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WeighLab

50 Stars Health vs Next Vial

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

50 Stars Health

Provider comparison

Shoppers who want a flat price that doesn't rise as the dose goes up, and who live in one of its 44 states.

Semaglutide / month
$146/moAll doses, month-to-month, compounded; $133/mo on a 3-month plan, $124/mo on a 6-month plan
Tirzepatide / month
$220/moAll doses, month-to-month, compounded; $201/mo on a 3-month plan, $183/mo on a 6-month plan
Index 76/100 · Grade CChecked October 2026

Next Vial

Provider comparison

Shoppers who want a named pharmacy partner and verified LegitScript status without a membership fee.

Semaglutide / month
$199/moMonth-to-month, all doses, compounded
Tirzepatide / month
$249/moMonth-to-month, all doses, compounded
Index 76/100 · Grade CChecked October 2026

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Both score 76/100 on the Cost-Efficiency Index. There is no score winner; compare the treatment you need, billing terms and state availability.

Check the difference in state access

50 Stars Health
44 states + PR (not AL, AR, CA, IN, SC, WV)
Next Vial
49 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

50 Stars Health

Next Vial

Semaglutide / month
50 Stars Health: $146/moAll doses, month-to-month, compounded; $133/mo on a 3-month plan, $124/mo on a 6-month plan
Next Vial: $199/moMonth-to-month, all doses, compounded
Tirzepatide / month
50 Stars Health: $220/moAll doses, month-to-month, compounded; $201/mo on a 3-month plan, $183/mo on a 6-month plan
Next Vial: $249/moMonth-to-month, all doses, compounded
Semaglutide / year (modeled)
50 Stars Health: $1,752
Next Vial: $2,388
Tirzepatide / year (modeled)
50 Stars Health: $2,640
Next Vial: $2,988
State availability
50 Stars Health: 44 states + PR (not AL, AR, CA, IN, SC, WV)
Next Vial: 49 states
Oral / sublingual option listed
50 Stars Health: Not listed
Next Vial: Not listed
Brand-name access listed
50 Stars Health: Not confirmed
Next Vial: Not confirmed
Provider facts checked
50 Stars Health: October 2026
Next Vial: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

50 Stars Health

Shoppers who want a flat price that doesn't rise as the dose goes up, and who live in one of its 44 states.

Reasons to consider it

  • Same price at every dose, with the consultation, follow-ups, supplies and shipping included
  • Month-to-month, 3-month and 6-month plans are all priced on the product pages
  • Publishes its state list for GLP-1s

What to weigh up

  • Not available in Alabama, Arkansas, California, Indiana, South Carolina or West Virginia
  • No compounding pharmacy or medical director is named
  • Subscriptions renew automatically, and refunds are not typically offered once a plan is billed

Next Vial

Shoppers who want a named pharmacy partner and verified LegitScript status without a membership fee.

Reasons to consider it

  • Names Manifest Pharmacy as a dispensing partner
  • Displays a LegitScript verification link
  • Publishes a 49-state coverage list, excluding Alaska

What to weigh up

  • The lowest advertised monthly equivalents require paying for a longer supply up front
  • The page headline differs from the actual plan selector, so use the selected plan total
  • No individual medical director is named

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

50 Stars HealthNext Vial
Normalized Cost/Month
50 Stars Health:
87/100
Next Vial:
68/100
Price Transparency
50 Stars Health:
94/100
Next Vial:
97/100
Nationwide Access
50 Stars Health:
66/100
Next Vial:
78/100
Formulation Options
50 Stars Health:
66/100
Next Vial:
66/100
Clinical Oversight
50 Stars Health:
79/100
Next Vial:
82/100
Contract Flexibility
50 Stars Health:
49/100
Next Vial:
55/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.