Head-to-head · WeighScore
Next Vial vs TeleZen MD
The verdict
TeleZen MD takes it — 60.2/100 to 59.3/100, but only just.
TeleZen MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. TeleZen MD (telezenmd.com) is a 100% online U.S. Next Vial 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.
The numbers
| Metric | Next Vial | TeleZen MD |
|---|---|---|
| WeighScore | 59.3/100 | 60.2/100 |
| Grade | C | C |
| Scorecard rank | #345 | #328 |
| Semaglutide | $250/mo (compounded) | $198/mo (compounded) |
| Tirzepatide | Not disclosed | $298/mo (compounded) |
| Coverage | 49 states | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
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
Graded #328 · C
Strengths
- Says it serves all 50 states — among the broadest claimed reach in the compounded segment
- Markets U.S.-based, FDA-registered pharmacies
- $100 off your first order with code WELCOME100
- Fully online U.S. telehealth model with physician evaluation
- Education-forward, physician-led positioning
Where it loses points
- Partner pharmacy not named
- Legal entity name and state of incorporation not disclosed
- Brand-name medications not addressed on the homepage
- LegitScript certification not confirmed
- All-50-states claim is the provider's own, not independently verified
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.