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Head-to-head · WeighScore

AquaVita NextGen vs TeleFirst Med

AquaVita NextGen
Graded #416

Lower grade

vs+1.1000000000000014
TeleFirst Med
Graded #400

Higher grade

The verdict

TeleFirst Med takes it — 57.4/100 to 56.3/100, but only just.

TeleFirst Med grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. TeleFirst Med is a virtual urgent-care and primary-care telehealth clinic that also offers a GLP-1 weight-loss path: a $120 telehealth evaluation with a licensed doctor who, if you qualify, prescribes real… 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 valueTeleFirst Med +22
23
45
Dose & formulationAquaVita NextGen +22
75
53
Clinical oversightEven
82
82
Labs & monitoringAquaVita NextGen +1
53
52
FulfillmentAquaVita NextGen +4
62
58
Contract termsTeleFirst Med +8
47
55
AquaVita NextGen · left barTeleFirst Med · right bar

The numbers

MetricAquaVita NextGenTeleFirst Med
WeighScore56.3/10057.4/100
GradeCC
Scorecard rank#416#400
Semaglutide$375/mo (first-month rate, compounded)Not disclosed
Tirzepatide$320/mo (starting dose, 3-month plan, compounded)Not disclosed
Coverage5 states2 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
AquaVita NextGen

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semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished
TeleFirst Med

Graded #400 · C

Strengths

  • Prescribes real brand-name GLP-1 (e.g. Ozempic/Wegovy), not compounded — appealing if you specifically want FDA-approved branded medication
  • Simple $120 telehealth evaluation with a licensed doctor; no insurance hassle and no prior authorization
  • You fill the prescription at your own regular pharmacy rather than waiting on a mail-order compounding pharmacy
  • Also a general telehealth clinic (urgent care, chronic-condition management) if you want broader care

Where it loses points

  • Only Texas and North Carolina are confirmed — not available nationwide
  • The $120 is an evaluation fee; the brand-name medication is billed separately at your pharmacy and can be expensive without insurance
  • Small practice (about 500 patients) with limited public detail on its clinicians and program
  • No compounded or lower-cost medication option, and no medication pricing is published

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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