Head-to-head · Cost-Efficiency Index
AquaVita NextGen vs Heva Health
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
AquaVita NextGen
Shoppers in AZ, CA, FL, TX, or NV who want a medspa-backed provider with a real street address.
Visit AquaVita NextGenHeva Health
Shoppers who want a concierge lab-panel-plus-GLP-1 bundle and can confirm their state isn't one of tirzepatide's five exclusions.
Visit Heva HealthThe verdict
AquaVita NextGen and Heva Health tie on the Cost-Efficiency Index at 60/100, so neither wins outright on the numbers. For most shoppers we'd start with AquaVita NextGen (ranked #244, a hair above #249) — Shoppers in AZ, CA, FL, TX, or NV who want a medspa-backed provider with a real street address. But Heva Health is a genuine coin-flip alternative here.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs AquaVita NextGen.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | AquaVita NextGen | Heva Health |
|---|---|---|
| Cost-Efficiency Index | 60/100 | 60/100 |
| Semaglutide / mo | $215/mo (compounded) | $150/mo (starting dose, compounded) |
| Tirzepatide / mo | $320/mo (compounded) | $339/mo (compounded) |
| Semaglutide / yr (modeled) | $2,580 | $1,800 |
| Tirzepatide / yr (modeled) | $3,840 | $4,068 |
| Coverage | 5 states | Coverage not published |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #244 | #249 |
AquaVita NextGen
60/100Where the value is
- Real, verifiable physical address (23321 El Toro Rd Suite G, Lake Forest, CA) rather than a web-only storefront
- Both semaglutide and tirzepatide offered, with a 3-month discount option on each ($600 and $900 respectively, cheaper per month than paying monthly)
- Explicit, plainly-worded compounding disclaimer present on the site
The tradeoffs
- Only 5 states served: Arizona, California, Florida, Texas, and Nevada — most of the country cannot use this provider
- No dose (mg/week) is disclosed for either the one-month or three-month listings, so it's unclear what strength $215 or $320 actually buys
Heva Health
60/100Where the value is
- Tirzepatide pricing is broken out into a clear, labeled ladder ($339/mo month-to-month down to $299/mo on a 6-month plan) rather than a single vague 'starting at' figure
- Explicitly discloses a real state-level restriction for tirzepatide (unavailable in Alaska, Arkansas, Indiana, Minnesota, South Carolina) instead of a vague coverage claim
- Named, credentialed care team (Dr. Caroline Tade NMD, Kasey Horrell PA-C, Dr. Daniel Hall DNP/NP-C, Kelly Moore FNP)
The tradeoffs
- The $149.99/month 'Weight Loss Program' figure is never explicitly confirmed as the semaglutide-specific price on the pages checked — it may be a generic teaser rather than a labeled per-drug rate
- Tirzepatide's '3-Month Program' is listed at the identical $339/month as the month-to-month rate despite being advertised as '15% savings vs month-to-month' — a page inconsistency worth flagging before treating either figure as final
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.