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AquaVita NextGen vs Elara Health and Wellness

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

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
AquaVita NextGen logo

AquaVita NextGen

7.0
★★★3.5/5

Best for: patients in AZ/CA/FL/TX/NV seeking medspa-backed GLP-1 with a named medical director

Visit AquaVita NextGen
VS
Elara Health and Wellness logo

Elara Health and Wellness

8.2
★★★★4.1/5

Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies

Visit Elara Health and Wellness

AquaVita NextGen and Elara Health and Wellness are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Elara Health and Wellness starts lower at $117/mo versus $320/mo, and Elara Health and Wellness edges ahead overall (8.2 vs 7.0 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

AquaVita NextGen

Compounded semaglutide injectable (first month)Compounded
$375/mo
semaglutide

First month only (originally $499); ongoing/steady-state monthly price not published. 'Pricing is subject to change.'

StartingCompounded
$320/mo
tirzepatide

Compounded tirzepatide 1-month $320 (3-month $900)

Elara Health and Wellness

Standard monthlyCompounded
$183/mo
semaglutide
Annual plan (save $792/yr)Compounded
$117/mo
semaglutide
Standard monthlyCompounded
$267/mo
tirzepatide
Annual plan (save $858/yr)Compounded
$196/mo
tirzepatide

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What’s included

AquaVita NextGen

What the monthly price covers

Medication

Included

Provider visits

Not disclosed

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Elara Health and Wellness

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Included

Coaching

Included

Score breakdown

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

AquaVita NextGen

7.0/10

Overall

Elara Health and Wellness

8.2/10

Value25%

7.0A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
8.5

User Experience15%

7.0A
vs
B
8.5

Trust & Safety15%

7.3A
vs
B
7.8

Accessibility10%

6.0A
vs
B
8.0

Support10%

7.4A
vs
B
8.4

Features & Coverage

FeatureAquaVita NextGenElara Health and Wellness
Starting Price$320/mo$117/mo
Features4 features6 features
States Available551
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About AquaVita NextGen

AquaVita NextGen (AquaVita Wellness & Medspa) offers compounded semaglutide and tirzepatide (ODT tablets). Licensed providers in AZ, CA, FL, TX, NV. Medical Director: Dr. Steve Groke. Lake Forest, CA.

Read our full AquaVita NextGen review →

About Elara Health and Wellness

Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC. Its differentiator is a bundled care-team model — pricing includes medication, quarterly labs, physician visits, coaching, and 24/7 messaging, with four named 503A pharmacy partners disclosed. Semaglutide is $183/mo and tirzepatide $267/mo, with annual plans cutting cost further.

Read our full Elara Health and Wellness review →

Pros & Cons

AquaVita NextGen

What we like

  • Physical address in Lake Forest CA
  • Named medical director (Dr. Steve Groke)
  • Both semaglutide and tirzepatide including ODT tablets
  • Compounding disclaimer present on site

Watch-outs

  • Only 5 states (AZ, CA, FL, TX, NV)
  • No LegitScript or PCAB accreditation
  • Primarily a local medspa expanding into telehealth
  • Only a first-month semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished

Elara Health and Wellness

What we like

  • Corporate parent disclosed (JTE Medical, LLC) — rare transparency for a DTC GLP-1 platform
  • Four named 503A pharmacy partners with city/state — among the most pharmacy-transparent providers we've reviewed
  • Bundled care model: quarterly labs, physician visits, coaching, and 24/7 messaging without a membership fee
  • Publishes the FDA compounded-medication disclaimer
  • All 50 states plus DC, with explicit coverage language
  • Substantial annual-plan savings ($792/yr semaglutide, $858/yr tirzepatide)
  • Self-service cancellation on monthly and quarterly plans

Watch-outs

  • LegitScript certification status not disclosed
  • No named medical director or physician leadership
  • Annual plan requires a 12-month commitment; early-cancellation terms not detailed
  • Governing law / arbitration venue not disclosed
  • 503A patient-specific compounding only — no 503B option

Our Verdict

Winner: Elara Health and Wellness

Elara Health and Wellness edges out AquaVita NextGen with a higher overall score of 8.2/10 and is particularly strong for bundled-care GLP-1 with labs and coaching from four named pharmacies. AquaVita NextGen remains a solid alternative, especially if you're looking for patients in AZ/CA/FL/TX/NV seeking medspa-backed GLP-1 with a named medical director.

Choose AquaVita NextGen if…

You want patients in AZ/CA/FL/TX/NV seeking medspa-backed GLP-1 with a named medical director and a starting price around $320/mo.

Choose Elara Health and Wellness if…

You want bundled-care GLP-1 with labs and coaching from four named pharmacies and a starting price around $117/mo.

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AquaVita NextGen vs Elara Health and Wellness: FAQ

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