A new patient's one-month supply of compounded semaglutide costs $215 at AquaVita NextGen, and tirzepatide $320. The continuation month that follows is priced higher, at $275 and $429, and the service covers only Arizona, California, Florida, Nevada and Texas.
$215 buys one month of compounded semaglutide, no commitment
No membership fee on top
Clean FDA warning-letter record
Prescribers licensed in your state
Against it
No pharmacy named
No support hours published
What it is
AquaVita NextGen is the online weight-loss arm of AquaVita Wellness & Medspa, a medical spa at 23321 El Toro Rd in Lake Forest, California. It sells compounded semaglutide and tirzepatide injections, plus Lipo-B, NAD+ and glutathione injection kits, through a WooCommerce shop. The operator named in the terms and privacy policy is AquaVita, Inc.
It's a five-state service. The FAQ lists California, Florida, Texas, Nevada and Arizona, and the eligibility screen offers only those five. After an online form and payment, a provider clears you on a video call, the Good Faith Exam that the site says comes “prior to issuing any prescription.” The medical director and CEO is Dr. Steve Groke, an emergency-medicine physician.
Medication ships from a licensed compounding pharmacy that the site never names. Shipping is free, and the terms let AquaVita route or transfer a prescription between any of its pharmacies.
A first month of semaglutide is $215, or $600 for a three-month supply. Tirzepatide is $320 for one month or $900 for three. Those are the new-patient products in the shop.
The price rises after the start. Returning patients reorder a Phase 2 continuation: semaglutide at $275 for 4 weeks or $650 for 12, tirzepatide at $429 for 4 weeks or $1,100 for 12. So a patient who stays on tirzepatide month by month pays $109 more from the second phase on.
The reorder page says a plan includes “medication, shipping, medical consultations, and ongoing support,” with no separate visit fee disclosed. Afterpay, Affirm and Klarna are offered. The dosing FAQ refers to “your subscription,” and the terms say some products renew automatically unless canceled two days before renewal, yet no product page states whether its supply renews on its own.
Nothing comes back once it ships. The refund policy says products can't be returned “under any circumstances” and are non-refundable, with a replacement or refund considered only for damaged, missing or wrong items reported within 48 hours. The purchase terms go further: “All sales are final,” and any refund AquaVita chooses to issue “may only be issued as store credit.”
Who it's wrong for
Living outside California, Arizona, Florida, Nevada or Texas? AquaVita can't treat you, and its eligibility screen offers no other state.
Budget for $275, not $215, if you plan to stay on semaglutide. The lower figure covers the starting supply, and Phase 2 reorders cost more.
Skip it if you want the dispensing pharmacy named up front. The site says only that it's licensed.
Tirzepatide at $429 a month after the first phase is steep. That's the continuation price on the reorder page.
Not for you if a refund matters. All sales are final, and the purchase terms limit any refund AquaVita does grant to store credit.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
Not named
What you get
Compounded semaglutide and tirzepatide “compounded by a licensed pharmacy”, which AquaVita doesn't name. The site advertises “FDA-Regulated Pharmacies” and “Ingredients From The US”. No brand-name GLP-1 is sold, and no 503A or 503B label appears.
Overseas fulfillment
None disclosed
Support hours
No support hours are published. Phone (949) 688-1876, two support email addresses. Provider video visits run “7:00 AM to 6:00 PM Pacific time Monday thru Saturday, from 9:30 AM to 4:30 PM on Sundays”.
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about AquaVita NextGen
How much does AquaVita NextGen cost a month?Month to month, compounded semaglutide is $215 a month and compounded tirzepatide $320.
Does AquaVita NextGen charge a membership fee?No. AquaVita NextGen bills compounded semaglutide at $215 a month with nothing added for a membership.
Does AquaVita NextGen sell compounded or brand-name GLP-1s?Compounded semaglutide and tirzepatide “compounded by a licensed pharmacy”, which AquaVita doesn't name. The site advertises “FDA-Regulated Pharmacies” and “Ingredients From The US”. No brand-name GLP-1 is sold, and no 503A or 503B label appears. It names no pharmacy.
Has AquaVita NextGen received an FDA warning letter?No. FDA's published warning-letter index holds no letter to AquaVita NextGen on a search of “AquaVita NextGen”, “aquavitanextgen”, “AquaVita, Inc.”, “AquaVita”, “AquaVita Wellness & Medspa”, and the search is linked under Sources.
Does GLP America earn money from AquaVita NextGen?No. AquaVita NextGen pays us nothing, and its $215 month sits where that price puts it. The Collective card on this page comes from a partner, which pays us a commission, and it's labeled Partner.
On the record9 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: AquaVita's public site: AquaVita NextGen's home page, AquaVita NextGen's aboutus page, AquaVita NextGen's shop page, AquaVita NextGen's reorder page, AquaVita NextGen's compounded semaglutide page, AquaVita NextGen's compounded tirzepatide page, the eight product pages under AquaVita NextGen's product page (compounded-semaglutide, compounded-semaglutide-2, compounded-semaglutide-phase-2-one-month-supply, compounded-semaglutide-phase-2-3-months-supply, compounded-tirzepatide, compounded-tirzepatide-3, compounded-tirzepatide-phase-2-one-month-supply, compounded-tirzepatide-phase-2-3-month-supply), AquaVita NextGen's weight loss program FAQS page, AquaVita NextGen's frequently asked questions semaglutide page, AquaVita NextGen's frequently asked questions tirzepatide page, AquaVita NextGen's compound semaglutide safety information page, AquaVita NextGen's compound tirzepatide safety information page, AquaVita NextGen's weekly weight loss injections guide page, AquaVita NextGen's platform terms and conditions page, AquaVita NextGen's purchase terms page, AquaVita NextGen's refund and return policy page, AquaVita NextGen's telehealth consent page, AquaVita NextGen's privacy policy page, AquaVita NextGen's text messaging terms and conditions page, AquaVita NextGen's contact us page, AquaVita NextGen's sitemap page and the state question on AquaVita NextGen's eligibility page. No intake form was filled, nothing was added to the cart, and no payment step was opened.
The prices, from the shop (/shop/): “Personalized weight loss plans with a range of treatment options starting at $215.*”, “One month supply Compounded Semaglutide $215”, “One month supply Compounded Tirzepatide $320”, “Three months supply Compounded Semaglutide $600” and “Three months supply Compounded Tirzepatide $900”. The reorder page (/reorder-page/), Semaglutide tab: “Phase 2 Continuation $275 4 weeks of treatment continuation” and “Phase 2 Continuation $650 12 weeks of treatment continuation”; Tirzepatide tab: “Phase 2 Continuation $429 4 weeks of treatment continuation” and “Phase 2 Continuation $1,100 12 weeks of treatment continuation”. The product pages carry the same figures ($215.00, $320.00, $600.00, $900.00, $275.00, $650.00, $429.00, $1,100.00). No footnote for the asterisk after $215 appears on the site.
What a plan includes, from the reorder page FAQ: “Your plan includes medication, shipping, medical consultations, and ongoing support from our clinical team. No hidden fees or surprise charges.” and “Multiple payment options including Afterpay, Affirm, and Klarna”. Dosing, from the semaglutide and tirzepatide FAQs: “You will start treatment by gradually increasing the dose of compounded semaglutide over a 3 to 4-month period” and “You will stay on each dose for at least one month.” and “Your subscription provides enough vials to ensure you start a new one each month”.
Refunds, from /refund-and-return-policy/: “Due to the customized nature of these products, we cannot accept returns under any circumstances.” “While all products are non-refundable”, damaged, missing or incorrect shipments must be reported “within 48 hours of receiving your order”, and “If a refund is approved, it will be processed within 15 business days of approval.” From /purchase-terms/: “Payment is due prior to services being rendered, and AquaVita does not submit claims to insurance providers.” and “All sales are final. … Should AquaVita, at its sole discretion, decide to issue a refund, such refunds may only be issued as store credit.”
Renewals, from the platform terms: “Certain products and services require that you purchase the product and/or service on an automatically renewing subscription basis.” “Your first renewal may be charged early to prevent any discontinuity in treatment.” “Your subscription will automatically renew for another subscription period unless you cancel at least two (2) days before the applicable renewal processing date of your subscription. We do not offer refunds for partially used subscription periods.”
States, from the home page: “With licensed providers in Arizona, California, Florida, Texas, and Nevada”. From the program FAQ: “We currently offer our services in California (CA), Florida (FL), Texas (TX), Nevada (NV), and Arizona (AZ).” The eligibility screen asks “Which state do you live in? This helps us connect you with a licensed provider in your state.” and offers those five.
The visit, from each product page: “Complete intake forms Complete payment Meet with your provider immediately after you make payment or at your convenience between the hours of 7:00 AM to 6:00 PM Pacific time Monday thru Saturday, from 9:30 AM to 4:30 PM on Sundays”. The footer disclaimer: “A licensed medical provider will conduct a telehealth Good Faith Exam (GFE) to assess patient eligibility prior to issuing any prescription.” and “This medication is compounded by a licensed pharmacy and is not FDA-approved.” Contact, from /contact-us/: “(949) 688-1876” and “AquaVita NextGen's support email”; the footer lists AquaVita NextGen's support email.
No FDA enforcement action on record: FDA's warning-letter search on “AquaVita NextGen”, “aquavitanextgen”, “AquaVita, Inc.”, “AquaVita”, “AquaVita Wellness & Medspa”, returns no letter addressed to AquaVita NextGen, its operator, the named pharmacies or AquaVita NextGen. Search FDA's warning letters.
The companies whose month of compounded semaglutide is closest in price to AquaVita NextGen's, membership included. Picked by price alone; whether a company pays us plays no part.