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MyStart Health vs NextMeds

An in-depth comparison of two leading GLP-1 Providers

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
MyStart Health logo

MyStart Health

6.6
★★★☆☆3.3/5

Best for: bloodwork inside the $299/month rather than billed on top

Visit MyStart Health
VS
NextMeds logo

NextMeds

9.2
★★★★4.6/5

Best for: semaglutide at $79/month, 59% under the register median

Visit NextMeds

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, NextMeds opens cheaper — $79/mo against $299, and NextMeds finishes ahead, 9.2 to 6.6. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

MyStart Health

All-inclusive (flat, price-locked across dose escalations)Compounded
$299/mo
semaglutide

Homepage FAQ verbatim: program 'starts at $299/month, excluding any discounts,' all-inclusive (consults, unlimited clinician access, meds, labs, shipping). Promo banner '$150 Off + Lifetime 25% Off' (coupon SELFLOVE25 in funnel URL) but no final promo dollar price published pre-quiz — plan-selection pricing is gated behind a signed medical attestation, so not published.

All-inclusive (flat, price-locked across dose escalations)Compounded
$299/mo
tirzepatide

Same flat $299 all-inclusive program price; tirzepatide offering confirmed via funnel testimonial ('Tirzepatide through MyStart') and FAQ injection instructions ('How to inject compounded tirzepatide'). No oral tirzepatide marketing found on the current site (stored con appears stale). Per-drug tier pricing quiz-gated = not published.

NextMeds

InjectableCompounded
$79/mo
semaglutide

Compounded Semaglutide Membership, drug included when prescribed, alongside telehealth visits, a care coach, a dietitian and shipping. $79 is the month-to-month rate read from the pricing section on 2026-08-14. The site headline reads 'from $49/mo': that is the 12-month prepaid term divided down, not a monthly price, and the ladder between them is 3-month $76, 6-month $73, 12-month $49. A summer promotion was running with a stated end of August 20, so $79 may itself be discounted.

InjectableCompounded
$109/mo
tirzepatide

Compounded Tirzepatide Membership, drug included when prescribed, alongside telehealth visits, a care coach, a dietitian and shipping. $109 is the month-to-month rate read from the pricing section on 2026-08-14. The advertised 'GLP-1 + GIP: $95' is the 12-month prepaid term divided down; the ladder is 3-month $105, 6-month $100, 12-month $95. A summer promotion was running with a stated end of August 20, so $109 may itself be discounted.

What’s included

MyStart Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

In the price

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

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

MyStart Health

6.6/10

Overall

NextMeds

9.2/10

Value25%

4.2A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

3.5A
vs
B
7.5

Accessibility10%

5.0A
vs
B
10.0

Support10%

8.5A
vs
B
8.5

Features & Coverage

FeatureMyStart HealthNextMeds
Starting Price$299/mo$79/mo
Features6 features8 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted✓ Yes
FDA Warnings1 warningNone

About MyStart Health

MyStart Health charges $299/month all-inclusive for compounded semaglutide and tirzepatide, with a price-lock guarantee, same-day physician consultations, and 24/7 care team access. It is LegitScript certified and structured as a Delaware MSO partnering with licensed US clinicians. What it does best is speed of onboarding.

Read our full MyStart Health 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

MyStart Health

What we like

  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
  • The monthly figure covers medication, consult, shipping, labs

Watch-outs

  • Semaglutide at $299 a month, 58% above the $189 register median for the same drug and form
  • No state list is on record here, so whether it serves your state cannot be confirmed from this page
  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • 1 FDA warning letter matched to this operator in our enforcement register — read what the letter alleges, since a letter discloses a problem rather than disqualifying a seller
  • 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 at $79 a month, 58% below the $189 median for the same drug and form across this register
  • Tirzepatide at $109 a month, 59% below the $267 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
  • The monthly figure covers medication, consult, shipping, coaching
  • Coverage is published for all 50 states
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • 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 takes it, 9.2 against 6.6, and it is especially strong on semaglutide at $79/month, 59% under the register median. MyStart Health is no weak second and may fit you better on bloodwork inside the $299/month rather than billed on top.

Choose MyStart Health if…

You want bloodwork inside the $299/month rather than billed on top and an opening price near $299 a month.

Choose NextMeds if…

You want semaglutide at $79/month, 59% under the register median and an opening price near $79 a month.

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YourEra

Semaglutide at $99/month, 63% under the register median

8.8

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Moving between compounded and brand without changing seller

9.4

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Knowing which pharmacy fills the vial — it names VialsRx

MyStart Health vs NextMeds: FAQ

Glossary

The words sellers use, defined. Tap any term.

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