Questions, answered.

RULE Longevity is a Miami-based telehealth brand for provider-guided programs in weight, performance, recovery, hormones, sexual wellness, skin and longevity. You pick a program, complete a secure online visit, and a licensed provider reviews it and decides whether a prescription is right for you. If it is, a licensed US pharmacy ships your medication to your door.

A licensed provider who is licensed in your state reviews your online visit and makes every prescribing decision. RULE Longevity does not practice medicine, and no program is automatic. If the provider decides a prescription is appropriate, a licensed US pharmacy fills it.

RULE Longevity offers semaglutide and tirzepatide weight programs, sermorelin, NAD+ and glutathione injections, PT-141, tadalafil, sildenafil, finasteride for hair, GHK-Cu copper peptide cream, progesterone and an estradiol patch. Testosterone therapy is planned and currently has a waitlist only. Every program starts with an online visit and a provider decision.

You pick a program, answer secure health questions online and pay at checkout. A licensed provider reviews your visit and decides whether a prescription is appropriate. If it is, a licensed US pharmacy ships your medication with a tracking link sent by email.

Yes. Every visit is reviewed by a licensed provider who is licensed in your state, not by software. The provider can ask follow-up questions, request records or decline a prescription if it is not right for you.

It depends on the program and your health history, and your provider decides. Some programs may need recent lab results or medical records before a provider can prescribe. If labs are needed, your provider will explain what to send.

No medication is prescribed or shipped, and the provider may suggest another option or recommend in-person care. If you cancel before a provider reviews your visit, you get a full refund. The decision is always based on your safety and health history.

No. Compounded semaglutide is not FDA-approved. Brand semaglutide, sold as Wegovy and Ozempic, is FDA-approved. A licensed provider decides whether a compounded version is appropriate for you.

Yes, in limited cases. The FDA declared the semaglutide shortage over in February 2025, which limits compounding. A licensed 503A pharmacy may still compound it for an individual patient with a documented clinical need, and your provider decides whether that applies to you.

Ozempic and Wegovy are FDA-approved brand products made by the manufacturer. Compounded semaglutide is prepared by a licensed pharmacy, often with B12 or glycine, and is not FDA-approved. Your provider can explain which option fits your health history.

The RULE Longevity Semaglutide Weight Program starts at $199 per month, with shipping included. Higher-dose price tiers are still being set, and your provider sets your dose. Your exact price is shown before you pay.

The most common side effects are stomach related, such as nausea, vomiting, diarrhea and constipation. Serious risks listed for semaglutide include pancreatitis, gallbladder problems and a boxed warning about thyroid tumors. Your provider reviews your history and tells you what to watch for.

No. Zepbound and Mounjaro are FDA-approved brand tirzepatide products. Compounded tirzepatide is prepared by a licensed pharmacy, often with B12 or glycine, and is not FDA-approved. Your provider decides which option is appropriate.

Tirzepatide acts on two hormone pathways (GIP and GLP-1), while semaglutide acts on one (GLP-1). Some studies show more average weight loss with tirzepatide, but individual results vary. Your provider decides which medication fits your health history and goals.

The RULE Longevity Tirzepatide Weight Program starts at $299 per month, with shipping included. Higher-dose price tiers are still being set, and your provider sets your dose.

Your provider decides based on your weight, health history, current medications and goals. Tirzepatide is generally not appropriate for people with a personal or family history of medullary thyroid cancer or MEN 2, or who are pregnant. Complete the online visit to find out whether it is right for you.

Yes, a switch is possible if your provider decides it is appropriate. Tell your provider what you take now, how long you have taken it and any side effects, and they will set your new dose. Do not switch or combine medications on your own.

Sermorelin is a peptide that is an analog of growth hormone releasing hormone, which signals your pituitary gland to release its own growth hormone. RULE Longevity offers compounded sermorelin injection at $249 per month, and a provider decides whether it fits you.

Compounded sermorelin is not FDA-approved. A brand version was once FDA-approved and was later discontinued by its maker for business reasons. Today sermorelin is available only through a prescription filled by a licensed compounding pharmacy.

HGH is growth hormone itself, while sermorelin prompts your body to release its own growth hormone. They are different medications with different rules and risks. Your provider can explain which, if either, is appropriate for you.

The evidence for sermorelin in wellness or anti-aging use is limited. Some people use it for sleep, recovery or body composition goals, but results vary and are not proven for those uses. Your provider reviews your goals and health history before deciding.

NAD+ is a coenzyme your cells use to make energy, and an NAD+ injection delivers it by a small shot under the skin. RULE Longevity offers compounded NAD+ injection, which is not FDA-approved. A provider decides whether it is appropriate for you.

The RULE Longevity NAD+ Injection program is $249 per month, with shipping included. It ships to your home, so there is no clinic visit in Miami.

No. Compounded NAD+ injection is not FDA-approved. It is prepared by a licensed pharmacy for an individual patient with a prescription.

Neither has been proven better, and they are different ways to deliver NAD+. Injections are quick and can be done at home, while IV drips take longer and happen in a clinic. Your provider can help you decide whether NAD+ fits your goals at all.

Human evidence that NAD+ injections improve energy or slow aging is limited. Some people report feeling more energy, but results vary and the long-term benefits are not proven. Your provider will review your goals before deciding.

Glutathione is an antioxidant your body makes on its own, and an injection delivers it directly. Compounded glutathione injection is not FDA-approved for wellness use, and evidence for wellness benefits is limited. RULE Longevity offers it at $179 per month when a provider decides it is appropriate.

The evidence that glutathione injections lighten or brighten skin is limited, and they are not FDA-approved for that use. RULE Longevity does not offer glutathione as a skin lightening treatment. Talk with your provider about realistic goals.

No. Compounded glutathione injection is not FDA-approved for wellness use. It is prepared by a licensed pharmacy for an individual patient with a prescription.

Possible side effects include soreness or redness at the injection site, and some people report stomach upset or allergic reactions. Tell your provider about asthma, allergies and other medications before you start. Seek emergency care for signs of a severe allergic reaction.

Yes. Generic tadalafil contains the same active ingredient as Cialis, which is FDA-approved for erectile dysfunction. Generic versions must meet FDA standards for quality and performance.

Tadalafil can be prescribed as a daily option or as needed, and your provider decides which fits you and sets the dose. Daily use is meant to keep a steady level so timing is less of a concern. Take it exactly as your provider and the label direct.

Never take tadalafil with nitrates, such as nitroglycerin, because the combination can drop blood pressure dangerously. It may also not be right for people with certain heart conditions or who take alpha blockers or riociguat. Your provider reviews your medications and health history first.

The RULE Longevity Tadalafil program is $129 per month, with shipping included and discreet packaging. A licensed provider reviews your online visit before prescribing.

Yes. Sildenafil is the active ingredient in Viagra, which is FDA-approved for erectile dysfunction, and generic sildenafil must meet FDA standards. RULE Longevity offers sildenafil tablets for as-needed use at $129 per month.

It depends on your routine and health history, and your provider helps you decide. Sildenafil is shorter acting and taken as needed, while tadalafil lasts longer and can be prescribed daily or as needed. Both are generics of FDA-approved drugs.

Heavy drinking can make sildenafil less effective and can add to dizziness or low blood pressure. Keep alcohol light and ask your provider what is safe for you. Never take sildenafil with nitrates.

Yes. You can complete a secure online visit, and a licensed provider decides whether sildenafil is appropriate for you. If it is, it ships in discreet packaging with shipping included.

Finasteride is a generic of an FDA-approved drug (Propecia) for male pattern hair loss, and it works by lowering DHT, a hormone linked to hair thinning. Results vary, and it usually takes several months of use to see a change. Your provider decides whether it fits you.

The FDA label lists sexual side effects such as lower libido and erection problems, and depression and suicidal thoughts have been reported. Tell your provider right away about any mood changes. Your provider reviews your history before prescribing.

RULE Longevity offers finasteride for male pattern hair loss only. Women who are or may become pregnant should not take it and should not handle crushed or broken tablets, because it can harm a male fetus.

Yes. RULE Longevity offers oral finasteride tablets only, a generic of an FDA-approved drug. In 2025 the FDA issued an alert about compounded topical finasteride products, which are not FDA-approved.

The RULE Longevity Finasteride for Hair program is $99 per month, with shipping included. A licensed provider reviews your online visit before prescribing.

Not yet. Testosterone therapy is planned for January 2027, subject to provider availability, pharmacy availability and regulatory requirements. Right now you can join the waitlist.

TRT is planned for January 2027, but that date is not certain. It depends on provider availability, pharmacy availability and regulatory requirements. Join the waitlist to get an update when it opens.

Telehealth is legal in Florida, but testosterone is a controlled substance, so extra federal and state rules apply to prescribing it online. That is one reason RULE Longevity is planning TRT carefully instead of launching it now. A licensed provider will decide whether it is appropriate for each person.

Join the waitlist on the Testosterone Therapy page. Joining does not commit you to anything or mean you will be prescribed. A licensed provider will decide whether TRT is appropriate after a full visit.

If you have a uterus and use estrogen, a provider usually prescribes progesterone too, because it protects the lining of the uterus. If you do not have a uterus, you may not need it. Your provider decides based on your health history.

Yes. Oral micronized progesterone capsules are the generic of Prometrium, an FDA-approved drug. RULE Longevity offers them at $129 per month with shipping included.

Some providers prescribe progesterone during perimenopause or menopause based on your symptoms and health history. Results vary, and it is not right for everyone. Complete the online visit so a provider can review your situation.

Common side effects include drowsiness, dizziness, breast tenderness and headache, so many people take it at bedtime as the label directs. Serious risks apply when it is used with estrogen. Your provider reviews your history and explains the risks.

An estradiol patch delivers estrogen through the skin to ease menopause symptoms such as hot flashes and night sweats. RULE Longevity offers a generic of an FDA-approved estradiol patch at $169 per month. Your provider decides whether it fits you and sets the dose.

The estradiol patch is a generic of an FDA-approved drug, and it carries boxed warnings about risks such as stroke, blood clots, breast cancer and endometrial cancer. Your provider weighs those risks against your symptoms and health history. Use it only as prescribed.

Usually yes, if you have a uterus. Progesterone protects the lining of the uterus when you use estrogen. Your provider decides what you need.

Yes. Women in Florida can complete a secure online visit, and a licensed provider decides whether an estradiol patch, progesterone or both are appropriate. Medication ships to your home with shipping included.

PT-141 is bremelanotide, a peptide that acts on the brain pathways involved in sexual desire rather than on blood flow. Brand bremelanotide (Vyleesi) is FDA-approved only for premenopausal women with acquired, generalized hypoactive sexual desire disorder. RULE Longevity offers compounded PT-141 for women or men, which is not FDA-approved.

PT-141 has been studied in men in small trials, but use in men is off-label and it is not FDA-approved for men. Some men use it for desire and arousal, and results vary. Your provider decides whether it fits your health history.

Viagra (sildenafil) increases blood flow, while PT-141 acts on desire pathways in the brain. Viagra is FDA-approved for erectile dysfunction, and compounded PT-141 is not FDA-approved. Your provider can explain which, if either, fits your goals.

The most common side effects are nausea, flushing, headache and injection site reactions. It can also cause a temporary rise in blood pressure, so it is not right for everyone with heart disease or uncontrolled blood pressure. Your provider reviews your history first.

The RULE Longevity PT-141 program is $249 per month, with shipping included. A licensed provider must review your online visit and decide that it is appropriate first.

GHK-Cu is a copper peptide found naturally in the body, and RULE Longevity offers it as a compounded 2% topical cream. It is not FDA-approved. It is $229 per month for a 30 g jar when a provider decides it is appropriate.

Lab studies and small human studies suggest GHK-Cu may support skin firmness and texture, but the evidence is limited. Results vary from person to person. Your provider can help you set realistic goals.

No. Compounded GHK-Cu 2% cream is not FDA-approved. It is prepared by a licensed pharmacy for an individual patient with a prescription.

The 2% cream from RULE Longevity is a compounded medication, so a licensed provider must review your visit and prescribe it. That review checks your skin history, allergies and other products you use. It is a topical cream only.

Yes. Telehealth is legal in Florida, and Florida law (Fla. Stat. 456.47) sets the rules for providers who treat patients located in the state. A provider must be licensed in Florida, or registered with the state as an out-of-state telehealth provider, to treat you while you are in Florida.

Yes, you can request semaglutide through an online visit if you are in Florida. A licensed provider reviews your health history and decides whether a prescription is appropriate, and the medication ships from a licensed US pharmacy. Compounded semaglutide is not FDA-approved, and availability is confirmed in the online visit.

Compounded tirzepatide can still be prescribed in Florida in limited cases, but it is not FDA-approved. The FDA ended the tirzepatide shortage in December 2024, so a licensed pharmacy may compound it only for an individual patient with a documented clinical need. Your provider decides whether that applies to you.

Yes. A provider treating a patient located in Florida must hold a Florida license or be registered as an out-of-state telehealth provider under Fla. Stat. 456.47. RULE Longevity matches you with a provider who can legally treat you where you are.

Yes. When a provider prescribes, medication ships to your home address across Florida, including Miami-Dade, Miami Beach, Broward and Palm Beach, with shipping included in the price. RULE Longevity serves Florida and other states where our licensed providers and partner pharmacies can serve you; availability is confirmed in the online visit.

No. Everything starts with a secure online visit, so you do not need to drive to a clinic in Miami or wait in an office. If your provider needs labs or records before deciding, they will tell you what is needed.

RULE Longevity serves Florida and other states where our licensed providers and partner pharmacies can serve you; availability is confirmed in the online visit. If you live outside Florida, start the online visit and you will see whether your program is available in your state before you are charged for medication.

Monthly prices are: semaglutide from $199, tirzepatide from $299, sermorelin $249, NAD+ $249, glutathione $179, PT-141 $249, tadalafil $129, sildenafil $129, finasteride $99, GHK-Cu cream $229, progesterone $129 and the estradiol patch $169. Shipping is included in each price. Testosterone therapy is planned and has a waitlist only, with no price yet.

It may. Semaglutide starts at $199 per month and tirzepatide starts at $299 per month, and higher-dose price tiers are still being set. Your provider sets your dose, and any price for your plan is shown before you pay.

Shipping is included in the monthly price, including cold packaging when needed. The total for your plan is shown at checkout in the online visit before you pay. There is no insurance billing, so there are no surprise copays.

RULE Longevity is self-pay so pricing stays simple and the same every month. Many of these programs, including compounded medications, are not covered by insurance. HSA or FSA funds may be eligible, so check with your plan.

You pay at checkout in the online visit. Monthly plans renew every month on your billing date until you cancel. You can see your next billing date in your account.

You can cancel anytime before your next billing date and you will not be charged for the next month. Cancel from your account or by contacting support.

Yes, you get a full refund if you cancel before a provider reviews your visit. Once medication is dispensed it cannot be returned, because pharmacies cannot accept returned prescription medication.

RULE Longevity is self-pay and does not bill insurance. HSA or FSA funds may be eligible for some programs, so check with your plan administrator before you pay.

Yes. Shipping is included in every program price, so there is no separate shipping charge. Your medication ships from a licensed US pharmacy once your provider prescribes it.

Yes. Every order ships in discreet packaging. Your tracking link comes by email, not on the box.

Medications that need it ship in cold packaging designed to keep them in range during transit. Bring the package inside soon after delivery and store it as the pharmacy label says. If anything arrives warm or damaged, contact support right away.

You get a tracking link by email when your order ships. Use it to follow delivery to your door. If the link does not update, contact support and we will check with the pharmacy.

Yes. Your health information is protected under HIPAA and handled through secure systems. Only the people involved in your care and order, such as your provider and pharmacy, can access it.

No. Your data is never sold. We use it only to deliver your care, your order and your account.

No. RULE Longevity does not use ad tracking pixels. Your visit answers are not shared with ad platforms.

Your licensed provider reviews your answers, and the pharmacy receives only what it needs to fill your prescription. Your answers are protected under HIPAA and are never sold.

Compounded medications are not FDA-approved, which means the FDA has not reviewed them for safety, effectiveness or quality before they are sold. RULE Longevity works only with licensed US pharmacies, and a licensed provider decides whether a compounded medication is appropriate for you. Talk with your provider about the risks and benefits.

A 503A pharmacy is a state-licensed pharmacy that compounds medication for an individual patient based on a valid prescription. It is regulated mainly by state boards of pharmacy, and the medications it compounds are not FDA-approved. When a brand drug is not in shortage, a 503A pharmacy may compound it only for a patient with a documented clinical need.

No. Products sold online as research chemicals or not for human use skip provider review and licensed pharmacy standards. At RULE Longevity, every medication requires an online visit, a licensed provider decision and a licensed US pharmacy.

Message your provider through your account and describe what you are feeling, and your provider will advise next steps. For severe symptoms such as trouble breathing, chest pain, severe stomach pain or fainting, call 911 or go to the nearest emergency room. Do not change your dose on your own.