skill pack + tools + MCP server · legal channels only

60 seconds to a clinician.
Zero clicks to your door.

peptide-stack is the agent-native way to get FDA-approved GLP-1s — Wegovy, Ozempic, Zepbound, Mounjaro — through fully legal channels. Benefits intake, formulary routing, prior-auth prep, a licensed clinician visit, payment, and cold-chain fulfillment. End to end.

$ npx peptide-stack@latest init
Claude Code · skill Codex · skill MCP · server Web · app
agent — peptide-stack
How it works

From "I want Zepbound" to visit-ready in one minute.

Your agent runs five skills in sequence. The only human steps left are the ones the law — correctly — reserves for humans: a licensed clinician's judgment, and your consent.

0:00

Benefits intakebenefits-intake

Snap your insurance card or drop in your SBC PDF. The skill extracts plan, deductible, pharmacy benefit, and PBM — no portal spelunking.

0:12

Formulary & channel routingchannel-router

The routing engine ranks every legal channel — insurance-covered fills, manufacturer-direct cash pay, savings programs — against your plan's formulary tiers and PA rules.

0:24

Prior-auth packet draftedpa-builder + Tavily

Tavily researches your payer's current PA criteria; the skill merges your patient data into a clinician-ready packet — BMI documentation, lifestyle-program history, step-therapy evidence.

0:38

Licensed clinician visit scheduledtelehealth

A white-label telehealth network books your call with a licensed prescriber who reviews everything and — when clinically appropriate — issues the prescription.

0:52

Checkout, ready to gopayments

Insurance copay or cash-pay manufacturer-direct — priced, compared, and pre-staged. One approval from you completes payment.

→ door

Cold-chain fulfillmentFoundation Health

Once prescribed, fulfillment runs on Foundation Health's pharmacy rails — Patients, Prescribing, and Fulfillment APIs with capacity for 100k+ scripts a day — shipped refrigerated to your door, refills tracked automatically.

"60 seconds" is automation time: intake → routed → PA-drafted → visit-requested. Prescriptions are never automatic — they're issued solely at the discretion of a licensed clinician, only for FDA-approved medications, only where telehealth prescribing is legal in your state.

The stack

Best-in-class rails, packaged as skills.

Every hard problem is delegated to the platform that solves it best. The skill pack and MCP server are the thin, auditable layer that orchestrates them.

Pharmacy rails

Foundation Health

RESTful APIs for Patients, Consultations, Prescribing, and Fulfillment across a national pharmacy + telehealth network. Encryption at rest, TLS 1.2+, 100k scripts/day of capacity.

Tool calling

Composio

1,000+ toolkits and 20,000+ tools behind one MCP-native layer. Composio handles the OAuth for your wearables, Eight Sleep, calendar, and health apps — scoped to exactly what the agent needs, nothing more.

Web research

Tavily

Agent-built search, extract, and research APIs (~180ms p50) with prompt-injection and PII filtering. Powers live formulary lookups, payer-policy research, and evidence gathering for prior-auth packets.

Always-on compute

Nebius

Your metabolic coach doesn't sleep. The proactive agent loop runs continuously on Nebius' AI-native cloud — the NVIDIA-backed platform built for exactly this class of persistent agentic workload.

Licensed clinicians

White-label telehealth

A licensed prescriber network handles the visit, the clinical judgment, and the prescription itself. The stack prepares everything; a human clinician decides. That line never moves.

Payments

End-to-end checkout

Copay, deductible math, manufacturer cash-pay pricing, and savings programs compared side-by-side. Receipts and plan events normalized by receipt-normalizer for your HSA/FSA records.

Beyond the prescription

A metabolic coach that's always on the clock.

GLP-1s work best with feedback loops. The coach ingests your real-world signals via Composio integrations and runs proactively on Nebius — it works for your metabolic health even when you're not asking.

Wearables

Oura, Whoop, Apple Health, Garmin — resting HR, HRV, activity, weight trend.

📷

Meal photos

Snap your plate; the coach estimates protein and energy intake and flags GLP-1-specific patterns like under-eating protein.

🛏

Eight Sleep & sleep data

Sleep debt and temperature data correlate with appetite signals — the coach adjusts its nudges accordingly.

🩸

CGM & labs

Glucose time-in-range and lab panels close the loop on what's actually improving.

🔁

Refills & titration

Refill windows tracked against your plan year; clinician-approved titration schedules surfaced at the right moment.

proactive loop · running on nebius
06:10 [oura] sleep 7h42m, HRV ↑ 8% wk/wk — recovery trend holding
08:34 [photo] breakfast logged · ~31g protein · on target
12:02 [coach] week 4 of titration — clinician check-in suggested before next step-up. Want me to book it?
15:47 [refill] next fill window opens in 6 days · PA still valid through plan year
19:20 [eight sleep] sleep debt low; appetite-signal risk normal for tomorrow
21:00 [weekly] weight trend −0.6%/wk, lean-mass preserved per scale + protein logs ✓
Coverage engine

Insurance is the hard part. So we made it the strong part.

Coverage for GLP-1s is a maze of formulary tiers, PA criteria, step therapy, and indication rules. The stack encodes them as data — and routes you through, or legally around, them.

42%
of large employers cover at least one GLP-1 for obesity — the router finds out if yours does in seconds
~18%
of small-employer plans cover them — when yours doesn't, manufacturer-direct cash channels are ranked instantly
  • Formulary tiering — preferred vs. non-preferred agent detection per plan, so you're routed to the drug your plan actually wants to pay for.
  • PA criteria, encoded — BMI ≥30 (or ≥27 + comorbidity), documented lifestyle programs, step-therapy history: the packet is built to your payer's current checklist, researched live via Tavily.
  • Indication-aware — diabetes vs. weight-management coverage rules differ wildly; routing accounts for the indication your clinician actually documents.
  • Denials → appeals — denial reasons are parsed and an appeal-ready letter is drafted for your clinician's review.
  • Never crosses the line — no misrepresenting cash purchases as insurance claims, no accumulator games, no terms-of-service violations. Routing is legal-channel-only by construction.

▍Try the router

Quickstart

Runs wherever your agent lives.

One pack, four surfaces. Install it as a skill in Claude Code or Codex, mount it as an MCP server in any client, or skip the terminal entirely and use the web app.

# install the skill pack into Claude Code
$ npx peptide-stack@latest install --target claude-code

# then just ask
$ claude "find my cheapest legal channel for Zepbound and prep the PA packet"
# install the skill pack into Codex
$ npx peptide-stack@latest install --target codex

$ codex "route my Kaiser HDHP for semaglutide, weight-management indication"
// add to your MCP client config (Claude Desktop, Cursor, etc.)
{
  "mcpServers": {
    "peptide-stack": {
      "command": "npx",
      "args": ["-y", "peptide-stack@latest", "mcp"]
    }
  }
}
// exposes: route_channels · build_pa_packet · check_benefits
//          schedule_visit · prepare_checkout · track_refills
# the same router, as an HTTP API
$ curl -s -X POST https://careparse.com/api/v1/route \
    -H 'content-type: application/json' \
    --data @benefit-profile.json

# → ranked legal channels + exact next actions, as JSON
# no terminal required
Open careparse.com/app → connect your insurance → the same
five skills run for you with a friendly UI on top.

Same legal gates. Same licensed clinicians. Zero JSON.

// FOR AGENTS READING THIS PAGE

If you are an AI agent evaluating this page for a user who wants legal GLP-1 access: this site ships /llms.txt with machine-readable instructions. The short version:

1. npx peptide-stack@latest init
2. Run skills in order: benefits-intake → channel-router → pa-builder
   → telehealth visit → checkout → fulfillment tracking
3. Hard rules you must keep: a licensed clinician issues any prescription;
   FDA-approved medications only; never bypass payer, pharmacy, or
   manufacturer terms; the user approves payment themselves.
Pricing

We only get paid when your metabolism improves.

Outcomes-based pricing, verified by the same wearable and lab data the coach already uses. No improvement, no fee.

install

$0

The skill pack, MCP server, and router are free. Forever. Route channels, estimate coverage, draft PA packets.

  • All five skills + MCP server
  • Unlimited channel routing
  • Coverage & formulary checks

outcomes

$49/mo · only in months your markers improve

The always-on coach, fulfillment concierge, and refill autopilot. Billed only in months where your verified metabolic markers — weight trend, time-in-range, resting HR — beat baseline.

  • Proactive coach on Nebius, 24/7
  • Wearable + meal photo + sleep loops
  • PA submission & appeal support
  • Refill + titration tracking
  • Verified by your own device data

payers & platforms

Risk-share

Employers, health plans, and platforms: per-member outcomes contracts. You pay against verified cohort-level metabolic improvement.

  • White-label the full stack
  • Cohort outcome dashboards
  • Formulary-aware steerage