Head-to-head · Value Score
Precision Telemed vs Next Vial
Two GLP-1 deals, scored on the same six factors. Precision Telemed lands a Value Score of 89, Next Vial a 62. Here's who gives you the honest lower price — and where each one bites back.
Precision Telemed
#10 · Grade A · Great Deal
Est. first month
$149/mo
Save ~89% vs brand-nameNext Vial
#350 · Grade C · Watch List
Est. first month
From $250/mo (compounded)
Save ~81% vs brand-nameThe verdict
Precision Telemed takes it on Value Score, 89 to 62 — an est. $149/mo first month, with no teaser step-up baked in. Next Vial isn't out of it: People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | Precision Telemed | Next Vial |
|---|---|---|
| Value Score | 89 (A) | 62 (C) |
| Est. first month | $149/mo | From $250/mo (compounded) |
| Save vs brand-name | ~89% | ~81% |
| Semaglutide | $149/mo | From $250/mo (compounded) |
| Tirzepatide | $199/mo | Not disclosed |
| Both molecules | Yes | No |
| Pricing | Flat — no step-up | Watch |
| Coverage | All 50 states | 49 states |
Factor by factor
The six factors behind each Value Score. The orange bar marks the stronger side. See the methodology.
Precision Telemed
A LegitScript-certified, all-50-state program with an honest $149 / $199 flat price on both molecules.
Why it's a deal
- LegitScript-certified and available in all 50 states
- Flat $149 semaglutide / $199 tirzepatide — no step-up
- Both molecules priced up front
The fine print
- Not the rock-bottom sticker — sub-$100 sema tiers exist
- No brand-name or oral option
Next Vial
Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.
Why it's a deal
- 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
The fine print
- 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
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Value Score.
Neither one the right fit? Every program that outscores Precision Telemed is ranked on the Precision Telemed alternatives board, and the same list for the other side is on alternatives to Next Vial.
More head-to-heads
Prices, states and verification reflect each program's public disclosures at last check; the Value Score is our editorial judgment per the methodology. “Save vs brand-name” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.