AquaVita NextGen Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.5/10
Best for: residents of AZ, CA, FL, TX or NV who want a medspa-run compounded GLP-1 plan
AquaVita NextGen scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price, and it serves 5 states. Its compounded semaglutide costs $275 a month, 38% above the $199 median among the sellers we compare.
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then $275/mo ongoing
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
Prices checked October 2026
AquaVita NextGen, trading as AquaVita Wellness & Medspa, is a Lake Forest, California medspa that prescribes compounded semaglutide and tirzepatide injections by video visit in AZ, CA, FL, TX and NV. The first month costs $215 for semaglutide or $320 for tirzepatide; continuation runs $275 and $429 per 4 weeks. Dr. Steve Groke is named as medical director. All sales are final.
Is AquaVita NextGen legit?
Yes. AquaVita NextGen is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 6.5/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there an AquaVita NextGen promo or coupon code?
AquaVita NextGen has no coupon code to enter. New patients are currently quoted $215 for the first month, then $275 a month, and the discount applies on its own. Coupon sites advertising an "AquaVita NextGen promo code" are not a source we can vouch for.
See how AquaVita NextGen compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to AquaVita NextGen
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Embody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Luvo Health
Best for: moving between compounded and brand without changing seller
Editorial score · methodology
AquaVita NextGen at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $275/mo
- What's included
- Medication · Consult · Shipping
- Availability
- 5 states
- FDA status
- No FDA warning letters found
How AquaVita NextGen scores
Six columns, each one computed from something AquaVita NextGen has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
2.7/10$275/month is 38% above the $199 median for compounded semaglutide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
7.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
2.8/10Serves 5 of 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on AquaVita NextGen
Last checked October 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: 5 states
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for AquaVita NextGen
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with AquaVita NextGen involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1AquaVita NextGen shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Ask AquaVita NextGen which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 3The monthly price includes the medication, clinician visits and shipping.
- Lowest ongoing monthly price: semaglutide $275, tirzepatide $429. That leaves out membership fees, first-month rates and insurance copays.
- AquaVita NextGen serves 5 of 50 states, so check that yours is one of them.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Contacting AquaVita NextGen
- Phone
- (949) 688-1876
- AquaVita NextGen offers email support
Cancelling AquaVita NextGen
Taken from the terms AquaVita NextGen publishes. Terms change, so check the current policy before you subscribe.
- Minimum commitment
- None stated
- Refund policy
- All sales final; replacement or refund only for damaged or incorrect shipments
Medications AquaVita NextGen lists
AquaVita NextGen lists compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Peptides AquaVita NextGen offers
AquaVita NextGen sells peptides beyond the GLP-1s. Tap one to read what the evidence says about it.
Pricing
Prices re-verified
New patients pay $215 for a one-month supply, or $600 for three months. Returning patients pay $275 per 4 weeks, or $650 for 12 weeks. Medication, shipping and consultations are included.
New patients pay $320 for a one-month supply, or $900 for three months. Returning patients pay $429 per 4 weeks, or $1,100 for 12 weeks. Medication, shipping and consultations are included.
Check the price yourself before you pay
Every figure here comes from AquaVita NextGen's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- 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 AquaVita NextGen
Against it
- Semaglutide costs $275 a month, 38% above the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $429 a month, 59% above the $269 median for compounded tirzepatide 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 and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
What AquaVita NextGen charges
AquaVita NextGen advertises $215. That buys the first month. The standing rate is $275/month, and that is the one worth doing the math on, because the introductory figure applies once.
- Compounded semaglutide: $215 first month, then $275/month
- Compounded tirzepatide: $320 first month, then $429/month
For compounded semaglutide, the median across the sellers we compare is $199/month, so AquaVita NextGen's $275 is a premium, and a premium has to buy something. Discounting the first month does not change the twelve-month total by much. Before you pay, compare AquaVita NextGen's cancellation terms with other sellers' cancellation and refund policies. For scale, the dearest tenth of compounded sellers charges about three times the cheapest tenth.
Direct Meds dispenses semaglutide and tirzepatide from $249/month, which makes it the fair comparison to run before you commit here.
What AquaVita NextGen dispenses
AquaVita NextGen prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. The medication is compounded rather than dispensed as an approved pen. Compounding serves real clinical needs and is entirely lawful; what it is not is reviewed, and the cost difference reflects that. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
Safety and disclosure
AquaVita NextGen tells you its price before you start the medical questionnaire and the 5 states it serves. We found no FDA warning letters issued to AquaVita NextGen. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If AquaVita NextGen will not tell you, treat that as a warning sign. Once you have the pharmacy's name, 503A vs 503B explains which regulator oversees it and how to check. How we weigh oversight, disclosure and price is set out in our scoring methodology.
AquaVita NextGen also sells NAD+, and a 2026 systematic review found no outcomes trials of injected NAD+ for anti-aging or wellness.
Who should look elsewhere
- You care most about the twelve-month total, not the first bill. A flat-rate seller such as Collective will usually win that math.
- You would be choosing on the advertised figure. The introductory month is real, but it is not what you will pay in month three.
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether AquaVita NextGen bills your plan before you start.
It fits if
- you want a cheap way to find out whether the medication suits you before committing
Our read
AquaVita NextGen is a cheap way to start and an ordinary way to continue. Use the $215 month for what it is good for, finding out whether the medication works for you, and re-run the numbers against $275/month before you let it renew twice. MangoRx is the nearest comparison we review, and worth reading alongside this.
The Bottom Line
AquaVita NextGen scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price, and it serves 5 states. Its compounded semaglutide costs $275 a month, 38% above the $199 median among the sellers we compare.
Before you pay AquaVita NextGen
Starting at $275 a month. Check today's price, then start the intake.
Where AquaVita NextGen is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider WellMedRx.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
- If you want a human checking in, not just a prescription, consider Eden.
If none of these fits, our guide to alternatives to AquaVita NextGen sets more sellers in the same category beside AquaVita NextGen on price, states and what the price includes.
Frequently Asked Questions
How to check AquaVita NextGen yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- We Read FDA's Register of Compounding Facilities. 43 of 100 Have Never Been Inspected.
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
Every seller that ships to your state, side by side: Arizona, California, Florida, Nevada, Texas.
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this AquaVita NextGen review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See AquaVita NextGen's current pricing
Plans start at $215 a month. Whether you qualify is a clinician's decision, made after your intake.