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Head-to-head · Cost-Efficiency Index

AquaVita NextGen vs LevelsRx

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.

Better valueGrade C · #244

AquaVita NextGen

Shoppers in AZ, CA, FL, TX, or NV who want a medspa-backed provider with a real street address.

Visit AquaVita NextGen
VS
Grade C · #251

LevelsRx

Shoppers who want a LegitScript-verified option with low headline starting prices.

Visit LevelsRx

The verdict

Too close to callGrade C vs C

AquaVita NextGen and LevelsRx 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 #251) — Shoppers in AZ, CA, FL, TX, or NV who want a medspa-backed provider with a real street address. But LevelsRx 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

45
53

Price Transparency

78
78

Nationwide Access

42
24

Formulation Options

77
90

Clinical Oversight

74
76

Contract Flexibility

55
41

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecAquaVita NextGenLevelsRx
Cost-Efficiency Index60/10060/100
Semaglutide / mo$215/mo (compounded)$150/mo (all doses, compounded oral)
Tirzepatide / mo$320/mo (compounded)$240/mo (starting dose, compounded)
Semaglutide / yr (modeled)$2,580$1,800
Tirzepatide / yr (modeled)$3,840$2,880
Coverage5 statesCoverage not published
Oral / sublingualYesYes
Brand-name accessCompounded onlyYes
Rank here#244#251

AquaVita NextGen

60/100

Where 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
Visit AquaVita NextGen

Full AquaVita NextGen review →

LevelsRx

60/100

Where the value is

  • Genuine, verifiable LegitScript certification badge
  • Offers injectable semaglutide, oral/liquid semaglutide, and tirzepatide
  • Low headline starting prices

The tradeoffs

  • No dose-tier pricing table published
  • No named compounding pharmacy partner
Visit LevelsRx

Full LevelsRx review →

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.

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