Head-to-head · WeighScore
Alternate Health Club vs Next Vial
The verdict
Alternate Health Club takes it — 69.8/100 to 59.3/100.
Alternate Health Club grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Alternate Health Club (alternatehealthclub.com) is a LegitScript-verified compounded GLP-1 telehealth platform offering compounded semaglutide at $129/month and compounded tirzepatide at $169/month.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Alternate Health Club | Next Vial |
|---|---|---|
| WeighScore | 69.8/100 | 59.3/100 |
| Grade | C | C |
| Scorecard rank | #111 | #345 |
| Semaglutide | $129/mo (compounded) | $250/mo (compounded) |
| Tirzepatide | $169/mo (compounded) | Not disclosed |
| Coverage | Coverage not published | 49 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #111 · C
Strengths
- $129/month compounded semaglutide is among the cheapest in the US market
- $169/month compounded tirzepatide is competitive with established platforms
- Complimentary workout and dietary plans bundled with medication — most peers don't
- LegitScript verified
- US-licensed clinicians
Where it loses points
- Parent company / legal entity not publicly disclosed
- State of incorporation not disclosed
- Per-state availability not listed — confirm your state ships before committing
- Pharmacy partners not publicly named
- Unclear whether lab work is included
Graded #345 · C
Strengths
- 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
Where it loses points
- 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
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.