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Best-value alternatives

Alternatives to Next Vial

Next Vial scores 63/100 on our Cost-Efficiency Index (ranked #198 of 539). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.

Read the Next Vial review →CoreAge Rx vs Next Vial →
  1. Our #1 pick
    01A

    CoreAge Rx

    Ranked #1

    Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded
    Visit CoreAge Rx CoreAge Rx vs Next Vial →
  2. 02C

    LunaRx

    Ranked #197

    LunaRx is a telehealth weight-loss platform advertising flat-rate pricing ($149/mo and $199/mo tiers) with a '$0 if not approved' consult guarantee.

    Sema
    $149/mo (compounded)
    Tirz
    $199/mo (compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit LunaRx LunaRx vs Next Vial →
  3. 03C

    LillyDirect Foundayo

    Ranked #196

    Foundayo is Eli Lilly's own first-party, FDA-approved oral GLP-1 (orforglipron).

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    All 50 states
    Brand
    Yes
    Visit LillyDirect Foundayo LillyDirect Foundayo vs Next Vial →
  4. 04C

    Lavender Sky Health

    Ranked #195

    Lavender Sky Health is a marketplace of about ten compounding pharmacies rather than a single-price provider, each with its own ladder of prepaid tiers and month-to-month plans.

    Sema
    $139/mo (starting dose, month to month, Southend Pharmacy, compounded)
    Tirz
    $149/mo (starting dose, month to month, ReviveRx, compounded)
    Coverage
    All 50 states
    Brand
    Compounded
    Visit Lavender Sky Health Lavender Sky Health vs Next Vial →
  5. 05C

    iThriveMD

    Ranked #194

    iThriveMD is a Southern California/Arizona hybrid clinic (in-person visits or home delivery) offering LegitScript-certified compounded semaglutide and tirzepatide.

    Sema
    $199/mo (all doses, promotional rate, compounded)
    Tirz
    $399/mo (microdose tier, starting dose, compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit iThriveMD iThriveMD vs Next Vial →
  6. 06C

    Green Cap Health

    Ranked #193

    Green Cap Health is a Texas-only telehealth practice with a vertically integrated model: it is both the prescribing clinical practice and the in-house compounding pharmacy.

    Sema
    $129/mo (6-month plan, compounded)
    Tirz
    $199/mo (6-month plan, compounded)
    Coverage
    1 state
    Brand
    Compounded
    Visit Green Cap Health Green Cap Health vs Next Vial →
  7. 07C

    Curve

    Ranked #192

    Curve (Try Curve LLC) is a telehealth platform offering compounded semaglutide and tirzepatide, prescribed by Beluga Health providers licensed in all 50 states and dispensed by VialsRx.

    Sema
    $175/mo (compounded)
    Tirz
    $225/mo (compounded)
    Coverage
    All 50 states
    Brand
    Compounded
    Visit Curve Curve vs Next Vial →
  8. 08C

    CoraDoc

    Ranked #191

    CoraDoc is a nationwide telehealth platform whose lowest advertised prices ($99/mo semaglutide, $149/mo tirzepatide) are one-time payments for a full 6-month program, not recurring monthly charges.

    Sema
    $99/mo (starting dose, 6-month plan, compounded)
    Tirz
    $149/mo (6-month plan, compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit CoraDoc CoraDoc vs Next Vial →

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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