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Head-to-head · WeighScore

Blue Haven RX vs Next Vial

Blue Haven RX
Graded #489

Lower grade

vs+8.5
Next Vial
Graded #345

Higher grade

The verdict

Next Vial takes it — 59.3/100 to 50.8/100.

Next Vial grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.

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 valueBlue Haven RX +5
45
40
Dose & formulationNext Vial +12
40
52
Clinical oversightNext Vial +13
69
82
Labs & monitoringNext Vial +1
51
52
FulfillmentNext Vial +15
71
86
Contract termsNext Vial +35
20
55
Blue Haven RX · left barNext Vial · right bar

The numbers

MetricBlue Haven RXNext Vial
WeighScore50.8/10059.3/100
GradeCC
Scorecard rank#489#345
SemaglutideNot disclosed$250/mo (compounded)
TirzepatideNot disclosedNot disclosed
CoverageCoverage not published49 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only
Blue Haven RX

Graded #489 · C

Strengths

  • Flat all-inclusive pricing — consult, prescription, medication and free shipping
  • Not charged until a US-licensed physician approves your prescription
  • Named operating entity disclosed (Eternum Health LLC)
  • Both compounded semaglutide and tirzepatide listed as in-stock

Where it loses points

  • Mixed third-party reviews — Trustpilot complaints on customer service and dosing
  • Doesn't publish the states it serves or specific pharmacy partners
  • No clearly verifiable accreditation badge (e.g. LegitScript) on the site
  • Compounded semaglutide and tirzepatide only — no brand-name or oral options
Next Vial

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.

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