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The shortlist

Alternatives to AquaVita NextGen

AquaVita NextGen sits at No. 213 in our ranking with a Brief Score of 67. Here are the GLP-1 providers we'd weigh against it — ranked on the same six-factor Brief Score, top down.

Prefer a straight head-to-head? CoreAge Rx vs AquaVita NextGen.

Our top alternative

No. 1 here

CoreAge Rx

One price on both molecules that does not climb as you titrate — but the headline $99 and $149 are annual-plan rates, paid in full up front.

Sema
$99/mo only on a 12-month plan paid in full ($1,188 in one charge); month-to-month rate not published
Tirz
$149/mo only on a 12-month plan paid in full ($1,788 in one charge); month-to-month rate not published
Coverage
US only; restrictions by state, confirmed at intake

More providers worth weighing

No. 320 · Grade C

TeleDocs360

63/100

TeleDocs360 is a cash-pay telehealth service offering compounded GLP-1 weight loss medications, including injectable semaglutide and tirzepatide, oral semaglutide, plus phentermine and NAD+ therapy.

Sema
From $399/mo (compounded)
Coverage
Coverage not published
new to the tracker, no prior reading
No. 356 · Grade C

SkinnyRx

58/100

A provider that puts every term and every rate on the page before a single medical question — and then advertises itself with the twelve-month rung of each one, on a microdose line that costs the same as the full dose.

Sema
$349/mo month-to-month, compounded — the advertised $199 is the 12-month rung, billed as $2,388 in one payment
Coverage
47 states + Washington DC — not Alabama, Louisiana or Mississippi
new to the tracker, no prior reading

FDA warning letter, February 2026 — issued to Lean Rx, Inc. dba SkinnyRx. See the FDA's warning letter database.

No. 28 · Grade B

TeleCareSpot

85/100

A nationwide provider with an oral option — full-formulary, but priced at the premium end.

Sema
$299/mo
Coverage
All 50 states
price stable
No. 192 · Grade C

Dr. Arevitalize

68/100

Dr. Arevitalize (Dr.Arevitalize Health, Inc.) is a LegitScript-certified telehealth platform offering compounded GLP-1 weight-loss medication in both injectable and oral-capsule forms.

Sema
From $319/mo (compounded)
Coverage
Coverage not published
new to the tracker, no prior reading
No. 48 · Grade B−

Apex MD

80/100

Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.

Sema
$299/mo
Coverage
All 50 states
new to the tracker, no prior reading
No. 269 · Grade C

Revive Meds

65/100

Revive Meds (revive-meds.com, Revive Health Therapy) is a nationwide GLP-1 and longevity telehealth service that sells compounded semaglutide and dual-agonist tirzepatide, each combined.

Sema
From $369/mo (starting dose, compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 150 · Grade C

MyStart Health

71/100

MyStart Health offers all-inclusive compounded semaglutide and tirzepatide at $299/month with a price-lock guarantee, same-day physician consultations, and 24/7 care team access.

Sema
From $299/mo (all doses, compounded)
Coverage
Coverage not published
new to the tracker, no prior reading

FDA warning letter, September 2025 — issued to Matthew Stern, CEO MyStart Health LLC.. See the FDA's warning letter database.

No. 175 · Grade C

Claya

69/100

Claya is a direct-to-consumer telehealth platform offering compounded semaglutide and tirzepatide in both injectable and oral-tablet forms — a wider format range than most competitors.

Sema
From $299/mo (compounded)
Coverage
Coverage not published
new to the tracker, no prior reading

Rankings reflect the Dose Brief Score — our editorial judgment per the methodology. Pricing and coverage reflect public disclosures at last review and change often — confirm on each provider's site. Not medical advice; see our disclosure.