Where Can Women Get PT-141, and What Does It Cost?
Where can women get PT-141, and what does it cost?
Reviewed by Taylor Anderson, RN
Aesthetic Registered Nurse
Taylor Anderson is an aesthetic registered nurse and a reviewer for Hot or Nothing.
Updated September 6, 2026
Quick answer
PT-141 is prescription-only as brand Vyleesi from a specialty pharmacy or as compounded bremelanotide from a licensed pharmacy, including telehealth. Brand cash runs about $930 to $956 for four doses with savings that can lower it, while compounded starts around $40 for the first month, and brand coverage is generally limited to premenopausal HSDD.
In this guide
Key takeaways
- Brand Vyleesi is sent to a preferred specialty pharmacy and comes as prefilled pens you press against skin to give the dose.
- Compounded bremelanotide uses a patient-specific prescription to a 503A pharmacy, with a needle-free nasal spray option that absorbs through the nasal passages.
- Vyleesi is taken at least 45 minutes before sexual activity, with no more than one dose in 24 hours and eight doses in a month, a limit plans often check before covering it.
Where you can get PT-141
You need a prescription for either form. For brand Vyleesi, you see a clinician, she sends your prescription to a preferred specialty pharmacy, and that pharmacy dispenses the prefilled pens you press against your skin to give the dose. GoodRx on getting Vyleesi
For compounded bremelanotide, you see a clinician in person or through telehealth, she writes a patient-specific prescription, and a licensed 503A pharmacy prepares your dose. A 503A pharmacy is a licensed pharmacy that makes prescribed medication to order for one person. Superpower guide
Town & Country Compounding, a PCAB-accredited and LegitScript-verified compounding pharmacy, dispenses it as a needle-free nasal spray that absorbs through the nasal passages into the bloodstream. Town & Country Compounding Rx.com offers clinician-prescribed compounded PT-141 online. Rx.com PT-141
What PT-141 costs
Drugs.com lists brand Vyleesi at $930 to $956 for four 1.75 mg per 0.3 mL doses. Drugs.com price guide
On June 29, 2026, GoodRx reported most commercial and Medicaid plans cover Vyleesi but often require prior authorization. The maker savings program can bring four injections to $0 with insurance or $99 without insurance. GoodRx on Vyleesi cost
Compounded bremelanotide costs less for cash pay. Rx.com advertises it from $40 for the first month with an online prescription. Rx.com PT-141
Who can get the FDA-approved option
The FDA approved Vyleesi on June 21, 2019 for low sexual desire disorder, called HSDD, in women before menopause who once had desire and then lost it across situations. HSDD means low sexual desire that causes distress. Drugs.com approval history
You inject one dose under the skin of your abdomen or thigh at least 45 minutes before sexual activity. You use no more than one dose in 24 hours and no more than eight doses in a month. Drugs.com approval history That narrow approval shapes coverage, which is why many plans ask for prior authorization to confirm you meet it.
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See My PlanFAQ
Do women need a prescription to get PT-141?
Yes. Brand Vyleesi and compounded bremelanotide both require a prescription. Brand prescriptions go to a preferred specialty pharmacy, and compounded prescriptions go to a licensed 503A pharmacy, including through telehealth.
How much does brand Vyleesi cost?
Drugs.com lists $930 to $956 for four 1.75 mg per 0.3 mL doses. The maker savings program can bring four injections to $0 with insurance coverage or $99 without insurance, and many plans require prior authorization.
How much does compounded bremelanotide cost?
Compounded bremelanotide is generally less for cash pay than brand. Rx.com advertises it from $40 for the first month with an online prescription.
Who can get FDA-approved Vyleesi?
The FDA approval is for low sexual desire that causes distress, called HSDD, in women before menopause who once had desire and then lost it across situations. The dose is taken at least 45 minutes before sexual activity, with no more than one dose in 24 hours and no more than eight doses in a month.
Keep reading
Sources (9)
- Bremelanotide (PT-141) Nasal Spray Town & Country Compounding https://tccompound.com › Compounding Prescriptions · tccompound.com · captured September 6, 2026
- Vyleesi | Bremelanotide Injection | HSDD Prescription Treatment · vyleesi.com · captured September 6, 2026
- How Much Is Vyleesi Without Insurance? - GoodRx · goodrx.com · captured September 6, 2026
- Vyleesi (bremelanotide) FDA Approval History - Drugs.com · drugs.com · captured September 6, 2026
- PT-141 (Bremelanotide): Prescribed Online from $40 First Month | Rx.com · rx.com · captured September 6, 2026
- Vyleesi 2026 Prices, Coupons & Savings Tips - GoodRx · goodrx.com · captured September 6, 2026
- Vyleesi Prices, Coupons, Copay Cards & Patient Assistance - Drugs.com · drugs.com · captured September 6, 2026
- PT-141: An FDA-Approved Peptide for Sexual Health · newdrugloft.com · captured September 6, 2026
- PT-141 for Sexual Health: What to Know — Superpower · superpower.com · captured September 6, 2026