Next Vial review
Next Vial is a telehealth marketplace prescribing compounded semaglutide and tirzepatide (plus microdose variants) starting at a blended $249.97/month, with a named compounding pharmacy (Manifest Pharmacy).
- Semaglutide
- $249/mo (all doses, compounded)
- Tirzepatide
- $249/mo (all doses, compounded)
- Coverage
- 49 states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$2,988
Tirzepatide · modeled / year
$2,988
Pricing verified August 2026
The Index scorecard
Next Vial scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- Names its compounding pharmacy partner explicitly (Manifest Pharmacy, Greer, SC)
- Genuine LegitScript verification link found in the footer
- Explicit 44-state coverage list published in the FAQ
- No membership fee required, per site messaging
The tradeoffs
- Starting price is blended/generic ($249.97/mo) and not broken out by drug or dose tier anywhere public
- No individual medical director named
- Core product pages give minimal detail beyond the single starting-price headline
- 'Same price for all doses' claim could not be independently verified against actual checkout
The bottom line
Best for: Shoppers who want a named pharmacy partner and verified LegitScript status without a membership fee. Next Vial is a telehealth marketplace prescribing compounded semaglutide and tirzepatide (plus microdose variants) starting at a blended $249.97/month, with a named compounding pharmacy (Manifest Pharmacy).
Ranked #198 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Next Vial.
- #168RestorLife Med— RestorLife Med is a physician-guided GLP-1 telehealth practice.65/100
- #169SnagRx— SnagRx is a telehealth platform offering compounded semaglutide and tirzepatide with unusually specific named pharmacy partners (RedRock, Health Warehouse, Precision Compounding, Triad Rx) and a claimed LegitScript certification.65/100
- #170Teleios Health— Teleios Health markets itself as a physician-led GLP-1 telehealth provider offering both compounded semaglutide and tirzepatide.65/100
- #171YourEra— Two molecules, two headline prices, and two different reasons neither headline is what you will actually be billed in month two.62/100
- #172Levity— Levity is a telehealth weight-loss provider dispensing only FDA-approved branded GLP-1 medications Ozempic ($1,199/mo), Mounjaro ($1,299/mo) and Wegovy ($1,599/mo), all all-inclusive of consultation, prescription and shipping.64/100
- #173AlyveRx— AlyveRx (Alyve) is a telehealth platform selling compounded semaglutide and tirzepatide in both standard injection and proprietary PermeAct sublingual-drop form, plus brand Ozempic, Wegovy.64/100
The 24 programs nearest this one
- #199 Peptivo63
- #200 Semaglutide Online63
- #201 VitaStir63
- #202 Wisp63
- #203 MEDGm60
- #204 Allara Health62
- #205 Care Clinics62
- #206 ElitePhysiqMD62
- #207 GobyMeds62
- #208 Livea62
- #209 OnlineSemaglutide.org62
- #210 OurView Health62
- #211 ReadyRx62
- #212 Somi Health62
- #213 Southern Vitality and Weight Loss62
- #214 TideMedix62
- #215 TOM Weight Loss62
- #216 Unique Physique62
- #217 Aquivia Health62
- #218 Nex Gen Health Rx62
- #219 Oria Meds62
- #220 Solaya MD62
- #221 Embody59
- #222 AmberHealth61
Pricing, states and verification reflect Next Vial's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Next Vial's site. Not medical advice; see our disclosure.