Next Vial vs Tell Her Doc
Next Vial costs $19.03 less a month, and both sell semaglutide.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Tell Her Doc
Best for: starting below a standard dose, with microdose tiers
Visit Tell Her Doc →If you are choosing between Next Vial and Tell Her Doc, the first difference is cost: Next Vial is $19.03 a month cheaper at the entry price. Both prescribe semaglutide, so moving from one to the other would not change your drug. Tell Her Doc leads our six-part score, 6.7 to 5.7.
Next Vial vs Tell Her Doc price
Next Vial is the cheaper way in: $249.97 a month against $269 a month at Tell Her Doc. That is $19.03 less each month (7% lower), or about $228.36 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Next Vial ($249.97 a month vs $269 a month).
Medications and formats
Both sell semaglutide.
On format they match: each offers compounded injections.
Where each one treats patients
Next Vial lists 49 states, and Tell Her Doc lists 50 states.
They overlap in 49 states. Tell Her Doc alone covers Alaska.
Pricing
Next Vial
Starting monthly rate for GLP-1 program; tirzepatide rate not published.
Tell Her Doc
Advertised 'starting at $269' for compounded semaglutide/tirzepatide; final cost varies by product (injection, oral, ODT, microdose) and plan — no monthly membership. A lower $140 introductory price appears for new customers on compounded oral semaglutide.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Next Vial is silent on lab work and coaching.
Tell Her Doc is silent on lab work and coaching.
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
Tell Her Doc
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, Tell Her Doc scores 6.7 and Next Vial 5.7 out of 10.
Next Vial is stronger on value (2.8 vs 2.3).
Tell Her Doc is stronger on user experience (8.0 vs 3.0) and trust & safety (7.5 vs 5.0).
Effectiveness, accessibility and support are within half a point.
Next Vial
5.7/10
Tell Her Doc
6.7/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Next Vial nor Tell Her Doc has an FDA warning letter on record with us.
Features & Coverage
| Feature | Next Vial | Tell Her Doc |
|---|---|---|
| Starting Price | ✓$249.97/mo | $269/mo |
| Features | 7 features | ✓8 features |
| States Available | 49 | ✓50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
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 →About Tell Her Doc
$269 is the floor, and what you pay past it depends on the plan and the product. Aimed at women and paid out of pocket, the service writes compounded tirzepatide and semaglutide as microdoses, orally dissolving tablets, orals and injections. A private online consultation goes to a licensed provider who prescribes where it fits. Nothing is charged monthly for membership, cancellation is open, buy-now-pay-later exists, and shipping arrives discreetly at no cost. Casa Pharma RX is the named compounder, and all 50 states can order.
Read our full Tell Her Doc review →Pros & Cons
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
Tell Her Doc
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
- Serves all 50 states
- We found no FDA warning letters issued to Tell Her Doc
Watch-outs
- Semaglutide costs $269 a month, 46% above the $184 median for compounded semaglutide across the sellers we compare
- 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
Tell Her Doc wins this one, 6.7 to 5.7, above all for starting below a standard dose, with microdose tiers. Next Vial undercuts it by $19.03 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 Next Vial if…
You want compounded semaglutide at $249.97/month and an opening price near $249.97 a month.
Choose Tell Her Doc if…
You want starting below a standard dose, with microdose tiers and an opening price near $269 a month.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →Breeze Meds
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $199/mo
Get started →Next Vial vs Tell Her Doc: FAQ
Close alternatives to Next Vial and Tell Her Doc
- Next Vial vs MEDVi
- Next Vial vs Cabana
- Next Vial vs LIV by WellNow
- Tell Her Doc vs LIV by WellNow
- Tell Her Doc vs QuickMD
- Tell Her Doc vs MEDVi
Or see the full category ranking.