Manifest Pharmacy
“Nex Gen Health Rx / Manifest Pharmacy 1018 S. Batesville Road Greer, SC 29650”
Nex Gen Health Rx Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.6/10
Best for: plan prices shown before intake, flat at every dose, and a named pharmacy address
7.6
★★★★☆7.6/10
Nex Gen Health Rx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $99 a month, paid up front; its compounded tirzepatide, at $239, is 11% below the $269 median among the sellers we compare.
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$99/mo
charged as a multi-month plan up front
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
See plans →See plans at Nex Gen Health Rx →
Compare top-rated alternatives ↓Prices checked October 2026
Nex Gen Health Rx sells compounded semaglutide at $190 a month and compounded tirzepatide at $239 a month, the same price at every dose. Prepaying 90, 180 or 360 days lowers the monthly rate to as little as $99 and $149, billed $1,188 and $1,788 up front. Its footer gives one address for both the company and Manifest Pharmacy in Greer, South Carolina. The catalog also covers hormones, sexual wellness, hair, skin and longevity, and two hormone products are marked coming soon.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
Price shown up frontFlat across dosesIncludes medication + consultPharmacy namedNo FDA warning letters found
Is Nex Gen Health Rx legit?
Yes. Nex Gen Health Rx is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 7.6/10 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 a Nex Gen Health Rx promo or coupon code?
We know of no promo or coupon code for Nex Gen Health Rx. Its listed price is $99 a month. Coupon sites advertising "Nex Gen Health Rx discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Nex Gen Health Rx compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
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- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $99/mo
- Pricing model
- Flat: the price stays the same as the dose goes up
- What's included
- Medication · Consult · Shipping
- FDA status
- No FDA warning letters found
How Nex Gen Health Rx scores
Six columns, each one computed from something Nex Gen Health Rx 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%
5.9/10$239/month is 11% below the $269 median for compounded tirzepatide across the sellers we compare. A cheaper plan paid several months up front is also listed.
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%
8.0/10It names the pharmacy that fills its prescriptions. It shows a price before asking for health information.
Accessibility10%
5.0/10No state list is available to check, so this is held at the midpoint rather than scored on reach.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
6weighted dimensions
734sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%
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 Nex Gen Health Rx
Last checked October 2026- Checked the listed price across 8 dose or plan tiers
- Checked what the monthly price covers, and what it leaves out
- Recorded which pharmacies the seller names as filling its prescriptions, with the page and date
- Checked FDA warning letters for Nex Gen Health Rx
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 Nex Gen Health Rx 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.
- 1Nex Gen Health Rx 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.
- 2Manifest Pharmacy fills the prescriptions, and Nex Gen Health Rx names it publicly, which most sellers do not.
- 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
- Lowest ongoing monthly price: semaglutide $99, tirzepatide $149. That leaves out membership fees, first-month rates and insurance copays.
- Confirm that Nex Gen Health Rx serves your state before you start.
- 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 Nex Gen Health Rx
- Phone
- +1 240-326-7304
- Nex Gen Health Rx offers email support
Cancelling Nex Gen Health Rx
Taken from the terms Nex Gen Health Rx publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None on the 30-day plan; 90-, 180- and 360-day plans are billed up front
- Refund policy
- No refunds on prescription medication once charged and handed to the carrier
Medications Nex Gen Health Rx lists
Nex Gen Health Rx 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.
Pricing
Prices re-verified
30-day supply, refills automatically each monthCompounded
$190/mo
semaglutide
Semaglutide page: "0.5 mg · 30 Day Supply ... STARTING AT $190"; same price at every dose.
90-day supply, $399 billed upfrontCompounded
$133/mo
semaglutide
Semaglutide page: "$133 /month ... 90 day supply · $399 billed upfront".
180-day supply, $714 billed upfrontCompounded
$119/mo
semaglutide
Semaglutide page: "$119 /month ... 180 day supply · $714 billed upfront".
360-day supply, $1,188 billed upfrontCompounded
$99/mo
semaglutide
Semaglutide page: "$99 /month ... 360 day supply · $1,188 billed upfront".
30-day supply, refills automatically each monthCompounded
$239/mo
tirzepatide
Tirzepatide page: "2.5 mg · 30 Day Supply ... STARTING AT $239"; same price at every dose.
90-day supply, $589 billed upfrontCompounded
$196/mo
tirzepatide
Tirzepatide page: "$196 /month ... 90 day supply · $589 billed upfront".
180-day supply, $1,074 billed upfrontCompounded
$179/mo
tirzepatide
Tirzepatide page: "$179 /month ... 180 day supply · $1,074 billed upfront".
360-day supply, $1,788 billed upfrontCompounded
$149/mo
tirzepatide
Tirzepatide page: "$149 /month ... 360 day supply · $1,788 billed upfront".
Check the price yourself before you pay
Every figure here comes from Nex Gen Health Rx'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.
Nex Gen Health Rx compounding-pharmacy partners
Nex Gen Health Rx names each pharmacy below as one that compounds or fills its prescriptions, in its own site, terms or filings. The quote under each one is the seller’s own wording.
In its favor
- Semaglutide costs $190 a month, close to the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $239 a month, 11% below the $269 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 and shipping
- Names Manifest Pharmacy as the pharmacy that fills its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Nex Gen Health Rx
Against it
- Confirm it serves your state before you start the intake
- 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 Nex Gen Health Rx charges
The standing price at Nex Gen Health Rx is $99/month, unchanged as the dose goes up. Flat dose pricing matters more than it sounds: on a tiered plan the bill grows with the dose, so the figure that got you to sign up is not the one you end up paying.
- Compounded semaglutide (30-day supply): $190/month
- Compounded semaglutide (90-day supply): $133/month
- Compounded semaglutide (180-day supply): $119/month
- Compounded semaglutide (360-day supply): $99/month
- Compounded tirzepatide (30-day supply): $239/month
- Compounded tirzepatide (90-day supply): $196/month
For compounded tirzepatide, the median across the sellers we compare is $269/month, so Nex Gen Health Rx's $239 is genuinely below the middle, not just advertised that way. Some of Nex Gen Health Rx's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one. Across the compounded market the dearest tenth of sellers charges about three times what the cheapest tenth does; how much GLP-1 prices actually vary explains the spread.
AgelessRx, at about $99/month, is the closest like-for-like alternative we review.
What Nex Gen Health Rx dispenses
Nex Gen Health Rx prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two best-evidenced weight-loss molecules currently on the market. 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. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder.
Safety and disclosure
Nex Gen Health Rx tells you its price before you start the medical questionnaire and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Nex Gen Health Rx. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. The FDA's warning signs for online medicine sellers are a quick check to run on any seller before you pay. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Nex Gen Health Rx bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- you want the price to stop moving as your dose climbs
Our read
Nex Gen Health Rx competes on price without an obvious sacrifice elsewhere: $239/month for compounded tirzepatide, no FDA warning letters.
The Bottom Line
Nex Gen Health Rx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $99 a month, paid up front; its compounded tirzepatide, at $239, is 11% below the $269 median among the sellers we compare.
Score: 7.6/10Best for: plan prices shown before intake, flat at every dose, and a named pharmacy addressFrom: $99/mo
Before you pay Nex Gen Health Rx
Starting at $99 a month. Check today's price, then start the intake.
Where Nex Gen Health Rx 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 Nex Gen Health Rx sets more sellers in the same category beside Nex Gen Health Rx on price, states and what the price includes.
Frequently Asked Questions
Nex Gen Health Rx sells compounded semaglutide at $190 a month and compounded tirzepatide at $239 a month, the same price at every dose. Prepaying 90, 180 or 360 days lowers the monthly rate to as little as $99 and $149, billed $1,188 and $1,788 up front. Its footer gives one address for both the company and Manifest Pharmacy in Greer, South Carolina. The catalog also covers hormones, sexual wellness, hair, skin and longevity, and two hormone products are marked coming soon. We rate it 7.6/10 overall.
Nex Gen Health Rx starts at $99 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
Ask Nex Gen Health Rx whether it serves your state before you start the intake, and get the answer in writing.
Nex Gen Health Rx lists compounded semaglutide and compounded tirzepatide.
Nex Gen Health Rx lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
Check whether Nex Gen Health Rx bills your insurance before you sign up. It also takes FSA and HSA cards. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Nex Gen Health Rx says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. Nex Gen Health Rx runs that whole sequence on its own site.
We found no FDA warning letters issued to Nex Gen Health Rx. Before you buy, weigh these: Confirm it serves your state before you start the intake. 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. None of them rules Nex Gen Health Rx out, but each is worth settling before you pay.
Other sellers we cover include SnagRx, Lttl, and YourEra. Which one fits depends on the medication, the monthly price you can sustain and whether it ships to your state, so compare those three facts before you switch.
How to check Nex Gen Health Rx yourself
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 Nex Gen Health Rx 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 Nex Gen Health Rx's current pricing
Plans start at $99 a month. Whether you qualify is a clinician's decision, made after your intake.
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