Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

AquaVita NextGen vs Gaya Wellness

AquaVita NextGen costs $29 less a month, and both sell semaglutide and tirzepatide.

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
AquaVita NextGen logo

AquaVita NextGen

6.3
★★★☆☆3.2/5

Best for: seeing what it charges before you answer any medical questions

Visit AquaVita NextGen →
VS
Gaya Wellness logo

Gaya Wellness

5.5
★★★☆☆2.8/5

Best for: bloodwork inside the $349/month rather than billed on top

Visit Gaya Wellness →

If you are choosing between AquaVita NextGen and Gaya Wellness, the first difference is cost: AquaVita NextGen is $29 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. AquaVita NextGen leads our six-part score, 6.3 to 5.5.

AquaVita NextGen vs Gaya Wellness price

AquaVita NextGen is the cheaper way in: $320 a month against $349 a month at Gaya Wellness. That is $29 less each month (8% lower), or about $348 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Gaya Wellness ($349 a month vs $375 for the first month); tirzepatide is cheaper at AquaVita NextGen ($320 a month vs $349 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

AquaVita NextGen lists 5 states, and Gaya Wellness lists 5 states.

They overlap in 1 state. AquaVita NextGen alone covers Arizona, California, Nevada and Texas. Gaya Wellness alone covers Indiana, North Carolina, Tennessee and Virginia.

Pricing

AquaVita NextGen

Compounded semaglutide injectable (first month)Compounded
$375/mo
semaglutide

First month only (originally $499); ongoing/steady-state monthly price not published. 'Pricing is subject to change.'

StartingCompounded
$320/mo
tirzepatide

Compounded tirzepatide 1-month $320 (3-month $900)

Gaya Wellness

GLP-1 included tierCompounded
$349/mo
semaglutide
GLP-1 included tierCompounded
$349/mo
tirzepatide

What each price covers

Both prices cover the medication itself.

AquaVita NextGen's price also covers shipping, which Gaya Wellness does not claim.

Gaya Wellness' price also covers the clinician visit, lab work and coaching, which AquaVita NextGen does not claim.

AquaVita NextGen is silent on the clinician visit, lab work and coaching.

Gaya Wellness is silent on shipping.

AquaVita NextGen

Covered by the monthly price

Medication

In the price

Clinician visits

Not stated

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Gaya Wellness

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

In the price

Coaching

In the price

Where each one scores higher

Overall, AquaVita NextGen scores 6.3 and Gaya Wellness 5.5 out of 10.

AquaVita NextGen is stronger on user experience (8.0 vs 2.0) and trust & safety (7.5 vs 6.0).

Gaya Wellness is stronger on support (8.5 vs 4.5).

Value, effectiveness and accessibility are within half a point.

How we score

AquaVita NextGen

6.3/10

Overall

Gaya Wellness

5.5/10

Value25%

3.0A
vs
B
2.6

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
2.0

Trust & Safety15%

7.5A
vs
B
6.0

Accessibility10%

2.8A
vs
B
2.8

Support10%

4.5A
vs
B
8.5

FDA warning letters

Neither AquaVita NextGen nor Gaya Wellness has an FDA warning letter on record with us.

Features & Coverage

FeatureAquaVita NextGenGaya Wellness
Starting Price✓$320/mo$349/mo
Features4 features✓8 features
States Available55
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted—✓ Yes
FDA Warning LettersNoneNone

About AquaVita NextGen

AquaVita NextGen, trading as AquaVita Wellness & Medspa, sells compounded semaglutide and tirzepatide as ODT tablets. Its licensed providers cover AZ, CA, FL, TX and NV. Dr. Steve Groke is named as medical director. The business is in Lake Forest, CA.

Read our full AquaVita NextGen review →

About Gaya Wellness

Gaya Wellness runs three tiers and only the upper two include drugs: $149/mo buys GLP-1 access with no medication attached, $349/mo adds the compounded medication, and $549/mo puts GLP-1 together with HRT. Board-certified physicians write compounded semaglutide or tirzepatide, backed by a lab panel of 50+ biomarkers, weekly asynchronous check-ins and payment that qualifies for HSA/FSA. The practice is virtual and OB/GYN-led, aimed at women 40+. You must be 18-64 with a BMI of 30+, or 27+ carrying a metabolic condition. Licenses cover FL, NC, VA, IN and TN.

Read our full Gaya Wellness review →

Pros & Cons

AquaVita NextGen

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication and shipping
  • We found no FDA warning letters issued to AquaVita NextGen

Watch-outs

  • Serves only 5 states, so check that yours is one of them
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Gaya Wellness

What we like

  • The monthly price includes the medication, clinician visits, lab work and coaching
  • We found no FDA warning letters issued to Gaya Wellness
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
  • Baseline bloodwork is required before a prescription

Watch-outs

  • Semaglutide costs $349 a month, 89% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $349 a month, 40% above the $250 median for compounded tirzepatide across the sellers we compare
  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Serves only 5 states, so check that yours is one of them
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: AquaVita NextGen

AquaVita NextGen wins this one, 6.3 to 5.5, above all for seeing what it charges before you answer any medical questions. It also costs $29 less each month than Gaya Wellness. Gaya Wellness fits better if bloodwork inside the $349/month rather than billed on top is your priority.

Choose AquaVita NextGen if…

You want seeing what it charges before you answer any medical questions and an opening price near $320 a month.

Choose Gaya Wellness if…

You want bloodwork inside the $349/month rather than billed on top and an opening price near $349 a month.

Ready to start? GLP-1 providers we have vetted

Telehealth providers, vetted by us, prescribing GLP-1 online.

Vetted by our editors · no insurance required

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

9.4

Trimi Health

Knowing which pharmacy fills the vial: it names VialsRx

6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

AquaVita NextGen vs Gaya Wellness: FAQ

AquaVita NextGen. It starts at $320 a month; Gaya Wellness starts at $349 a month, $29 more per month.
Yes, both sell semaglutide and tirzepatide.
Both list 5 states and share 1.
Both include the medication itself. Only AquaVita NextGen includes shipping. Only Gaya Wellness includes the clinician visit, lab work and coaching.
AquaVita NextGen has none. Gaya Wellness has none.
No. Neither AquaVita NextGen nor Gaya Wellness pays us anything.

Or see the full category ranking.