Peaks Curative carries a February 2026 federal warning letter whose opening line names its own website. It also tells readers on one page that its treatments are FDA-approved and on another that compounded products are not, and it names nine licensed states while its checkout offers a fifty-state dropdown.
What Peaks Curative charges
Sermorelin: $169.99 — the category listing names no billing period, and the product page carries no figure at all
NAD+: $169.99 — the category listing names no billing period, and the product page carries no figure at all
NAD+: $129.99 — the category listing names no billing period
PT-141: $139.99 — a one-time price; a subscription is offered at $125.99 every four weeks
Peaks Curative is not a paid partner; this link may earn a commission if that changes. Full disclosure.
By Nora Castellan, Standards EditorUpdated September 2026
The letter is on this entity, not a name that resembles it
A warning letter issued in February 2026 names Peaks Curative, LLC trading as Peaks. It is attached here on the strength of the document itself.
The letter's opening cites peakscurative.com as the content the agency reviewed, and its recipient contact is an address at that same domain.
The pharmacy the seller names was screened separately against the federal table and carries no letter of its own.
It answers the FDA question both ways
Its about page says "Our treatments are FDA-approved or cleared, where applicable".
Its FAQ says "The compounded products offered on peaknow.com use FDA approved active pharmaceutical ingredients (API). Compounded products are not FDA approved."
Those two sentences cannot both describe the same products. Both are recorded and neither is corrected here, because the seller has not corrected either.
Nine states are stated; fifty are offered at checkout
It names them: "Our doctors and pharmacy are licensed in Florida, New York, Rhode Island, Colorado, New Jersey, Delaware, Pennsylvania, Nevada and Arizona."
Every product page nonetheless carries a buy control headed "Confirm your State before purchasing" listing all fifty, and the site's own FAQ asks "Why is Peak Now unable to ship to my state?".
The nine are a statement; the fifty are a form control. Only the nine are credited here.
It names a pharmacy, and hides three prices on a category page
It identifies its dispenser as a legal entity: "you may select RxCompoundStore.com, LLC or, if applicable, any one of our partner pharmacies (collectively, the 'Peaks Pharmacy Network')".
Its sermorelin, NAD+ injection and NAD+ nasal products print no figure at all on their own product pages; the price exists only on the category listing above them.
The domain shopped is not the one the brand is named after — peakscurative.com redirects to peaknow.com, a pairing its terms confirm by naming both.
Who it's for
Readers living in one of the nine states it actually names.
Buyers who want the dispensing pharmacy identified as a legal entity.
Shoppers who want the vial size and sprays per bottle printed beside a figure.
Anyone comparing a one-time price against a subscription for the same nasal spray.
Who should look elsewhere
Readers who will not buy from a seller carrying a federal warning letter.
Buyers who need one consistent answer on whether compounded products are FDA-approved.
Shoppers who expect a product page to carry its own price.
Anyone outside the nine states its own sentence names.
Strengths
Names its dispensing pharmacy as a legal entity
Lists the nine states its doctors and pharmacy are licensed in
Prints the vial size, the concentration and the sprays per bottle beside each figure
Offers PT-141 as a nasal spray with a one-time price beside the subscription
Trade-offs
Carries a February 2026 federal warning letter naming its own website
Says its treatments are FDA-approved on one page and that compounded products are not on another
Three of its four prices appear only on a category listing, not on the product page
Its checkout offers a fifty-state dropdown while it names nine licensed states
FDA disclosure
Peaks Curative received an FDA warning letter issued February 2026. A warning letter discloses; it does not, on its own, disqualify a provider — see the trade-offs above for what this one concerned.
How we verified this
Followed peakscurative.com through its redirect to peaknow.com and confirmed the pairing against the seller's own terms before reading any figure.
Read the about page and the FAQ in the same session and recorded both FDA statements verbatim rather than choosing between them.
Read the nine-state sentence and the fifty-state buy control separately, and credited only the sentence.
Requested a deliberately meaningless address on this host in the same session and confirmed it returns a not-found response.
Confirmed the February 2026 warning letter belongs to this seller from the letter's own opening line, which names the seller's website, and from the recipient contact at that domain; the named pharmacy was screened separately and carries none.
A provider to compare Peaks Curative against
Trellis Vitality
Trellis Vitality frames its program around body-composition tracking rather than scale weight, pairing NAD+, glutathione and tesamorelin with at-home biomarker panels and a 90-day re-test, and names its dispensing pharmacy, VialsRX in Houston, by address.
Yes, issued in February 2026. Its opening line names this seller's own website as the content reviewed, and the recipient contact is an address at that domain.
Are its treatments FDA-approved?
The site says both things. Its about page says treatments are FDA-approved or cleared where applicable; its FAQ says compounded products are not FDA approved. That contradiction is unresolved.
Can it ship to my state?
It names nine: Florida, New York, Rhode Island, Colorado, New Jersey, Delaware, Pennsylvania, Nevada and Arizona. The fifty-state dropdown at checkout is a form control, not a coverage statement.
Which pharmacy fills the prescription?
It names RxCompoundStore.com, LLC, or one of what it calls the Peaks Pharmacy Network. That pharmacy carries no federal letter of its own.
Peaks Curative is not a paid partner; this link may earn a commission if that changes. Full disclosure.