47 states are served by Perstet. We do not serve California, South Carolina, or New Jersey. If you live anywhere else in the US, you can complete an intake and be reviewed by a physician licensed in your state.

Prescriptions are prepared and shipped by Rush Pharmacy, a LegitScript-verified compounding pharmacy based in Oviedo, Florida. Rush specializes in customized compounded medications across weight management, hormone support, and sexual wellness, with all-inclusive pricing and no hidden fees. Orders typically leave the pharmacy within 48 hours.

Clinical care is delivered through LocumTele, a LegitScript-certified clinical operations network that provides medical director oversight and licensed MDs, NPs, and PAs under a compliant professional corporation structure covering all US jurisdictions. Every Perstet intake is reviewed by a licensed clinician from this network before anything is prescribed.

You pick a program and answer a short set of health questions on our secure intake form. It takes about 3 minutes. A US licensed physician reviews your answers, usually within 24 hours, and decides whether the program is a fit for you. If it is not, you are not charged for the medication. There is no video call unless your state requires it.

Once a clinician approves your treatment, your order is sent to the pharmacy and most orders ship within 24 to 48 hours. Cold-shipped items can take an extra 1 to 2 business days. Everything arrives in a plain, unmarked package with nothing on the box that hints at what is inside.

Refund eligibility depends on where your order is in the process: whether clinical review has started, whether a prescription has been submitted to the pharmacy, and whether the product has shipped. Fees for medical review may become non-refundable once a provider has started reviewing your intake. If the clinician determines a treatment is not appropriate for you, you are not charged for the medication. Send requests to [email protected].

Yes. Every intake on this site is reviewed by a US licensed physician from our LocumTele provider network, and nothing ships without a clinician's sign-off. If the physician decides a program is not appropriate for you, you are not charged for the medication. Medications are dispensed by Rush Pharmacy, a LegitScript-verified licensed US pharmacy.

No insurance is needed. Perstet is cash-pay with transparent pricing, so there are no claims, no prior authorizations, and no surprise bills. The price you see covers the consultation, the physician review, and your medication if you are approved.

Your intake is completed on a secure form and your health information is used only for your care, as described in our Privacy Policy and privacy practices. Your treatment also stays private in the physical world: orders arrive in a plain, unmarked package with nothing on the box that hints at what is inside.

The typical pill carries one active ingredient, takes about an hour to work, and has to be planned around. Perstet Tetra is a 4-in-1 compounded formulation that covers blood flow, nerve signal, drive, and staying power, works in about 15 minutes, and one dose stays effective up to 36 hours. You take it on demand, only when you want it. There is no daily pill.

No. You can cancel by logging in to the patient portal or contacting us at [email protected] or (888) 886-2315. How a cancellation or refund is handled depends on where your order is in the process, such as whether clinical review has started or a shipment has already left the pharmacy. The details are spelled out in our Refund and Cancellation Policy.

Your prescription is sent to the pharmacy, and most orders ship within 24 to 48 hours in plain packaging. From there your program is monitored and adjusted over time based on how you respond, and you can reach the care team with questions at any point. Nothing changes in your plan without a clinician's decision.

Compounded medications are prepared to order for you by a licensed US pharmacy and are available only after evaluation by a licensed clinician. As with all compounded medications, the compounded formulations themselves are not FDA-approved. Individual results, doses, and formulations vary, and your clinician decides what is appropriate for you.

Email us at [email protected] or call (888) 886-2315. We are available Monday through Friday 8:30am to 5:30pm CT and Saturday 11am to 4pm CT.