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Next Vial vs EverSlim

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
Next Vial logo

Next Vial

7.1
★★★★☆3.6/5

Best for: compounded GLP-1, LegitScript-certified, with a named pharmacy partner

Visit Next Vial →
VS

EverSlim

8.3
★★★★☆4.2/5

Best for: flat-price compounded glp-1 care shipped nationwide

Visit EverSlim →

Next Vial and EverSlim 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, EverSlim starts lower at $113/mo versus $199/mo, and EverSlim edges ahead overall (8.3 vs 7.1 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

Next Vial

StandardCompounded
$199$99/mo
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semaglutide

EverSlim

All doses (flat)Compounded
$113/mo
semaglutide

Flat monthly price; medication, provider visit, and shipping included

All doses (flat)Compounded
$136/mo
tirzepatide

Flat monthly price; dual-action GLP-1 and GIP

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What’s included

Next Vial

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

EverSlim

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Score breakdown

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

Next Vial

7.1/10

Overall

EverSlim

8.3/10

Value25%

6.0A
vs
B
8.5

Effectiveness25%

7.0A
vs
B
8.0

User Experience15%

7.5A
vs
B
8.5

Trust & Safety15%

8.0A
vs
B
7.8

Accessibility10%

8.0A
vs
B
9.5

Support10%

7.0A
vs
B
7.5

Features & Coverage

FeatureNext VialEverSlim
Starting Price$199/mo✓$113/mo
Features7 features✓8 features
States Available49✓51
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA WarningsNoneNone

About Next Vial

Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options. LegitScript certified with medication dispensed through Manifest Pharmacy (Greer, SC). No membership required — one transparent price covering consultation, medication, and free shipping. Serves 49 states.

Read our full Next Vial review →

About EverSlim

EverSlim is a US telehealth program offering doctor-prescribed, compounded GLP-1 weight-loss medication delivered to your door. It provides compounded semaglutide from 127 dollars a month and compounded tirzepatide from 183 dollars a month, a flat monthly price that includes the provider visit, prescription, and free shipping, with no insurance or membership required. Care is delivered by licensed US providers through the DrTelx medical group and filled by named LegitScript-approved US compounding pharmacies. Available in all 50 states and DC. Compounded meds are not FDA-approved.

Read our full EverSlim review →

Pros & Cons

Next Vial

What we like

  • LegitScript certified with named pharmacy partner (Manifest Pharmacy, Greer, SC)
  • No membership fees — one all-in price covering consultation, medication, and shipping
  • Compounded semaglutide, tirzepatide, and microdose options available
  • Free rushed shipping; serves 49 states nationwide
  • Board-certified physician oversight with ongoing provider support

Watch-outs

  • Tirzepatide pricing not listed publicly (starting price covers GLP-1 generally)
  • Compounded medications are not FDA-approved
  • Labs and nutritional coaching not disclosed
  • Microdose pricing not published on product page
  • Alaska not listed among served states

EverSlim

What we like

  • Flat pricing from 127 dollars a month for compounded semaglutide; medication, provider visit, and shipping included, no insurance needed
  • Names its pharmacy partners (EPIQ Scripts, Foothills, Emerald) and DrTelx medical group; LegitScript-approved and NABP-accredited.
  • Available in all 50 states and DC, with asynchronous care in 44 states and live-visit access in the rest.
  • Offers both semaglutide and tirzepatide, plus care-team messaging between visits.

Watch-outs

  • Compounded medications are not FDA-approved, and no brand-name Wegovy, Ozempic, or Zepbound options are offered.
  • Site discloses that some imagery and content may be AI-generated and some ad figures are actors, not real clinicians.
  • Newer brand with limited independent, third-party review history.

Our Verdict

Winner: EverSlim

EverSlim edges out Next Vial with a higher overall score of 8.3/10 and is particularly strong for flat-price compounded glp-1 care shipped nationwide. Next Vial remains a solid alternative, especially if you're looking for compounded GLP-1, LegitScript-certified, with a named pharmacy partner.

Choose Next Vial if…

You want compounded GLP-1, LegitScript-certified, with a named pharmacy partner and a starting price around $199/mo.

Choose EverSlim if…

You want flat-price compounded glp-1 care shipped nationwide and a starting price around $113/mo.

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7.4

Brightmeds

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6.4

Direct Meds

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7.6

Maximus

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Next Vial vs EverSlim: FAQ

EverSlim is cheaper. Its lowest ongoing monthly cash price is $113/mo, compared with $199/mo for Next Vial. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
EverSlim scores higher overall at 8.3/10 versus 7.1/10, and is particularly strong for flat-price compounded glp-1 care shipped nationwide. That said, Next Vial is a better fit if you want compounded GLP-1, LegitScript-certified, with a named pharmacy partner.
EverSlim covers more — 51 states versus 49.
Neither Next Vial nor EverSlim is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.
For Semaglutide, Next Vial is cheaper at $99/mo versus $113/mo at EverSlim.

Key terms, explained

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Continue exploring Next Vial and EverSlim head-to-heads in the same category.

Or see the full category ranking.

Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.