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Head-to-head · WeighScore

AquaVita NextGen vs Evolve Telemed

AquaVita NextGen
Graded #415

Lower grade

vs+1.8000000000000043
Evolve Telemed
Graded #379

Higher grade

The verdict

Evolve Telemed takes it — 58.1/100 to 56.3/100, but only just.

Evolve Telemed grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Evolve Telemed is a hormone- and peptide-optimization telehealth practice for men and women, spanning TRT, weight management, sexual wellness, hair restoration, menopause/BHRT and thyroid. AquaVita NextGen is close behind and may still be the better fit — see the factor split below.

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.

Cost valueEvolve Telemed +22
23
45
Dose & formulationAquaVita NextGen +22
75
53
Clinical oversightEvolve Telemed +1
82
83
Labs & monitoringAquaVita NextGen +1
53
52
FulfillmentEven
62
62
Contract termsEvolve Telemed +8
47
55
AquaVita NextGen · left barEvolve Telemed · right bar

The numbers

MetricAquaVita NextGenEvolve Telemed
WeighScore56.3/10058.1/100
GradeCC
Scorecard rank#415#379
Semaglutide$375/mo (first-month rate, compounded)Not disclosed
Tirzepatide$320/mo (starting dose, 3-month plan, compounded)Not disclosed
Coverage5 statesCoverage not published
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
AquaVita NextGen

Graded #415 · C

Strengths

  • Physical address in Lake Forest CA
  • Named medical director (Dr. Steve Groke)
  • Both semaglutide and tirzepatide including ODT tablets
  • Compounding disclaimer present on site

Where it loses points

  • Only 5 states (AZ, CA, FL, TX, NV)
  • No LegitScript or PCAB accreditation
  • Primarily a local medspa expanding into telehealth
  • Only a first-month semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished
Evolve Telemed

Graded #379 · C

Strengths

  • Established hormone- and peptide-optimization brand with board-certified specialists and a physician-plus-care-specialist support model
  • Compounded GLP-1 (semaglutide) weight care offered alongside TRT, menopause/BHRT, thyroid and sexual-wellness programs in one practice
  • Coordinated couples care plans plus dedicated men's and women's tracks
  • Free consultation to start, with published press, blog and FAQ resources

Where it loses points

  • No GLP-1 pricing published — cost is only revealed after a consultation, so you can't compare value upfront
  • Doesn't list the states it serves or name its compounding pharmacies
  • Weight loss is one of many verticals, not a dedicated GLP-1-first program
  • Tirzepatide availability isn't confirmed on the site; only compounded semaglutide is referenced
  • Not shown on our price-ranked /best lists because no pricing is disclosed

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.

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