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Good Girl Rx vs NextMeds

Good Girl Rx and NextMeds both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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

Good Girl Rx

7.9
★★★★☆4/5

Best for: starting below a standard dose, with microdose tiers

Visit Good Girl Rx →
VS
NextMeds logo

NextMeds

9.2
★★★★★4.6/5

Best for: semaglutide at $79/month, 59% below the typical price

Visit NextMeds →

If you are choosing between Good Girl Rx and NextMeds, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. NextMeds leads our six-part score, 9.2 to 7.9. One of the two has an FDA warning letter on record, covered below.

Good Girl Rx vs NextMeds price

Good Girl Rx and NextMeds start at the same figure, $79 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, $79 a month; tirzepatide is cheaper at NextMeds ($109 a month vs $139 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, Good Girl Rx prices compounded injections, an oral option and brand-name pens, while NextMeds prices compounded injections.

If you want the FDA-approved brand rather than a compounded version, Good Girl Rx is the only one of the two with a brand-name price.

Where each one treats patients

Good Girl Rx does not publish where it ships, and NextMeds lists 50 states.

Pricing

Good Girl Rx

Injectable (from)Compounded
$134/mo
semaglutide

From $134/mo on annual plan (monthly $179, quarterly $159; all paid upfront).

Microdose (from)Compounded
$79/mo
semaglutide

Semaglutide microdose, from $79/mo.

ODT pills (from)oral
$214/mo
semaglutide

Oral dissolving tablets, from $214/mo.

Injectable (from)Compounded
$235/mo
tirzepatide

From $235/mo.

Microdose (from)Compounded
$139/mo
tirzepatide

Tirzepatide microdose, from $139/mo.

Pills (from)oral
$291/mo
tirzepatide

Tirzepatide pills, from $291/mo.

Brand (from)Brand-name
$1580/mo
Ozempic

From $1,580/mo; limited availability.

Brand (from)Brand-name
$1991/mo
Wegovy

From $1,991/mo; limited availability.

NextMeds

InjectableCompounded
$79/mo
semaglutide

Compounded Semaglutide Membership: medication when prescribed, telehealth visits, a care coach, a dietitian and shipping. $79 is the month-to-month rate. The headline 'from $49/mo' is the 12-month prepaid price spread by month, not a monthly rate; 3 months is $76, 6 months $73, 12 months $49. A summer promotion was set to end August 20, so $79 may be a discounted rate.

InjectableCompounded
$109/mo
tirzepatide

Compounded Tirzepatide Membership: medication when prescribed, telehealth visits, a care coach, a dietitian and shipping. $109 is the month-to-month rate. The advertised 'GLP-1 + GIP: $95' is the 12-month prepaid price spread by month; 3 months is $105, 6 months $100, 12 months $95. A summer promotion was set to end August 20, so $109 may be a discounted rate.

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

NextMeds' price also covers coaching, which Good Girl Rx does not claim.

Good Girl Rx is silent on lab work and coaching.

NextMeds is silent on lab work.

Good Girl Rx

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

NextMeds

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, NextMeds scores 9.2 and Good Girl Rx 7.9 out of 10.

NextMeds is stronger on user experience (8.0 vs 7.5), trust & safety (7.5 vs 3.5), accessibility (10.0 vs 5.0) and support (8.5 vs 7.0).

Value and effectiveness are within half a point.

How we score

Good Girl Rx

7.9/10

Overall

NextMeds

9.2/10

Value25%

10.0A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

7.5A
vs
B
8.0

Trust & Safety15%

3.5A
vs
B
7.5

Accessibility10%

5.0A
vs
B
10.0

Support10%

7.0A
vs
B
8.5

FDA warning letters

The FDA sent Good Girl Rx a warning letter dated February 20, 2026 (letter 721449), and it is still open.

NextMeds has no FDA warning letter on record with us.

Features & Coverage

FeatureGood Girl RxNextMeds
Starting Price$79/mo$79/mo
Features7 features✓8 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name✓ Yes—
FSA/HSA Accepted—✓ Yes
FDA Warning Letters1 letter✓None

About Good Girl Rx

Savannah Chrisley founded Good Girl Rx, registered as Good Girl LLC. Compounded semaglutide and tirzepatide come three ways: injectable, microdose, and oral dissolving tablet (ODT). Availability on the brand names, Mounjaro, Zepbound, Wegovy, and Ozempic, is limited, though all four are listed. Licensed 503A/503B pharmacies dispense, and the company holds LegitScript certification.

Read our full Good Girl Rx review →

About NextMeds

Membership is a single flat monthly charge, and inside it sit free shipping, a registered dietitian holding a license, a care coach working 1:1, telehealth visits and the drug itself where one is prescribed. Insurance is not billed. A free assessment online goes to a licensed provider, who adds a phone or video consult in states that demand one, then prescribes if it fits. Compounding pharmacies within the Next Meds network, all licensed, ship. Auto-renewal does not exist, cancellation is open, and all 50 states can order compounded tirzepatide and semaglutide.

Read our full NextMeds review →

Pros & Cons

Good Girl Rx

What we like

  • Semaglutide costs $79 a month, 58% below the $188 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $139 a month, 44% 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 includes the medication, clinician visits and shipping
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
  • Offers both oral and injectable options, so the format is your choice

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 Good Girl Rx 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

NextMeds

What we like

  • Semaglutide costs $79 a month, 58% below the $188 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $109 a month, 56% 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
  • Serves all 50 states
  • We found no FDA warning letters issued to NextMeds

Watch-outs

  • 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: NextMeds

NextMeds wins this one, 9.2 to 7.9, above all for semaglutide at $79/month, 59% below the typical price. Good Girl Rx fits better if starting below a standard dose, with microdose tiers is your priority.

Choose Good Girl Rx if…

You want starting below a standard dose, with microdose tiers and an opening price near $79 a month.

Choose NextMeds if…

You want semaglutide at $79/month, 59% below the typical price and an opening price near $79 a month.

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Good Girl Rx vs NextMeds: FAQ

Neither on the entry price: Good Girl Rx and NextMeds both start at about $79 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Good Girl Rx does not publish where it ships; NextMeds lists 50 states. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping. Only NextMeds includes coaching.
Good Girl Rx has an open FDA warning letter from February 20, 2026. NextMeds has none.
No. Neither Good Girl Rx nor NextMeds pays us anything.

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Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.