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Head-to-head · WeighScore

Next Vial vs Teladoc Health

Next Vial
Graded #345

Higher grade

vs+3.3999999999999986
Teladoc Health
Graded #429

Lower grade

The verdict

Next Vial takes it — 59.3/100 to 55.9/100.

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 valueTeladoc Health +5
40
45
Dose & formulationNext Vial +12
52
40
Clinical oversightNext Vial +5
82
77
Labs & monitoringTeladoc Health +9
52
61
FulfillmentNext Vial +22
86
64
Contract termsEven
55
55
Next Vial · left barTeladoc Health · right bar

The numbers

MetricNext VialTeladoc Health
WeighScore59.3/10055.9/100
GradeCC
Scorecard rank#345#429
Semaglutide$250/mo (compounded)Not disclosed
TirzepatideNot disclosedNot disclosed
Coverage49 statesCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only
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
Teladoc Health

Graded #429 · C

Strengths

  • Dedicated GLP-1 Prescription and Support program for weight management
  • Backed by one of the largest virtual care companies in the US
  • Partners with 50%-plus of Fortune 500 and 100-plus health plans
  • Adds nutrition, coaching and connected device tracking
  • Strong clinical credibility and brand trust

Where it loses points

  • Distributed mainly via employers and health plans, limited direct cash-pay
  • No transparent published monthly price for GLP-1 care
  • Specific medications and eligibility vary by plan coverage
  • Member experience can depend on the employer's chosen configuration

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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