ElitePhysiqMD vs NexLife
ElitePhysiqMD and NexLife both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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ElitePhysiqMD
Best for: seeing what it charges before you answer any medical questions
Visit ElitePhysiqMD →
NexLife
Best for: coaching inside the $145/month rather than sold separately
Visit NexLife →If you are choosing between ElitePhysiqMD and NexLife, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. NexLife leads our six-part score, 7.3 to 6.6. One of the two has an FDA warning letter on record, covered below.
ElitePhysiqMD vs NexLife price
ElitePhysiqMD and NexLife start at the same figure, $145 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $145 a month; tirzepatide is cheaper at NexLife ($186 a month on a prepaid plan vs $315 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
ElitePhysiqMD says it treats patients nationwide but does not list states, and NexLife does not publish where it ships.
Pricing
ElitePhysiqMD
Compounded semaglutide injection subscription. A $49 required telehealth visit is added per order.
Compounded tirzepatide injection subscription. A $49 required telehealth visit is added per order.
NexLife
Plan ladder: $165 monthly, $149/mo 3-mo, $147/mo 6-mo, $145/mo 12-mo. $145 is the 12-month-plan rate, not a promo.
Plan ladder: $215 monthly, $195/mo 3-mo, $190/mo 6-mo, $186/mo 12-mo. $186 is the 12-month-plan rate, not a promo.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
NexLife's price also covers coaching, which ElitePhysiqMD does not claim.
ElitePhysiqMD is silent on lab work and coaching.
NexLife is silent on lab work.
ElitePhysiqMD
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
NexLife
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
Where each one scores higher
Overall, NexLife scores 7.3 and ElitePhysiqMD 6.6 out of 10.
ElitePhysiqMD is stronger on user experience (8.0 vs 7.5) and trust & safety (6.5 vs 3.5).
NexLife is stronger on value (7.1 vs 3.0) and support (8.5 vs 7.0).
Effectiveness and accessibility are within half a point.
ElitePhysiqMD
6.6/10
NexLife
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent NexLife a warning letter dated June 8, 2026 (letter 730096), and it is still open.
ElitePhysiqMD has no FDA warning letter on record with us.
Features & Coverage
| Feature | ElitePhysiqMD | NexLife |
|---|---|---|
| Starting Price | $145/mo | $145/mo prepaid |
| Features | ✓8 features | 5 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | ✓ Yes | — |
| FDA Warning Letters | ✓None | 1 letter |
About ElitePhysiqMD
Compounded semaglutide is priced from $145/mo, tirzepatide from $315/mo on subscription, for patients in all 50 states. Shipping takes 5-7 business days out of US-licensed 503A/503B compounding pharmacies, and the online assessments are conducted by board-certified physicians. ED treatments, TRT and a peptide therapy menu (glutathione, GHK-Cu, CJC-1295/ipamorelin, sermorelin, NAD+) sit alongside. ElitePhysiqMD was founded in 2025 and is LegitScript certified, HIPAA-compliant and HSA/FSA eligible.
Read our full ElitePhysiqMD review →About NexLife
Compounded semaglutide starts at $145/mo and compounded tirzepatide at $186/mo. NexLife runs a telehealth platform, is LegitScript-certified, and says it works only with pharmacies that are LegitScript-certified and NABP-accredited.
Read our full NexLife review →Pros & Cons
ElitePhysiqMD
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, clinician visits and shipping
- We found no FDA warning letters issued to ElitePhysiqMD
Watch-outs
- 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
NexLife
What we like
- Semaglutide costs $145 a month, 22% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $186 a month, 26% below the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits, shipping and coaching
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
Watch-outs
- 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
- The FDA has issued NexLife a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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
NexLife wins this one, 7.3 to 6.6, above all for coaching inside the $145/month rather than sold separately. ElitePhysiqMD fits better if seeing what it charges before you answer any medical questions is your priority.
Choose ElitePhysiqMD if…
You want seeing what it charges before you answer any medical questions and an opening price near $145 a month.
Choose NexLife if…
You want coaching inside the $145/month rather than sold separately and an opening price near $145 a month.
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Strut Health
Semaglutide at $99/month, 48% below the typical price
From $99/mo
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Knowing which pharmacy fills the vial: it names Tru Meds Rx
From $169/mo
Get started →DudeMeds
Compounded semaglutide at $175/month
From $175/mo
Get started →ElitePhysiqMD vs NexLife: FAQ
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