AgelessRx vs bmiMD
Side-by-side comparison of pricing, physician credentials, pharmacy standards, and lab monitoring protocols.
| Criteria | AgelessRx | bmiMD |
|---|---|---|
| Starting Price | $99/mo | $79/mo |
| Our Score | 8.9 Very Good | 9.6 Outstanding |
| Best For | Longevity-focused telehealth with sermorelin as an injection or intranasal spray | Full hormone panel intake with sermorelin and weight optimization protocols |
| Badge | Nasal Spray Option | Best Value |
| No Insurance Needed | ✓ | Full Hormone Panel |
| Fully Online | ✓ | Ongoing Labs |
| Nasal Spray Available | ✓ | No Insurance Needed |
AgelessRx
Longevity-focused telehealth with sermorelin as an injection or intranasal spray
Pros
- Lowest published entry price of any provider offering a nasal delivery form
- Intranasal option at 1000 mcg/mL for patients who will not self-inject
- No membership or consultation fee layered on top of medication cost
- 503A compounding pharmacies disclosed publicly, with all 50 states served
Cons
- Baseline IGF-1 testing is not required before prescribing and labs are not included
- Asynchronous intake only, with no live video consultation option
- Cold-shipped injectables are not reliably deliverable to Alaska or Hawaii
bmiMD
Full hormone panel intake with sermorelin and weight optimization protocols
Pros
- Most thorough intake evaluation of the reviewed providers
- Sermorelin paired with weight optimization for combined results
- Quarterly labs and physician reviews included
- Experienced clinical team in hormone and metabolic medicine
Cons
- Higher starting price than single-peptide providers
- More comprehensive onboarding requires more patient time
Overview
AgelessRx[1] prices compounded sermorelin from $99 per month as a subcutaneous injection[1] and is the only provider in this comparison with a documented intranasal sermorelin spray, from $199 per month at 1000 mcg/mL[3]. bmiMD[2] undercuts that at $79 per month on a 6-month plan, $89 on a 3-month plan, and $99 month to month[2], with the provider visit, unlimited messaging, and quarterly lab monitoring built into the plan. bmiMD is cheaper and monitors more. AgelessRx offers a delivery form nobody else does.
At a Glance
| Metric | AgelessRx | bmiMD |
|---|---|---|
| Starting price | $99/mo injection, $199/mo nasal | $79/mo (6-mo plan) |
| Delivery form | Injectable + intranasal spray | Injectable + sublingual tablet |
| Labs included | No baseline IGF-1, labs billed separately | Quarterly labs included in plan |
| Physician contact | Asynchronous review, no video visit | Provider visit + unlimited messaging |
| Clinical framing | Longevity catalog, patients 30+ | Not for anti-aging or bodybuilding |
Key Differences
bmiMD is cheaper and includes the monitoring
The headline prices are close, but they buy different things. bmiMD includes the provider visit, unlimited messaging, and quarterly lab review in the plan price[2], so IGF-1 tracking costs nothing extra. AgelessRx charges $99 per month for the medication with no membership fee and no consultation fee[1], but labs are not included and no baseline IGF-1 is required before a prescription is issued. On a 6-month protocol bmiMD costs $474 with monitoring. AgelessRx costs $594 without it.
The nasal spray is the one thing bmiMD cannot match
AgelessRx dispenses sermorelin as an intranasal spray at 1000 mcg/mL[3] in addition to the injection. bmiMD offers an injectable and a sublingual tablet[2]. For a patient who will not self-inject and has not tolerated sublingual dosing, the nasal route is the remaining option between these two. It also sidesteps the cold-chain problem: AgelessRx serves all 50 states, but cold-shipped injectables are not reliably deliverable to Alaska or Hawaii, while the nasal form has no cold-chain constraint.
Clinical intake depth runs in opposite directions
bmiMD runs a full hormone and metabolic panel at intake and states on its product page that sermorelin is "not intended to be prescribed by our physicians for anti aging, bodybuilding or athletic performance"[2]. That is a narrow clinical indication and it screens patients out. AgelessRx uses asynchronous physician review with no live video visit, prescribes only to patients aged 30 and over, and screens out untreated hypothyroidism, diabetes or hyperglycemia, liver and kidney disease, cancer history, and pregnancy. The AgelessRx screen is real but it runs on self-reported history rather than a drawn panel.
In Depth
Six months of medication, six months of monitoring
A 6-month protocol at bmiMD costs $474 at $79 per month on the 6-month plan[2], with the provider visit, unlimited messaging, and quarterly lab review inside that number. The same protocol at AgelessRx costs $594 at $99 per month[1] for medication alone. Add a baseline and a 90-day IGF-1 draw at retail and the gap widens further. bmiMD is the cheaper program on every line.
Why baseline IGF-1 changes the prescription
Sermorelin is a GHRH analog. It stimulates the pituitary rather than delivering GH directly, and somatostatin feedback caps the response, which is why the pituitary is not suppressed the way it is with exogenous HGH. The only measurable output is IGF-1, and the response to GHRH-analog therapy holds through 12 weeks[4]. bmiMD draws that panel at intake and again quarterly. AgelessRx does not require it, so a patient starting at 100 mcg/day subcutaneous has no data telling them whether to titrate toward 300 mcg/day.
The intranasal route and who it is for
AgelessRx dispenses an intranasal sermorelin spray at 1000 mcg/mL from $199 per month[3], the only documented nasal option in this comparison. bmiMD covers needle-averse patients with a sublingual tablet[2] instead. The nasal form also has no cold-chain requirement, which matters because AgelessRx cold-shipped injectables are not reliably deliverable to Alaska or Hawaii despite the platform serving all 50 states.
Two different screening philosophies
bmiMD screens through a drawn hormone and metabolic panel and limits the clinical indication explicitly, stating sermorelin is not intended for anti aging, bodybuilding or athletic performance[2]. AgelessRx screens through self-reported history under asynchronous physician review, prescribing only to patients 30 and over and excluding untreated hypothyroidism, diabetes or hyperglycemia, liver and kidney disease, cancer history, and pregnancy. Both screens are real. Only one is backed by lab values.
Choose AgelessRx if
AgelessRx makes sense for a patient who wants the intranasal delivery form at 1000 mcg/mL[3], or who wants sermorelin alongside metformin, low-dose naltrexone, rapamycin, or NAD+ on one platform. It also fits patients bringing recent IGF-1 results from their own physician, since the program does not supply them.
Visit AgelessRx →Choose bmiMD if
bmiMD is the better clinical choice for most patients here. At $79 per month on the 6-month plan with the provider visit, unlimited messaging, and quarterly labs included[2], it costs less and supplies the IGF-1 data a prescribing physician needs to titrate. The trade-off is its conservative prescribing disclaimer, which rules out anti-aging and performance indications.
Visit bmiMD →Bottom line
bmiMD wins on price and on monitoring, which is the pairing that matters most over a 6-month protocol. AgelessRx wins on delivery form and on catalog breadth. If injection is not the obstacle, take bmiMD. If it is, the AgelessRx nasal spray is the reason to pay more for less oversight.
Frequently Asked Questions
Does AgelessRx require blood work before prescribing sermorelin?
No. AgelessRx prescribes compounded sermorelin after asynchronous physician review without a required baseline IGF-1[1], and labs are not included in the monthly price. bmiMD includes a hormone and metabolic panel at intake and quarterly lab review in the plan[2]. Baseline IGF-1 before prescribing is the correct standard, so patients choosing AgelessRx should arrange testing independently at baseline and again at 90 days.
Is the AgelessRx nasal spray as effective as the injection?
The intranasal spray is dispensed at 1000 mcg/mL[3], and intranasal absorption differs from the 100 to 300 mcg/day subcutaneous reference dose. No head-to-head data compares the two routes at these doses. The prescribing physician sets the nasal dose independently. Choose the nasal form because injection is not workable, not because it is expected to outperform subcutaneous dosing.
Which provider is cheaper over a full protocol?
bmiMD. A 6-month protocol is $474 at $79 per month on the 6-month plan[2] against $594 at AgelessRx at $99 per month[1]. bmiMD also includes quarterly labs and the provider visit, which AgelessRx bills separately or not at all.
Can AgelessRx ship to Alaska or Hawaii?
AgelessRx serves all 50 states, but cold-shipped injectable sermorelin is not reliably deliverable to Alaska or Hawaii. The intranasal spray[3] has no cold-chain constraint and is the workable option in those states. bmiMD states availability in all states[2] for its injectable and sublingual forms.
References
- Sermorelin: product page (injection from $99/month, no membership or consultation fee, free shipping, 503A compounding pharmacies, asynchronous physician review, patients 30 and over, all 50 states) agelessrx.com, 2026. https://agelessrx.com/agelessrx_product/sermorelin/
- Sermorelin Injection: product page (pricing, plans, included provider visit, unlimited messaging, pharmacy testing, all-state availability, conservative prescribing disclaimer) bmimd.com, 2026. https://www.bmimd.com/sermorelin-injection-shopping/
- Sermorelin Nasal Spray: product page (intranasal sermorelin from $199/month at 1000 mcg/mL, no cold-chain requirement, non-injectable delivery form) agelessrx.com, 2026. https://agelessrx.com/sermorelin-nasal-spray/
- Endocrine and metabolic effects of long-term administration of [Nle27]growth hormone-releasing hormone-(1-29)-NH2 in age-advanced men and women J Clin Endocrinol Metab, 1997. PMID 9141536. https://pubmed.ncbi.nlm.nih.gov/9141536/