Manifest Pharmacy
“The following pharmacies may fill your prescription based on the therapy and medication Manifest Pharmacy 1018 S. Batesville Road Greer, SC 29650”
Next Vial Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.2/10
Best for: compounded semaglutide or tirzepatide with every plan price, prepaid or monthly, shown up front
7.2
★★★★☆7.2/10
Next Vial scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on ease of signing up. It charges from $199 a month; its compounded tirzepatide, at $249, is 7% below the $269 median among the sellers we compare.
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$199/mo
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 Next Vial →
Compare top-rated alternatives ↓Prices checked October 2026
Next Vial is a telehealth marketplace that sells compounded semaglutide at $199 a month and compounded tirzepatide at $249, billed monthly, with no membership fee. Prepaying 3, 6 or 12 months lowers the rate, down to $99 and $149 a month on a year paid up front. MD Integrations supplies the prescribers, Manifest Pharmacy in Greer, South Carolina fills, and it serves 49 states.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $199/moPrice after intakeIncludes medication + consult49 statesPharmacy namedNo FDA warning letters found
Is Next Vial legit?
Yes. Next Vial is a real, operating US company, and we found no FDA warning letters issued to it. Its site shows LegitScript certification. We rate it 7.2/10 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 Next Vial promo or coupon code?
We know of no promo or coupon code for Next Vial. Its listed price is $199 a month. Coupon sites advertising "Next Vial discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Next Vial compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
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Best for: moving between compounded and brand without changing seller
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CompoundedSemaglutideTirzepatideGonadorelinNAD+LegitScript Verified
Get StartedRead full Luvo Health review →Next Vial at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $199/mo
- What's included
- Medication · Consult · Shipping
- Availability
- 49 states
- FDA status
- No FDA warning letters found
How Next Vial scores
Six columns, each one computed from something Next Vial 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%
5.6/10$249/month is 7% below the $269 median for compounded tirzepatide 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%
3.0/10No price appears until the medical intake is finished.
Trust & Safety15%
7.5/10It names the pharmacy that fills its prescriptions. Its price appears only after the medical intake. It lists the states it serves.
Accessibility10%
9.8/10Serves 49 of 50 states.
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 Next Vial
Last checked October 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: 49 states
- 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 Next Vial
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 Next Vial 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.
- 1Next Vial shows a price only after you finish its medical questionnaire, so you cannot compare costs until you have shared health information.
- 2Manifest Pharmacy fills the prescriptions, and Next Vial names it publicly, which most sellers do not.
- 3The monthly price includes the medication, clinician visits and shipping.
Price shown only after intake
- Lowest ongoing monthly price: semaglutide $199, tirzepatide $249. That leaves out membership fees, first-month rates and insurance copays.
- Next Vial serves 49 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.
Cancelling Next Vial
Taken from the terms Next Vial publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- Monthly plan has no term; longer plans are paid in full at the start
- Refund policy
- None: medication cannot be returned and all sales are final
- Early-termination fee
- None
Medications Next Vial lists
Next Vial 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 Next Vial offers
Next Vial sells peptides beyond the GLP-1s. Tap one to read what the evidence says about it.
Pricing
Prices re-verified
1-month plan, billed monthlyCompounded
$199/mo
semaglutide
Prepaid: $507 for 3 months ($169 a month), $894 for 6 months ($149), $1,188 for 12 months ($99).
1-month plan, billed monthlyCompounded
$249/mo
tirzepatide
Prepaid: $687 for 3 months ($229 a month), $1,194 for 6 months ($199), $1,788 for 12 months ($149).
Check the price yourself before you pay
Every figure here comes from Next Vial'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.
Next Vial compounding-pharmacy partners
Next Vial 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 $199 a month, close to the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $249 a month, 7% below the $269 median for compounded tirzepatide across the sellers we compare
- The monthly price includes the medication, clinician visits and shipping
- Serves 49 states
- Names Manifest Pharmacy as the pharmacy that fills its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Next Vial
Against it
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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 Next Vial charges
Next Vial lists $199/month.
- Compounded semaglutide: $199/month
- Compounded tirzepatide: $249/month
For compounded tirzepatide, the median across the sellers we compare is $269/month, so Next Vial's $249 lands mid-market. Price is unlikely to be the deciding factor. Before you pay, compare Next Vial's cancellation terms with other sellers' cancellation and refund policies.
Bodybuilding Health+ dispenses semaglutide and tirzepatide from $179/month, which makes it the fair comparison to run before you commit here.
What Next Vial dispenses
Next Vial 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. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
Safety and disclosure
Next Vial tells you the 49 states it serves and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Next Vial. 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 publishes seven warning signs for telehealth medicine sellers, and they take a minute to run against Next Vial. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Next Vial 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 want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Next Vial bills your plan before you start.
Our read
Next Vial lands mid-market on price without a standout advantage or an obvious problem. It comes down to whether its particular package fits you. Belle Health is the nearest comparison we review, and worth reading alongside this.
The Bottom Line
Next Vial scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on ease of signing up. It charges from $199 a month; its compounded tirzepatide, at $249, is 7% below the $269 median among the sellers we compare.
Score: 7.2/10Best for: compounded semaglutide or tirzepatide with every plan price, prepaid or monthly, shown up frontFrom: $199/mo
Before you pay Next Vial
Starting at $199 a month. Check today's price, then start the intake.
Where Next Vial 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 Next Vial sets more sellers in the same category beside Next Vial on price, states and what the price includes.
Frequently Asked Questions
Next Vial is a telehealth marketplace that sells compounded semaglutide at $199 a month and compounded tirzepatide at $249, billed monthly, with no membership fee. Prepaying 3, 6 or 12 months lowers the rate, down to $99 and $149 a month on a year paid up front. MD Integrations supplies the prescribers, Manifest Pharmacy in Greer, South Carolina fills, and it serves 49 states. We rate it 7.2/10 overall.
Next Vial starts at $199 a month. The pricing table above lists every tier.
Next Vial names 49 states. Check that yours is on the list before you go any further.
Next Vial lists compounded semaglutide and compounded tirzepatide.
Next Vial 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 Next Vial bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Next Vial 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. Next Vial runs that whole sequence on its own site.
We found no FDA warning letters issued to Next Vial. Before you buy, weigh these: You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information. 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 Next Vial out, but each is worth settling before you pay.
Other sellers we cover include Belle Health, HumeCare+, and Gala. 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 Next Vial yourself
- How to Get a GLP-1 Prescription
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
- FDA Warning Letters to Peptide Sellers: What FDA Has Cited, 2023 to 2026
Every seller that ships to your state, side by side: Arkansas, Hawaii, Indiana, Louisiana, New Mexico, North Carolina, Texas, Wisconsin and every other state.
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 Next Vial 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 Next Vial's current pricing
Plans start at $199 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on Next Vial?
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