Next Vial review
Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.
- Semaglutide
- From $250/mo (compounded)
- Tirzepatide
- Not disclosed
- Coverage
- 49 states
- Brand-name
- Compounded only
Prices read from Next Vial's own site on . Providers change pricing without notice — check the current figure before you buy.
The scorecard
Next Vial scored on our six Brief Score factors. See the methodology.
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 #243 of 546 providers we reviewed — see our #1 pick, CoreAge Rx, for comparison.
Before you decide
The questions readers ask next after reading about Next Vial.
Closest here
The providers scoring nearest Next Vial — the realistic shortlist if you're weighing it.
Weighing Next Vial against one provider in particular? There is a full head-to-head with our top-ranked pick in CoreAge Rx vs Next Vial, and every provider that outranks it is listed on the Next Vial alternatives ranking.
- #240Livea— Livea is a physician-supervised medical weight loss clinic founded in 2011 with 8 clinics in MN and WI, plus telehealth in MN, WI, Iowa, and Florida.66/100
- #241Luma Meds— Fully online compounded GLP-1 telehealth offering semaglutide and tirzepatide injections from FDA-regulated 503A and 503B compounding pharmacies.66/100
- #242Mint Medical Clinic— Mint Medical Clinic is a hybrid Utah practice with in-person locations in Sandy and Layton plus telehealth, offering compounded semaglutide and tirzepatide from $299/month.66/100
- #244Nova MD— Nova MD is a telehealth platform offering compounded semaglutide and tirzepatide on 1-month and 3-month plans, with an uncommon explicit microdose program for both molecules.66/100
- #245Open Water Rx— Open Water Rx is a telehealth platform for GLP-1 weight loss and longevity care, with compounded semaglutide and tirzepatide at one all-inclusive price per plan length.66/100
- #246Remote Pharmacy— Remote Pharmacy is a US direct-to-consumer telehealth service offering compounded GLP-1 weight-loss medication on a cash-pay basis with no subscriptions or hidden fees.66/100
More providers we track (24)
- #1 CoreAge Rx94
- #2 Eden91
- #3 Trimi89
- #4 Sesame Care87
- #5 ShedRx87
- #6 Sprout Health86
- #7 HealthRX86
- #8 MadeMed86
- #9 Invigor Medical88
- #10 Telos Rx85
- #11 Enhance MD85
- #12 REMEVi87
- #13 Ro87
- #14 Ondra Health87
- #15 Vaylen87
- #16 Vytora Health87
- #17 No BS RX87
- #18 yourEra84
- #19 Strut Health84
- #20 Effecty86
- #21 NiceRx86
- #22 Curex86
- #23 Amazon One Medical86
- #24 AgelessRx85
515 more are filed too — see every provider 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.