Peptide
Telehealth
A complete roadmap to build a modern longevity platform. Legal in all 50 states. Live in 4-6 weeks.
A massive, growing market
The peptide and GLP-1 market is exploding. Telehealth is the fastest-growing distribution channel.
Peptide therapeutics market today
Projected by 2034 (10% CAGR)
GLP-1 market alone
Hims quarterly revenue (Q3 '25)
How it works
You're not a pharmacy. You're a telehealth platform connecting patients to licensed providers and fulfillment partners.
Patient Intake
2-min online assessment
Provider Review
Licensed prescriber evaluates
Prescription
eRx to pharmacy partner
Fulfillment
Ships direct to patient
Revenue Model
Cash-pay, no insurance complexity. Margin on medication markup plus platform fee. ReadyRx differentiates with simplicity: no subscriptions, transparent pricing, text-based consults.
The three-entity model
Regulatory compliance requires separation between business operations, clinical decisions, and pharmacy fulfillment. Here's the good news: you only need to create one entity.
Your LLC (MSO)
Technology platform, brand, marketing, patient acquisition, billing operations
Medical PC
Licensed physicians, clinical decisions, prescriptions, medical oversight
Via OpenLoop or similar
Pharmacy
Compounding, fulfillment, shipping, quality testing, FDA compliance
Via Strive or similar
Why this separation?
- CPOM Laws — Corporate Practice of Medicine doctrine prohibits non-physicians from owning medical practices in most states
- Clinical Independence — Physicians must make prescribing decisions without commercial pressure
- Liability Separation — Each entity carries its own professional liability
- Regulatory Compliance — FDA, DEA, and state boards require this structure
What you actually need to form
- 1 LLC — Your MSO/tech company (Delaware or home state)
- EIN — Federal tax ID
- Business bank account
- Business insurance — General liability + E&O
Key Agreement
The MSA (Management Services Agreement) defines your relationship with the medical PC. Your healthcare attorney drafts this (~$5-10K). It explicitly excludes you from clinical decisions.
Bottom Line
You don't create 3 entities. You create 1 LLC and sign partnership agreements with entities that already exist (OpenLoop's physician network, Strive's pharmacy). They handle the regulated stuff. You handle the brand and patient experience.
Competitive overview
| Company | Scale | Model | Pricing |
|---|---|---|---|
| Hims & Hers | Public NYSE | Subscription + meds, pharma deals | $725M GLP-1 target |
| Ro | $7B valuation | Vertically integrated | $199-449/mo |
| Joi + Blokes | 50K+ patients | Hormone-first, biomarkers | $149/mo+ |
| ReadyRx | Model to follow | No membership, text-based | Pay per medication |
| Henry Meds | Private | GLP-1 focused | Under lawsuit |
Key Insight
ReadyRx wins on simplicity: no forced subscriptions, transparent pricing, text-based consults. Less friction = better conversion.
Platform selection
Two strong options. Talk to both. Different tradeoffs depending on your priorities.
OpenLoop Health
Enterprise telehealth infrastructure
- They handle ALL compliance — you focus on brand
- Full PC network included (no separate MSA needed)
- Built-in credentialing, licensing, malpractice
- 600+ payer contracts for insurance billing
- 24/7 patient support included
- Proven: 3M+ patients, 5-star Trustpilot
Ola Digital Health
Fast-launch for peptide/wellness brands
- Fastest to market — validate quickly
- Built specifically for peptide/GLP-1/TRT
- Lower upfront cost, pay as you grow
- eRx with EPCS, HIPAA compliant
- Provider network included
Note: May need outside legal counsel (~$10-15K) for full compliance setup
Talk to Ola →Recommendation
Talk to both. OpenLoop is safer for non-technical founders (compliance is fully handled). Ola is faster/cheaper if you're bootstrapping and willing to layer in your own legal support. Either can work — depends on your runway and risk tolerance.
Pharmacy partners
You partner with certified compounding pharmacies. They handle compounding, testing, and fulfillment under their license.
| Pharmacy | Certifications | White-Label | Contact |
|---|---|---|---|
| Strive Top Pick | PCAB, LegitScript, NABP | Yes (API) | strivepharmacy.com/partnership |
| Empower | PCAB, LegitScript, 503B | Limited | (877) 562-8577 |
| Olympia | FDA 503B | Limited | sales@olympiapharmacy.com |
| CRE8 | PCAB | TBD | (754) 529-8353 |
| Precision | PCAB, 47 states | Yes (Premium) | mypcphealth.com |
Legal Note
Eli Lilly is suing compounders over GLP-1s. Safest products: Sermorelin, NAD+, Glutathione, Metformin, B12/MIC.
50-state prescribers
Physician networks handle recruiting, licensing, credentialing, and malpractice. You just plug in.
OpenLoop Health
20,000+ clinicians · All 50 states · 1 week to go live
Visit siteWheel
Clinician marketplace · Multi-state · Flexible hours
Visit siteSteadyMD
Full clinical staffing + ops · All 50 states
Visit siteYou Also Need: Medical Director
Clinical oversight, protocol development. $5-15K/mo for 20-30 hrs. Source via LinkedIn or your network provider.
LegitScript certification
Required by Google, Meta, Visa, and Mastercard to advertise or process payments.
The 9 Standards
- Proper business/professional licenses
- Legal compliance in all jurisdictions
- Clean 10-year discipline history
- Certified pharmacy partners
- Clear service locations
- HIPAA + SSL encryption
- Valid prescriptions only
- No misleading claims
- Compliant advertising
Launch timeline
Budget estimate
First 6 months to operational.
| Item | Monthly | 6-Month Total |
|---|---|---|
| Platform | $200-500 | $1,200-3,000 |
| Medical Director | $5,000-15,000 | $30,000-90,000 |
| Prescriber Network | Per-consult (~$40-50) | Variable |
| LegitScript | $180/mo after setup | $3,500 first year |
| Legal/Compliance | — | $5,000-10,000 |
| Insurance | $200-500 | $1,200-3,000 |
| Marketing | Variable | $10,000-50,000 |
| Total | $50,000-160,000 |
Launch checklist
Track progress, assign tasks, add notes. Data saves automatically.
Quick Links — Key Contacts
OpenLoop Health
Full-service, handles all compliance
Schedule callOla Digital Health
Fast launch, lower upfront cost
Schedule callStrive Pharmacy
PCAB certified, white-label API
Partnership pageMRN / LegitScript
Expedited certification (2-3 weeks)
Apply nowReady to launch?
4-6 weeks from today, you could have patients.
Start with Ola Digital