriate for you, a prescription is issued and dispensed by a licensed pharmacy, which ships directly to you. You are not charged until a provider has approved treatment.

Compounded tirzepatide vial, for illustration only

Tirzepatide

Compounded Tirzepatide

Metabolic support, personalised to you.

Tirzepatide acts on two pathways, GIP and GLP-1, both of which are involved in appetite, satiety and glucose regulation. It is prescribed as part of medically supervised weight management, alongside changes to nutrition and activity.

Your provider reviews your health history and goals, decides whether treatment is appropriate for you, and sets and adjusts your dosing over time based on how you respond and what you tolerate.

What the program includes

  • A medical evaluation by an independent licensed provider
  • A dosing plan set and adjusted by that provider
  • Medication dispensed by a licensed pharmacy and shipped to you
  • Messaging and follow-up through your patient portal

Supply options

  • One-month supply
  • Three-month supply

Who it's for. Adults considering a medically supervised weight-management program.

From $199.99/month Includes your medical consultation

See if you qualify
Compounded semaglutide vial, for illustration only

Semaglutide with vitamin B12

Compounded Semaglutide

A physician-guided approach to weight management.

Semaglutide is a GLP-1 receptor agonist. It acts on pathways involved in appetite and satiety, which is why providers prescribe it as part of medically supervised weight management, alongside changes to nutrition and activity.

Your program begins with a medical evaluation. If a provider determines treatment is appropriate for you, they set your starting dose and adjust it over time based on your response, your goals and what you tolerate.

What the program includes

  • A medical evaluation by an independent licensed provider
  • A dosing plan set and adjusted by that provider
  • Medication dispensed by a licensed pharmacy and shipped to you
  • Messaging and follow-up through your patient portal

Supply options

  • One-month supply
  • Three-month supply

Who it's for. Adults considering a GLP-1–based weight-management program under medical supervision.

From $160/month Includes your medical consultation

See if you qualify
Sermorelin vial, for illustration only

Sermorelin · MICC + B12

Metabolic Sculpt

Individual therapy options, assessed one at a time.

Metabolic Sculpt is not a fixed combination. Eligible patients have access to individual therapy options, and your provider determines which of them, if any, is appropriate for you based on your medical history, your goals and a clinical evaluation.

Sermorelin is a prescription medication. A provider may decide that none of these options is appropriate for you.

Available options

  • Sermorelin — individual therapy
  • MICC + B12 — individual wellness option

Supply options

  • One-month supply
  • Three-month supply

Who it's for. Adults who want a provider to assess whether one of these therapies is appropriate for them.

From $295/month Includes your medical consultation

See if you qualify
Glutathione and NAD+ vials, for illustration only

NAD+ · Glutathione

Anti Aging

Two options, prescribed individually.

This program offers NAD+ and glutathione as separate therapy options rather than a combination. Your provider determines which of them, if any, is appropriate for you based on your clinical profile and your goals.

These are compounded preparations. A provider may decide that neither option is appropriate for you.

Available options

  • NAD+ — individual therapy
  • Glutathione — individual therapy

Supply options

  • One-month supply
  • Three-month supply

Who it's for. Adults who want a provider to assess whether one of these options is appropriate for them.

From $180/month Includes your medical consultation

See if you qualify
Hair Growth Hybrid, for illustration only

Minoxidil · Finasteride · Biotin

Hair Growth Hybrid

A multi-pathway approach for fuller, stronger, healthier-looking hair.

Hair Growth Hybrid combines active ingredients in a topical spray or an oral gummy, depending on the formulation. These are used to support healthy hair growth, stronger-looking hair, and overall scalp wellness as part of a daily routine.

Your provider reviews your health history and goals, and determines which formulation — and which combination of ingredients — may be appropriate for you.

Available options

  • Minoxidil / Finasteride / Tretinoin — topical spray
  • Minoxidil / Finasteride / Latanoprost / Ketoconazole — topical spray
  • Biotin 4mg / Fluocinolone

Supply options

  • One-month supply
  • Three-month supply

Who it's for. Adults who want a provider to assess whether a hair growth formulation is appropriate for them.

From $150/month Includes your medical consultation

See if you qualify
Skincare Creams, for illustration only

Estriol · Tretinoin · GHK-Cu

Skincare Creams

Physician-guided topical care for healthier-looking skin.

This program offers physician-guided topical formulations combining ingredients such as GHK-Cu, tretinoin and estriol, depending on your clinical evaluation and skin goals.

Your provider determines which formulation, if any, is appropriate for you based on your medical history and individual needs. These are compounded preparations, and a provider may decide that neither option is appropriate for you.

Available options

  • Estriol / Tretinoin — topical cream
  • Estriol / GHK-Cu — topical cream

Supply options

  • One-month supply
  • Three-month supply

Who it's for. Adults who want a provider to assess whether a topical skincare formulation is appropriate for them.

From $160/month Includes your medical consultation

See if you qualify
Testosterone Replacement Therapy, for illustration only

Testosterone Cypionate

Testosterone Replacement Therapy (TRT)

Physician-guided testosterone therapy for eligible adults.

TRT provides testosterone replacement therapy for eligible men experiencing symptoms associated with clinically low testosterone, following a health assessment and appropriate laboratory testing.

Your provider reviews your labs and health history, decides whether treatment is appropriate for you, and sets and adjusts your dosing based on your response. This program is not intended for bodybuilding or performance enhancement.

Available options

  • Testosterone Cypionate — individual therapy, strength and dosing set by your provider

Supply options

  • One-month supply
  • Three-month supply

Who it's for. Adult men considering testosterone replacement therapy under medical supervision, based on lab results and clinical evaluation.

From $199/month Includes your medical consultation

See if you qualify
FDA-approved branded GLP-1 tablets, for illustration only

Semaglutide · FDA-approved

FDA-Approved Branded GLP-1 Tablets

Trusted medication. Proven science. Personalized care.

Ascendra offers access to FDA-approved branded GLP-1 medications in tablet form, providing an oral option for patients who may benefit from GLP-1 therapy. These prescription medications contain semaglutide, a GLP-1 receptor agonist that works with the body's natural pathways involved in blood sugar regulation, appetite and metabolism.

Your provider will evaluate your health history, goals and eligibility to determine whether an FDA-approved branded GLP-1 tablet is appropriate for you. Treatment is provided with individualized medical guidance and ongoing clinical support.

What the program includes

  • A medical evaluation by an independent licensed provider
  • FDA-approved branded medication, not compounded
  • Medication dispensed by a licensed pharmacy and shipped to you
  • Messaging and follow-up through your patient portal

Supply options

  • One-month supply

Who it's for. Adults considering an FDA-approved, prescription-based oral GLP-1 option under medical supervision.

From $450/month Starting price · final price at checkout

See if you qualify
FDA-approved branded GLP-1 pen injector, for illustration only

GLP-1 medication · FDA-approved

FDA-Approved Branded GLP-1 Injector

Proven therapy. Convenient delivery. Personalized care.

Ascendra offers access to FDA-approved branded GLP-1 medications delivered through an injectable pen, providing a convenient and clinically established option for patients seeking support with weight management and metabolic health.

GLP-1 medications work by mimicking naturally occurring hormones that help regulate appetite, food intake, blood sugar and other metabolic processes. Depending on the medication prescribed, GLP-1 therapy may be indicated for chronic weight management, cardiovascular risk reduction and/or management of type 2 diabetes.

Your provider will review your medical history, health goals and eligibility to determine whether an FDA-approved branded GLP-1 medication is appropriate for you. If prescribed, your treatment plan includes individualized dosing guidance and ongoing clinical support.

What the program includes

  • A medical evaluation by an independent licensed provider
  • FDA-approved branded medication, not compounded
  • Medication dispensed by a licensed pharmacy and shipped to you
  • Messaging and follow-up through your patient portal

Supply options

  • One-month supply

Who it's for. Adults considering an FDA-approved, prescription-based injectable GLP-1 option under medical supervision.

From $599/month Starting price · final price at checkout

See if you qualify

Before you begin. Completing an intake, paying a fee or selecting a program does not guarantee that treatment will be prescribed. An independent licensed provider may approve treatment, request more information, recommend a different treatment, refer you for in-person care, or decline. You are not charged until a provider has approved treatment.

Program pricing includes the medical consultation and is shown before you complete your order. Some programs involve compounded medications. Compounded medications are not FDA-approved — the FDA does not review them for safety, effectiveness or quality before they are marketed. Individual results vary, and no outcome is guaranteed.

We serve patients in every U.S. state except Alaska and Hawaii. Vial images are for illustration only and do not depict actual dispensed medication.