Head-to-head · WeighScore
AquaVita NextGen vs FMmeds
The verdict
FMmeds takes it — 63.2/100 to 56.3/100.
FMmeds grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. FMmeds is a Manhattan Beach-based DTC telehealth platform selling compounded semaglutide and tirzepatide co-formulated with vitamin B12, with no membership fee and a free initial visit billed only on approval.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | AquaVita NextGen | FMmeds |
|---|---|---|
| WeighScore | 56.3/100 | 63.2/100 |
| Grade | C | C |
| Scorecard rank | #416 | #260 |
| Semaglutide | $375/mo (first-month rate, compounded) | $225/mo (all doses, compounded) |
| Tirzepatide | $320/mo (starting dose, 3-month plan, compounded) | $265/mo (all doses, compounded) |
| Coverage | 5 states | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #416 · 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semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished
Graded #260 · C
Strengths
- All 50 states plus DC covered, stated in the Terms
- Operating LLC and full Manhattan Beach, CA address disclosed
- Named 503A pharmacy partner (Manifest Pharmacy, Greer SC)
- Aggressive 12-month pricing — semaglutide $95/mo and tirzepatide $145/mo, at the low end of the market
- Flat pricing across all dose strengths — no dose-escalation surcharge
Where it loses points
- Compounded only — no FDA-approved Wegovy, Ozempic, Mounjaro, or Zepbound
- Publishes the FDA compounded-medication disclaimer (medication is not FDA-approved)
- Clinical network not separately named
- LegitScript Certified, but the specific ID isn't shown
- FDA has issued this company a warning letter; the letter is public in FDA's warning-letter database
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.