Alternatives
Alternatives to Next Vial
Next Vial scores 76/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Next Vial at a glance
- Semaglutide
- $199/moMonth-to-month, all doses, compounded
- Tirzepatide
- $249/moMonth-to-month, all doses, compounded
- Coverage
- 49 states
- Brand-name GLP-1s
- No, compounded only
- Oral option
- No
- Pricing verified
- October 2026
6 of the 8 programs below list semaglutide for less than Next Vial's $199 a month. 3 of the 8 list tirzepatide for less than its $249 a month.
Next Vial offers compounded semaglutide and tirzepatide with a monthly option and lower prepaid rates on three-, six- and twelve-month plans.
Best for: Shoppers who want a named pharmacy partner and verified LegitScript status without a membership fee.
What Next Vial does well
- Names Manifest Pharmacy as a dispensing partner
- Displays a LegitScript verification link
- Publishes a 49-state coverage list, excluding Alaska
- Consultation, medication and shipping are included without a separate membership fee
Why readers look for an alternative
- 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
- Medication sales are final once fulfilled; confirm how unshipped prepaid supplies are handled
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Next Vial: $100/mo less for semaglutide · $100/mo less for tirzepatide
- 02C77/ 100Index
Happy Care Meds
Happy Care Meds offers dose-priced compounded injections in 28-day supplies, with higher-dose maintenance quotes of $139 semaglutide and $209 tirzepatide.
- Sema
- $139 per 4 weeksPublished higher-dose maintenance tiers, 1.5–2.5 mg weekly; lower-dose tiers $119–$129
- Tirz
- $209 per 4 weeksPublished 15 mg weekly maintenance tier; lower-dose tiers $139–$199
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Next Vial: $60/mo less for semaglutide · $40/mo less for tirzepatide
- 03C77/ 100Index
Rx.com
Offers a flat price at every dose, no automatic renewals and a named dispensing pharmacy, with lower rates on prepaid plans.
- Sema
- $175/moMonth-to-month; $165 on three months, $146 on six and $99 on twelve, prepaid
- Tirz
- $285/moMonth-to-month; $265 on three months, $259 on six and $149 on twelve, prepaid
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Next Vial: $24/mo less for semaglutide · $36/mo more for tirzepatide
- 04C77/ 100Index
TrimRx
TrimRx's terms price compounded semaglutide at $199 for the first month and $299 a month after, and tirzepatide at $349 then $399, while its homepage advertises both from $179 and $259.
- Sema
- $299/moMonth-to-month refill price; first month $199, compounded
- Tirz
- $399/moMonth-to-month refill price; first month $349, compounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with Next Vial: $100/mo more for semaglutide · $150/mo more for tirzepatide · also lists brand-name GLP-1s
- 05C76/ 100Index
Henry Meds
Henry Meds sells sublingual semaglutide from $179 a month, the injection at $297, and tirzepatide only as tablets in a $1,047 three-month supply, with visits, medication and shipping in one price.
- Sema
- $179/moSublingual, lower-dose tier; $249 at higher doses, $297 for the injection
- Tirz
- $349/moOral tablets, sold as a $1,047 three-month supply
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Next Vial: $20/mo less for semaglutide · $100/mo more for tirzepatide · offers an oral option
- 06C76/ 100Index
Ivy Rx
Ivy Rx offers compounded semaglutide and tirzepatide through one GLP-1 injection listing, with a shared $77 starting headline and the final drug-specific quote confirmed during the online visit.
- Sema
- $77/moFrom (standard shared GLP-1 injection headline, compounded; confirm selected plan)
- Tirz
- Not separately disclosed (shared compounded GLP-1 headline from $77/mo)
- Coverage
- Multi-state
- Brand
- Yes
Compared with Next Vial: $122/mo less for semaglutide · also lists brand-name GLP-1s
- 07C76/ 100Index
Go Vida Plena
Go Vida Plena is a Spanish-language, Latino-focused GLP-1 telehealth service selling compounded semaglutide and tirzepatide as injections or oral tablets, in one-time 4-week to 48-week supplies that never auto-renew.
- Sema
- $269 per 4 weeksMonth-to-month injection, one-time payment, no auto-renewal; $179/mo on a 48-week supply paid up front, compounded
- Tirz
- $349 per 4 weeksMonth-to-month oral tablets, one-time payment, no auto-renewal; $269/mo on a 48-week supply paid up front, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Next Vial: $70/mo more for semaglutide · $100/mo more for tirzepatide · offers an oral option
- 08C76/ 100Index
50 Stars Health
50 Stars Health is a telehealth platform selling compounded semaglutide and tirzepatide at one price for every dose, billed monthly or on cheaper 3- and 6-month plans, in 44 states and Puerto Rico.
- Sema
- $146/moAll doses, month-to-month, compounded; $133/mo on a 3-month plan, $124/mo on a 6-month plan
- Tirz
- $220/moAll doses, month-to-month, compounded; $201/mo on a 3-month plan, $183/mo on a 6-month plan
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Next Vial: $53/mo less for semaglutide · $29/mo less for tirzepatide
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.