LIV by WellNow vs Next Vial
Next Vial costs $29.03 less a month, and both sell semaglutide.
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If you are choosing between LIV by WellNow and Next Vial, the first difference is cost: Next Vial is $29.03 a month cheaper at the entry price. Both prescribe semaglutide, so moving from one to the other would not change your drug. LIV by WellNow leads our six-part score, 5.9 to 5.7.
LIV by WellNow vs Next Vial price
Next Vial is the cheaper way in: $249.97 a month against $279 a month at LIV by WellNow. That is $29.03 less each month (10% lower), or about $348.36 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Next Vial ($249.97 a month vs $279 a month).
Medications and formats
Both sell semaglutide.
On format they match: each offers compounded injections.
Where each one treats patients
LIV by WellNow lists 5 states, and Next Vial lists 49 states.
They overlap in 5 states. Next Vial alone covers 44 states, including Alabama, Arkansas, Arizona and California.
Pricing
LIV by WellNow
Next Vial
Starting monthly rate for GLP-1 program; tirzepatide rate not published.
What each price covers
Next Vial's price also covers the clinician visit, the medication itself and shipping, which LIV by WellNow does not claim.
LIV by WellNow does not say what its price includes.
Next Vial is silent on lab work and coaching.
That matters most for the drug: unless LIV by WellNow confirms otherwise, budget for medication on top of its listed price.
LIV by WellNow
Inclusions not disclosed.
Next Vial
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
Where each one scores higher
Overall, LIV by WellNow scores 5.9 and Next Vial 5.7 out of 10.
LIV by WellNow is stronger on user experience (8.0 vs 3.0) and trust & safety (8.5 vs 5.0).
Next Vial is stronger on value (2.8 vs 2.0), accessibility (9.8 vs 2.8) and support (7.0 vs 5.0).
Effectiveness is within half a point.
LIV by WellNow
5.9/10
Next Vial
5.7/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither LIV by WellNow nor Next Vial has an FDA warning letter on record with us.
Features & Coverage
| Feature | LIV by WellNow | Next Vial |
|---|---|---|
| Starting Price | $279/mo | ✓$249.97/mo |
| Features | ✓8 features | 7 features |
| States Available | 5 | ✓49 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About LIV by WellNow
One flat figure, $279 per month, buys the compounded semaglutide, the injection supplies and as many virtual visits as you want with board-certified online providers; approval comes same-day and the drug arrives monthly. WellNow Urgent Care owns LIV, its weight-management arm. To qualify you must be 18 or older with a BMI of 30+, or 27+ carrying a weight-related condition. FDA approval does not extend to compounded semaglutide. Five states get it: Pennsylvania, New York, Michigan, Indiana and Illinois. Insurance is refused.
Read our full LIV by WellNow review →About Next Vial
An online marketplace that connects patients to licensed providers for compounded semaglutide and tirzepatide injections, microdose options included. It is LegitScript verified and names its dispensing pharmacy: Manifest Pharmacy in Greer, SC. There is no membership required, and one price covers the consultation, the medication and free shipping. It serves 49 states.
Read our full Next Vial review →Pros & Cons
LIV by WellNow
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- We found no FDA warning letters issued to LIV by WellNow
Watch-outs
- Semaglutide costs $279 a month, 52% above the $184 median for compounded semaglutide across the sellers we compare
- 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 is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
Next Vial
What we like
- The monthly price includes the medication, clinician visits and shipping
- Serves 49 states
- We found no FDA warning letters issued to Next Vial
Watch-outs
- Semaglutide costs $249.97 a month, 36% above the $184 median for compounded semaglutide across the sellers we compare
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
LIV by WellNow wins this one, 5.9 to 5.7, above all for compounded semaglutide at $279/month. Next Vial undercuts it by $29.03 a month, so if the monthly bill is what decides it, Next Vial is the pick. Next Vial fits better if compounded semaglutide at $249.97/month is your priority.
Choose LIV by WellNow if…
You want compounded semaglutide at $279/month and an opening price near $279 a month.
Choose Next Vial if…
You want compounded semaglutide at $249.97/month and an opening price near $249.97 a month.
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Wellorithm
Compounded semaglutide at $247/month
From $247/mo
Get started →Willow
Seeing what it charges before you answer any medical questions
From $299/mo
Get started →Sesame Care
Oral orforglipron alongside the injectables
From $59/mo
Get started →LIV by WellNow vs Next Vial: FAQ
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