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Head-to-head · WeighScore

Next Vial vs Vida Health

Next Vial
Graded #345

Higher grade

vs+4.099999999999994
Vida Health
Graded #447

Lower grade

The verdict

Next Vial takes it — 59.3/100 to 55.2/100.

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 valueVida Health +5
40
45
Dose & formulationNext Vial +12
52
40
Clinical oversightNext Vial +7
82
75
Labs & monitoringVida Health +9
52
61
FulfillmentNext Vial +24
86
62
Contract termsEven
55
55
Next Vial · left barVida Health · right bar

The numbers

MetricNext VialVida Health
WeighScore59.3/10055.2/100
GradeCC
Scorecard rank#345#447
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
Vida Health

Graded #447 · C

Strengths

  • Medical Weight Loss program includes anti-obesity GLP-1 medications
  • Pairs medication with behavioral-health coaching and medical management
  • Whole-person care across chronic conditions, sleep, and nutrition
  • Integrates with major health plans, PBMs, and benefit platforms
  • Established virtual chronic-care platform

Where it loses points

  • Distributed mainly via employers and health plans, not direct cash-pay
  • Access usually requires employer or plan sponsorship
  • No public consumer GLP-1 pricing
  • Clinician credentials not detailed publicly
  • Less suited to consumers wanting direct-to-door GLP-1

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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