Head-to-head · WeighScore
NextMeds vs TOM Weight Loss
The verdict
Too close to call — both grade 66.3/100 (C).
NextMeds and TOM Weight Loss land on the same WeighScore, so neither clears the other on our six graded dimensions. NextMeds sits one line higher on the board (#191 vs #193) on the underlying tiebreak, but it's a genuine coin-flip — pick on the factors and prices that matter most to you 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 | NextMeds | TOM Weight Loss |
|---|---|---|
| WeighScore | 66.3/100 | 66.3/100 |
| Grade | C | C |
| Scorecard rank | #191 | #193 |
| Semaglutide | $129/mo (plus a separate fee, compounded) | $199/mo (all doses, compounded) |
| Tirzepatide | $179/mo (plus a separate fee, compounded) | $249/mo (all doses, compounded) |
| Coverage | All 50 states | 2 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #191 · C
Strengths
- Flat monthly membership bundles the medication, telehealth visits, a 1:1 care coach and a licensed registered dietitian — one price, no hidden fees
- Same price every dose, no auto-renewal, cancel anytime; free shipping and no insurance needed (FSA eligible)
- Names a compounding pharmacy partner (Foothills Pharmacy) and states it services all 50 states
- Free, no-obligation online assessment before you pay anything
Where it loses points
- Shows a LegitScript 'approval' but links only a generic directory search, not a verifiable seal — we couldn't independently confirm it
- Promo-driven pricing with a countdown timer and 'price increases' urgency; the standing membership is $129 (sema) / $179 (tirz)
- A technology platform that coordinates care, not the medical provider; individual clinicians and a medical director aren't named on the site
- Compounded semaglutide and tirzepatide only — no brand-name (Wegovy/Zepbound) options
- Compounded GLP-1s are not FDA-reviewed or approved — a different evidence and regulatory tier than brand-name
Graded #193 · C
Strengths
- ABOM board-certified physician (Dr. Tran Le, NPI 1194212258, verified ACTIVE)
- Solo-physician model — every patient sees Dr. Le directly
- Flat-rate pricing — no dose escalation surcharge
- LegitScript badge displayed
- No FDA Warning Letters
Where it loses points
- Limited geographic footprint — Texas and Utah only
- No named compounding pharmacy partner disclosed
- Compounded medications are not FDA-approved
- Cash-pay only, no insurance
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.