Checklist
The peptide program launch checklist
18 items in four phases, from the first decision to the thousandth order. Each one says why it is on the list, who owns it and what done looks like. Tick them off here, print it, or have the PDF emailed to you.
- 18
- Items
- 4
- Phases
- 7
- Items you own
- 0
- Items that put product in your hands
How to use it
Four phases, three owners, one rule.
The rule: you never touch product. Everything else on the list follows from it. Work the phases in order; the first five items are decisions, the next five are documents, and nothing in the launch phase should start before the paper is signed.
The reasoning behind each phase is in the how to start a peptide program guide. The medical director question has its own page.
| Owner | Who that is | Items |
|---|---|---|
| You | The operator: gym, studio, coach, med spa or brand | 7 |
| Practice | The physician-owned medical practice that prescribes | 4 |
| Pharmacy | The licensed 503A pharmacy that compounds and ships | 1 |
| Platform | ConduitMD, which supplies the storefront, portal, routing and coverage letter | 3 |
| Counsel | Healthcare counsel licensed in your state | 3 |
The checklist
Work through it in order.
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18 items
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1. Before you sell anything
Week 0
Five decisions that decide whether the program is legal at all. None of them costs money, and every one of them is expensive to reverse after launch.
Why it is on the list
Selling "research use only" vials to people for injection is the practice behind more than 50 FDA warning letters in September 2025 and the vendor shutdowns since. It is illegal, the purity data is poor, and the exposure is personal.
Done looks like
A one-line policy in your operating agreement or partner agreement: the business does not purchase, hold, handle or resell any medication. Every staff member has read it.
Why it is on the list
Building means a physician-owned entity in each state, a medical director, malpractice, a pharmacy contract and software. Partnering means a licensed practice already exists and you own the brand, the audience and the price. Either way, someone licensed prescribes, and you need to know who.
Done looks like
The legal name of the medical practice, its owning physician, and the state entities it operates through, on paper, before anything is sold under your name.
Why it is on the list
A prescription needs two licenses in the client's state, the clinician's and the pharmacy's. Prescriber coverage is rarely the limit. Pharmacy coverage is, and a "national" program on one pharmacy reaches about two thirds of the country.
Done looks like
A dated letter or page listing live states, with the pharmacy's coverage confirmed separately from the prescriber's. Your storefront refuses clients outside that list.
Why it is on the list
Nobody buys a list of seventy products. They buy Recovery, Sleep or Skin. A short menu converts better, is easier for staff to describe correctly, and keeps your marketing inside the lines.
Done looks like
Two or three named programs with a course length, a screening gate and a price each. The rest of the catalog is available on request through the clinician, never on your homepage.
Why it is on the list
Your landed cost per fill is a flat provider fee plus medication and shipping at the pharmacy's price. What you charge above it pays for your coaching, community, accountability and service. Framing it as anything else invites fee-splitting questions.
Done looks like
A one-page price sheet: landed cost per program per month, your program price, and the difference described as a program fee. The medical visit and the medication are itemized on the client's receipt, separately from your fee.
2. Structure and paper
Week 1
The five documents a regulator, an insurer or an acquirer would ask for first. Get them signed before the storefront goes live, not after.
Why it is on the list
A fee that grows with each referral reads as a kickback in strict states, and percentage arrangements on prescriptions draw fee-splitting scrutiny. Flat fees for defined non-clinical work are the defensible construction.
Done looks like
Every fee in the partner agreement is a fixed amount per visit or per month. No line references volume, revenue, patient count or drug value.
Why it is on the list
When a client has a side effect at 9pm, or a state board asks for a chart, the answer has to be on paper already. The practice owns the record and the medical answer. You own the commercial relationship.
Done looks like
A signed management or partner services agreement with a records clause, a medical-questions clause, an indemnity clause and a termination clause. Your counsel has read it.
Why it is on the list
Your brand carries the storefront, the emails and the portal. The law still requires the patient to know who is treating them. Those three places are where the practice is named, and hiding it there is the mistake that turns a white-label program into a misrepresentation claim.
Done looks like
Your storefront footer carries a one-line disclosure naming the practice. The informed consent names the practice. Every prescription carries the clinician's name and license.
Why it is on the list
A telehealth practice's medical director covers the telehealth practice. Anything your staff do to a client in your building, injections, infusions or any procedure, carries a facility-level medical director requirement in most states.
Done looks like
Either a written decision that nothing clinical happens on your premises (clients self-administer at home), or a named facility medical director with a signed agreement for what does.
Why it is on the list
Corporate practice of medicine, fee-splitting and anti-kickback rules vary by state and are enforced by state boards, not the FDA. A structure that is clean in Texas can be a problem in California. This is the one item on the list that cannot be done by reading.
Done looks like
A short written opinion or an email from healthcare counsel licensed in your state confirming the structure, the fee construction and the agreement. Filed with the agreement.
3. Launch
Week 1 to 2
Four items that decide whether the first hundred clients have a clean experience and whether your marketing survives a screenshot.
Why it is on the list
The client relationship is yours only if the client comes to you. A storefront on someone else's domain, in someone else's brand, makes you a referral source, not a program owner.
Done looks like
A live page on a subdomain or path of your own site, in your colors and fonts, listing your two or three programs with prices, a screening button and the one-line practice disclosure.
Why it is on the list
The most common way a well-structured program gets into trouble is a front-desk conversation. A trainer who says "take the higher dose" has practiced medicine without a license, in your building, under your brand.
Done looks like
A one-page script with a "we can say" column and a "we route to the clinician" column, signed by every client-facing team member. Reviewed at onboarding for every new hire.
Why it is on the list
Compounded peptides are prepared by a licensed 503A pharmacy under a prescription. They are not FDA-approved drugs. Claiming otherwise, or borrowing the language of research-peptide vendors, is the fastest route to a warning letter with your name on it.
Done looks like
Every page, post, email template and printed piece searched for "FDA approved", "dispense", "research", "guaranteed" and disease claims. Each hit removed or rewritten. Repeat before every campaign.
Why it is on the list
Clients do not know where the line is and will ask your team medical questions. The system has to make the right routing the easy routing, or your staff will answer.
Done looks like
A written routing table: medical and side-effect questions to the portal, order status to the platform, billing and program questions to you. Your reply templates link to the portal for anything medical.
4. Every order
Ongoing
Four things that must be true on every order, forever. Check them on the first order, the tenth and the thousandth.
Why it is on the list
No auto-shipping on a long script. A licensed provider looks at every order and every refill. That is both the safety claim and the regulatory one, and it is what separates a medical program from a subscription box.
Done looks like
Every order in your partner portal shows the screening record, the reviewing clinician's name and license state, and the review timestamp before the pharmacy dispatch.
Why it is on the list
The moment a box of medication arrives at your gym or studio, you are holding product, and item one on this list is broken. Direct shipment keeps the pharmacy's chain of custody intact and your business out of it.
Done looks like
The pharmacy has the client's address, never yours. Your partner portal shows tracking to the client. No exceptions for convenience.
Why it is on the list
A client who wants to reorder early is a clinical question, not a sales opportunity. Cadence is set by the protocol and the clinician; a program that ships on demand looks like a supply business.
Done looks like
Refill timing is set in the protocol and enforced by the platform. Early requests route to the clinician. Your staff never override a refill date.
Why it is on the list
A side-effect message answered by a trainer is the single worst outcome a program can produce: a medical event handled by someone unlicensed, in writing. The clinician answers, and the record shows it.
Done looks like
A same-day escalation path from any channel (front desk, text, social DM) to the portal. Every staff member knows the path. Adverse events are logged by the practice, never in your CRM.
Take it with you
Get the PDF by email
The same checklist as a printable PDF, plus one follow-up from us asking how the launch is going.
Want items 3, 11, 12 and 14 done for you in the next fourteen days?
A twenty-minute call, then a brand kit, then a storefront on your domain with the state list in writing. One setup fee, two flat fees, no contract, no percentage of anything.
Frequently asked
Launch checklist: questions
How long does the peptide program launch checklist take?
The five decisions in phase one take an afternoon. The five documents in phase two depend on counsel and usually take one to two weeks. Through a platform, the four launch items take fourteen days from signing, with the storefront live by day 12 and coverage in writing by day 14. The four items in the last phase are checked on every order, forever.
Which items can a platform do for me?
The written state list, the storefront on your domain and the support routing are supplied by the platform. The clinician review on every order, the direct shipment, the refill cadence and the adverse-event path are supplied by the practice and the pharmacy. The decisions, the staff script, the marketing audit and the counsel review stay with you.
Do I need a lawyer to launch a peptide program?
Yes, for one item: a review of the structure, the fee construction and the agreement under your state's corporate practice of medicine and anti-kickback rules. Everything else on the list can be done by reading and deciding. That one item cannot.
Can I use this checklist if I am not launching with ConduitMD?
Yes. The list is the same whoever supplies the practice and the pharmacy. The owner column tells you which items to ask your platform or your practice to show you in writing.
What is the one item that matters most?
The first one. A program in which the operator never purchases, holds, handles or resells medication is a medical program. A program in which they do is a product business selling prescription drugs without a license, whatever the website says.
Nothing on this page is legal advice. Compounded peptides are prepared by a licensed 503A pharmacy under a prescription and are not FDA-approved drugs. ConduitMD provides software and management services to an independent medical practice and its partners; it does not prescribe or dispense. State rules vary and every partner structure is reviewed by counsel before launch.