Illegal vs. Compliant Peptide Model Comparison

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Woman receiving Precision Back Pain Assessment at Apex to identify pain triggers and restore mobility.

Illegal vs.
Compliant

Category
Black close icon inside a green circle.
Illegal / Grey-Market Model
Black checkmark inside a light green circle.
APL Compliant Medical Model
Peptides prescribed
Legal status
Liability
Regulatory exposure
Risk to PT/chiro license
Scope of practice issues
Exposure if patient harmed
Pharmacy type
Batch testing
Documentation
Where PHI goes
Data access
Audit logs
BAAs
Fee splitting
Revenue model
Clinic control of pricing
Medical director involvement
Protocols
Documentation standards
Profitability
Monthly expenses
Scalability
Overall model
Clinic liability
Clinic revenue
Often includes BPC-157, TB-500, or other illegal compounds
Often illegal; violates FDA law
Doctor and PT/chiro exposed; doctor risks losing license
Very high
High — recommending illegal substances creates liability
Common; PT/chiro ends up involved in medical care
PT/chiro may be included in chain of liability
Often offshore or 'research chemical' suppliers
Rarely provided
Minimal or missing
Non-HIPAA channels (email, text, non-secure)
PT/chiro often sees PHI they shouldn't
None
Almost never used
Common; PT/chiro receives a % of medical revenue (illegal)
Percent-based, unclear, risky
Often limited or controlled by prescriber
Usually none
Nonexistent
Weak or none
Variable with low margins
Often hidden or percentage based
Risk increases with volume
Illegal, unsafe, high risk
High
Limited; sometimes legally risky
Only FDA-legal, 503A pharmacy-compounded peptides
100% legal and compliant with state and federal regulations
Liability sits entirely with the medical group, not the clinic
Extremely low
Zero – PT/chiro stays in scope, compliant pathway
None — all medical care stays inside the medical group
Only medical group carries liability
U.S.-based, FDA-registered, state-licensed 503A compounding pharmacies
Full COAs, potency testing, contamination screening
Full medical charting and pharmacy documentation
Centralized inside the medical group's HIPAA-certified EHR
PT/chiro never touches medical PHI
Full audit trails and role-based permissions
Formal BAA in place between APL and the medical group
No fee splitting — PT/chiro pays a flat MSO fee
Transparent flat-fee MSO structure
Clinic sets pricing and keeps 100% of peptide revenue
Board-certified MD and NP manage all care
Evidence-based longevity and peptide protocols
Full charting, labs, patient history, follow-up
Very high — clinic keeps 100% of peptide revenue
Simple, predictable flat monthly fee
Revenue increases with no added liability
Fully compliant, legally bulletproof, unlimited profit potential
Zero
100% of peptide revenue stays with the clinic

Peptides are powerful but only when pure and medically supervised.

Contact APL to schedule a 15-minute clinic walkthrough.

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1709 Mt. Vernon Rd,
Suite C Dunwoody, GA 30338
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Built for Compliance. Designed for Clinics.

APL delivers physician-led, fully compliant medical partnerships that protect patients, reduce liability, and support sustainable clinic growth.

470-823-2228
kate@mat-atl.com
Mon - Thu
Fri
Sat - Sun
9 AM–6 PM
9 AM–3 PM
By appointment only
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