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Ranked #345 · Grade C

Next Vial review

Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.

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Semaglutide
From $250/mo (compounded)
Tirzepatide
Not disclosed
Coverage
49 states
Brand-name
Compounded only

The scorecard

Next Vial scored on our six published factors. See the methodology.

Real-world results64/100
Price honesty28/100
Prescriber access84/100
Formulary choice58/100
Cancellation fairness56/100
Member support70/100

What we like

  • LegitScript verified with named pharmacy partner (Manifest Pharmacy, Greer, SC)
  • No membership fees — one all-in price covering consultation, medication, and shipping
  • Compounded semaglutide, tirzepatide, and microdose options available
  • Free rushed shipping; serves 49 states nationwide
  • Board-certified physician oversight with ongoing provider support

The caveats

  • Tirzepatide pricing not listed publicly (starting price covers GLP-1 generally)
  • Compounded medications are not FDA-approved
  • Labs and nutritional coaching not disclosed
  • Microdose pricing not published on product page
  • Alaska not listed among served states

The verdict

Best for: People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner. Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.

Ranked #345 of 499 providers we have reviewed — for comparison, read our ruling on CoreAge Rx, our #1 pick. On the board it sits between Marek Health, 59/100 above and Roen Rx at 59/100 below, with the SkyRx ruling the next one down.

Weighing it against something else? Every provider we would put in front of Next Vial is ranked on price honesty, prescriber access and cancellation terms. We have also ruled on it directly: CoreAge Rx vs Next Vial goes to CoreAge Rx, 94/100 to 59/100.

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Compare with other providers

All 498 other providers we've reviewed, in our overall ranking order.

Every other program we track (492)

Pricing, states and verification reflect Next Vial's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Next Vial's site. Not medical advice; see our disclosure.

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