Educational information, reviewed by Ryan Arvizo, FNP-C. Current as of September 2026. Not legal or medical advice. Current as of September 2026.
Texas is the largest state we serve and has the most specific rules. Three layers decide what is lawful: federal FDA rules on the medication, Texas law on the prescriber and the telehealth visit, and the pharmacy that fills the prescription.
Layer 1: federal rules on the medication itself
The same federal rules apply in every state. FDA-approved medications can be prescribed. Compounded medications are not FDA-approved and may only be compounded from ingredients the FDA permits; the FDA loosened its restricted peptide list in April 2026 and an advisory committee recommended several peptides for compounding in July 2026, with rulemaking still to finish. Compounded GLP-1s narrowed to patient-specific compounding after the shortage ended. Our national guide on whether peptide therapy is legal in 2026 covers the detail.
Layer 2: Texas law on the prescriber and the visit
- A valid telehealth relationship. Texas Occupations Code §111.005 recognizes a practitioner-patient relationship established through a synchronous audio-video visit, provided the practitioner meets the standard of care, gives guidance on follow-up care, and, if you consent and have a primary care physician, sends your records to that physician within 72 hours.
- Physician involvement for nurse practitioners. Texas requires a physician to delegate prescribing to an advanced practice registered nurse through a prescriptive authority agreement (Occupations Code Chapter 157). BioPeakRx’s provider, a nurse practitioner, works with a collaborating physician in Texas as the law requires.
- Controlled medications such as testosterone. Under §157.0511 a delegated Schedule III–V prescription is limited to 90 days, and refills require a documented consultation with the physician. Schedule II delegation is limited to hospital and hospice settings and is outside what BioPeakRx prescribes. Federal rules currently allow the initial audio-video evaluation for a controlled medication without a prior in-person visit through December 31, 2026.
- Texas Medicaid does not cover GLP-1 medications for weight loss, and the state employee plan excludes drugs prescribed solely for weight loss, so most Texas GLP-1 care is cash-pay.
Layer 3: the pharmacy
BioPeakRx prescriptions are filled by a state-licensed, FDA-registered 503A sterile compounding pharmacy located and licensed in Texas, on your individual prescription only. Compounded medications are not FDA-approved.
What this means for you
A Texas resident can be evaluated by audio-video telehealth, and, when clinically appropriate, prescribed FDA-approved or lawfully compounded medication under a physician-supervised prescriptive authority agreement, filled by a Texas pharmacy. For testosterone, expect the 90-day prescription cadence and physician consultation at refills that Texas law requires. Care starts with a free Provider Evaluation — the $110 fee was removed. BioPeakRx serves Houston, Dallas–Fort Worth, Austin, San Antonio, El Paso, and the rest of Texas.
Sources
- Texas Occupations Code, § 111.005, Practitioner-Patient Relationship for Telemedicine Medical Services
- Texas Occupations Code, Chapter 157, Subchapter B, Delegation of Prescribing and Ordering Drugs and Devices (§ 157.0511)
- FDA, Human Drug Compounding
- FDA, July 23–24, 2026 Meeting of the Pharmacy Compounding Advisory Committee
- DEA, DEA Extends Telemedicine Flexibilities to Ensure Continued Access to Care
- KFF, Medicaid Coverage of and Spending on GLP-1s
This information is educational and is not medical or legal advice. It is not intended to diagnose, treat, cure, or prevent any disease. Compounded medications are not FDA-approved. Treatments require evaluation by a licensed provider.