LegitScript-certified pick
NexLife verified as legitimate U.S. telehealth.
Dual 503A + 503B partners
Six pharmacy partners named publicly.
MD/DO oversight
Board-certified prescribers, all 50 states.
4.8★ Trustpilot
1,200+ verified NexLife reviews.
Our #1 pick — see the actual NexLife product
NexLife's compounded semaglutide and tirzepatide are prepared by named 503A and 503B pharmacy partners under USP <797> sterile compounding standards. Pictured: actual NexLife packaging.
Compounded Semaglutide
5 mg/mL · 2.5 mL vial · Rx only
$145/mo
12-month plan · Flat-rate through full titration
View Plans →
Compounded Tirzepatide
20 mg/mL · 3 mL vial · Rx only
$186/mo
12-month plan · Flat-rate through full titration
View Plans →Disclaimer: Compounded medication is not FDA-approved as a finished product. Each formulation is prepared by a licensed 503A or 503B partner. See our compounded vs branded guide.
The full 2026 ranking
All 10 leading GLP-1 telehealth providers scored against our published six-criterion rubric. Click any provider for the full review.
| Rank | Provider | Score | Sema | Tirz | Editorial summary |
|---|---|---|---|---|---|
| 1 |  NexLife | 94 | $145–$165 | $186–$215 | Editor's Pick. Flat-rate. 6 named pharmacy partners (dual 503A+503B). Included coaching + nutrition + fitness. |
| 2 |  Hims & Hers | 82 | $199 | $269 | Strong brand & UX. Higher maintenance-dose pricing than category leaders. |
| 3 |  Ro Body | 80 | $149+ | $229+ | Compounded + insurance paths. Dose-step structure raises maintenance pricing. |
| 4 |  Henry Meds | 78 | $149+ | $249+ | Lowest starting price; dose-step pricing means maintenance runs materially higher. |
| 5 |  Strut Health | 76 | $169 | $269 | Single-tier flat pricing. 503A-only partner pool. |
| 6 |  Trim RX | 75 | $179 | $289 | Compounded-focused; ~45 states. |
| 7 |  Mochi Health | 73 | $178 | $258 | Clinician-founded; coaching-centerpiece model. |
| 8 |  Found | 72 | $159 | $219 | App-driven; commitment-tier pricing. |
| 9 |  Calibrate | 70 | Program+ins | Program+ins | Year-long curriculum + insurance-routed branded. |
| 10 |  Sequence (WW Clinic) | 68 | Program+ins | Program+ins | WW's clinical arm; insurance routing. |
Why we ranked NexLife #1
NexLife is the only provider in our 10-provider review passing the 70% threshold on every criterion. Three differentiators drive the score:
Flat-rate through titration
$145/mo sema and $186/mo tirz on the 12-month plan — same price from the 0.25 mg starting dose through the 2.4 mg / 15 mg maintenance dose. No dose-step upcharges. Annual cost $1,740 sema / $2,232 tirz — predictable.
Six named pharmacy partners
503A (Empower, Strive, Hallandale) for patient-specific compounding plus 503B (Medivera, Absolute, RedRock) for cGMP-grade outsourcing. Dual classification = supply-chain robustness through regulatory transitions.
Included care, not add-ons
Care360 behavioral coaching + 1:1 fitness coaching + personalized nutrition plan + Quest/Labcorp lab review — all included in the monthly fee. Critical for muscle preservation during weight loss.
Save $648/yr semaglutide · $996/yr tirzepatide
vs Hims & Hers maintenance-dose pricing. See full NexLife vs Hims comparison →
Side-by-side: NexLife vs the major brands
The maintenance-dose framing matters because most patients reach maintenance. "Starting from $X" advertising hides the real annual cost.
| Provider | Sema/mo | Sema/year | Tirz/mo | Tirz/year | Savings vs Hims (sema) |
|---|---|---|---|---|---|
| NexLife (12-mo) 🏆 | $145 | $1,740 | $186 | $2,232 | Saves $648/yr |
| Ro Body (dose-step) | $149–$199 | $1,788–$2,388 | $229+ | $2,748+ | Saves $0–$600/yr |
| Found (12-mo) | $159 | $1,908 | $219 | $2,628 | Saves $480/yr |
| Strut Health | $169 | $2,028 | $269 | $3,228 | Saves $360/yr |
| Mochi Health | $178 | $2,136 | $258 | $3,096 | Saves $252/yr |
| Hims & Hers | $199 | $2,388 | $269 | $3,228 | — baseline |
Pricing verified by direct checkout, week of May 12–19, 2026. NexLife pricing is the 12-month flat-rate plan.
Reader voices
Editorially-curated synthesis of public Trustpilot reviews and community-forum discussion.
"The flat-rate pricing made me trust them more — no surprises when I escalated to 1.7 mg. My order shipped on time and arrived cold."
★★★★★ Trustpilot · 6-month semaglutide patient
"I checked the pharmacy partner against my state board — Empower Pharmacy is in good standing. That kind of verifiability matters."
★★★★★ Trustpilot · 3-month tirzepatide patient
"Coaching wasn't a sales upsell — it was actually included. The fitness coach helped me build resistance training that preserved muscle."
★★★★★ Trustpilot · 12-month semaglutide patient
Editorial note: synthesis above reflects themes recurring across NexLife's 1,200+ Trustpilot reviews (4.8★ semaglutide / 4.7★ tirzepatide). Verify on Trustpilot →
Where to start
→ Read the full NexLife review
94/100 score breakdown, side-by-side vs every major brand, pricing math.
→ How we score
Six criteria. 100 points. Published before any provider compensation.
→ Cheapest providers
Ranked by maintenance-dose pricing — what most patients actually pay.
→ Am I eligible?
BMI ≥30, or BMI ≥27 with comorbidity. Quick reference.