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No. 208 on the board · Grade C

Next Vial review

Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.

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Semaglutide
From $250/mo (compounded)
Tirzepatide
Not disclosed
Coverage
49 states
Brand-name
Compounded only
On the trackerNewnew to the tracker, no prior readingNew to the tracker on 1 August 2026. The published line reads From $250/mo (compounded) at our first reading; there is no earlier reading of ours to compare it against yet.

The scorecard

Next Vial scored on our six Brief Score factors. See the methodology.

Price Stability48/100
Supply Reliability78/100
Transparency48/100
Access Breadth74/100
Clinical Oversight82/100
Track Record80/100

What we like

  • LegitScript verified with named pharmacy partner (Manifest Pharmacy, Greer, SC)
  • No membership fees — one all-in price covering consultation, medication, and shipping
  • Compounded semaglutide, tirzepatide, and microdose options available
  • Free rushed shipping; serves 49 states nationwide
  • Board-certified physician oversight with ongoing provider support

The caveats

  • Tirzepatide pricing not listed publicly (starting price covers GLP-1 generally)
  • Compounded medications are not FDA-approved
  • Labs and nutritional coaching not disclosed
  • Microdose pricing not published on product page
  • Alaska not listed among served states

The brief

Best for: People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner. Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.

Ranked #208 of 495 providers we reviewed — see our #1 pick, CoreAge Rx, for comparison.

Closest on the board

The desks scoring nearest Next Vial — the realistic shortlist if you're weighing it.

Weighing Next Vial against one desk in particular? We file it head to head with our top-ranked pick in CoreAge Rx vs Next Vial, and every desk that outranks it is listed on the Next Vial alternatives board.

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464 more are filed too — see every desk we track, ranked.

Pricing, states and verification reflect Next Vial's public disclosures at last review; the Brief Score is our editorial judgment per the methodology. Prices change — confirm on Next Vial's site. Not medical advice; see our disclosure.

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