Head-to-head · WeighScore
Mixx Health & Wellness vs Next Vial
The verdict
Mixx Health & Wellness takes it — 62.8/100 to 59.3/100.
Mixx Health & Wellness grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Mixx Health & Wellness is a telehealth weight-loss platform offering compounded semaglutide and tirzepatide from $120/month with $0 consultations and follow-ups.
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 | Mixx Health & Wellness | Next Vial |
|---|---|---|
| WeighScore | 62.8/100 | 59.3/100 |
| Grade | C | C |
| Scorecard rank | #266 | #345 |
| Semaglutide | Not disclosed | $250/mo (compounded) |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | 44 states | 49 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #266 · C
Strengths
- 44 jurisdictions enumerated in the public FAQ — confirm eligibility before intake
- Operating LLC disclosed: Mixx Health and Wellness LLC (Wyoming law)
- Named pharmacy partner: Promise Pharmacy, Palm Harbor FL, (727) 772-0500
- Named founder: Dr. James David Lawrence III, MD, with a public origin story
- $0 consultation fee — free intake and follow-ups
Where it loses points
- Both medications are compounded semaglutide and tirzepatide — not FDA-approved brand drugs
- Dose-tier pricing not available — /pricing and /products pages returned 404
- No LegitScript, PCAB, or BBB trust badges visible
- Wyoming governing-law clause — disputes adjudicated under Wyoming law regardless of your state
- FDA has issued this company a warning letter; the letter is public in FDA's warning-letter database
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.