Aquivia Health vs Näky
Näky costs $4 less a month, and both sell semaglutide and tirzepatide.
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Aquivia Health
Best for: moving between compounded and brand without changing seller
Visit Aquivia Health →
If you are choosing between Aquivia Health and Näky, the first difference is cost: Näky is $4 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Näky leads our six-part score, 6.3 to 6.0.
Aquivia Health vs Näky price
Näky is the cheaper way in: $145 a month against $149 a month at Aquivia Health. That is $4 less each month (3% lower), or about $48 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Näky ($145 a month vs $149 a month); tirzepatide is cheaper at Aquivia Health ($179 a month vs $295 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections and brand-name pens.
Where each one treats patients
Neither Aquivia Health nor Näky publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
Aquivia Health
Näky
What each price covers
Both prices cover shipping.
Aquivia Health's price also covers the clinician visit and the medication itself, which Näky does not claim.
Aquivia Health is silent on lab work and coaching.
Näky is silent on the clinician visit, the medication itself, lab work and coaching.
That matters most for the drug: unless Näky confirms otherwise, budget for medication on top of its listed price.
Aquivia Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Näky
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Näky scores 6.3 and Aquivia Health 6.0 out of 10.
Aquivia Health is stronger on value (7.4 vs 6.8) and support (7.0 vs 5.0).
Näky is stronger on trust & safety (4.0 vs 0.0).
Effectiveness, user experience and accessibility are within half a point.
Aquivia Health
6.0/10
Näky
6.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Aquivia Health nor Näky has an FDA warning letter on record with us.
Features & Coverage
| Feature | Aquivia Health | Näky |
|---|---|---|
| Starting Price | $149/mo | ✓$145/mo |
| Features | 7 features | ✓8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Aquivia Health
Every dose of compounded semaglutide costs $149/mo and every dose of compounded tirzepatide $179/mo. Patients who want a branded drug can move up to Ozempic or Zepbound, a pairing few compounded sellers offer. Aquivia Health is clinician-led and self-pay. Open Loop Healthcare Partners delivers the care. The founders are named, headed by a Chief Medical Officer and a Chief Pharmacist whose background is in 503A.
Read our full Aquivia Health review →About Näky
Pricing at steady state stays behind the intake. Näky holds LegitScript approval and sells compounded semaglutide and compounded tirzepatide, adds an oral semaglutide drops product that few others carry, runs a GLP-1 microdose program separately, and offers NAD+ and Sermorelin on top. Getting started means a 3-minute assessment online, after which a licensed provider returns a treatment plan the same day. For the oral line a NAKY10 promo code is referenced.
Read our full Näky review →Pros & Cons
Aquivia Health
What we like
- Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $179 a month, 28% below the $250 median for compounded tirzepatide across the sellers we compare
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to Aquivia Health
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Confirm it serves your state before you start the intake
- 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
Näky
What we like
- Semaglutide costs $145 a month, 22% below the $185 median for compounded semaglutide across the sellers we compare
- The monthly price stays the same as your dose goes up
- The monthly price includes shipping
- We found no FDA warning letters issued to Näky
Watch-outs
- Tirzepatide costs $295 a month, 18% 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
- Confirm it serves your state before you start the intake
- 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
Näky wins this one, 6.3 to 6.0. It also costs $4 less each month than Aquivia Health. Aquivia Health fits better if moving between compounded and brand without changing seller is your priority.
Choose Aquivia Health if…
You want moving between compounded and brand without changing seller and an opening price near $149 a month.
Choose Näky if…
You want the lower starting price and an opening price near $145 a month.
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