A single month at Next Vial costs $199 for compounded semaglutide and $249 for tirzepatide, whatever the dose. The $99 highlighted on the plan picker is semaglutide on a twelve-month plan with $1,188 printed as its total.
$199 buys one month of compounded semaglutide, no commitment
No membership fee on top
Clean FDA warning-letter record
Names its pharmacy: Manifest Pharmacy
Against it
The advertised $99/mo needs a 12-month commitment
What it is
Next Vial is an online clinic storefront from Next Vial LLC that sells compounded semaglutide and tirzepatide injections next to testosterone, hair-loss, ED, NAD+, sermorelin and a dozen other treatments. It takes no insurance and calls itself a marketplace connecting patients with independent providers; the FAQ names MD Integrations as its provider network and says every prescribing doctor holds a license in your home state.
You fill in a questionnaire and hear from a doctor within about 24 hours, though a handful of states call for a live chat or video consult first. A photo ID and a selfie are part of the intake. The service list covers every state except Alaska.
Prescriptions go to Manifest Pharmacy in Greer, South Carolina, the only pharmacy the FAQ names, and returns are addressed to “Next Vial LLC/Manifest Pharmacy” at the same street. Orders ship by rush no-contact delivery with no signature. The refund policy states that Next Vial doesn't currently ship refrigerated products, while its own GLP-1 FAQ says to keep these medications in the refrigerator between doses.
What it actually costs
Advertised$99
Actually$199/mo
Next Vial advertises $99. A month costs $199 because the advertised rate is the 12 months.
The gap
They advertise $99 a month. That is the 12 months, $1,188 on the card today. With no commitment it is $199 a month.
Semaglutide is $199 for a single month, $169 a month on three months ($507 total), $149 on six ($894) and $99 on twelve ($1,188). For tirzepatide the ladder reads $249, then $229 ($687), $199 ($1,194) and $149 ($1,788). The page opens on the semaglutide twelve-month card, which is why $99 is the first figure you see.
Every plan includes the online consultation, the medication, syringes and alcohol pads, and ongoing provider support, and there's no monthly membership. Shipping is free on orders over $50, which every GLP-1 plan clears.
The cards print a total for each term without saying whether that total is charged at once. The FAQ says medication is billed when it ships, and that you'll be contacted before each refill is billed.
Lower on the same page, a heading reads “Doctor-Led Weight Loss Plans as Low as $249.97/Month”. No plan on the page costs $249.97; it's a few cents above tirzepatide's $249 month, the highest figure on the picker.
You can reorder or cancel from your account at any time before a shipment goes out. Once the charge goes through and the carrier has the box, there's no undoing it.
Who it's wrong for
Budgeting from the $99? That's semaglutide with a year committed and $1,188 printed as the total; a single month costs $199.
Living in Alaska rules you out, since it's the one state missing from Next Vial's service list.
Skip it if cold-chain shipping matters to you. The refund policy says refrigerated products aren't shipped right now, though the GLP-1 FAQ tells you to refrigerate between doses.
Not for you if you want Wegovy, Zepbound or another brand pen, because the GLP-1 page sells only the two compounded injections.
Once a package is handed to USPS, FedEx or UPS with your card charged, the sale is final, so a change of heart after shipping costs you the order.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
Manifest Pharmacy, Greer, SC
What you get
Compounded semaglutide and tirzepatide injections, which the footer says are “prepared by licensed compounding pharmacies in compliance with Section 503A”. No brand-name GLP-1 is sold.
Overseas fulfillment
None disclosed
Support hours
“Our customer support hours are: 9:00am – 6:00pm, Mon to Sun” (no time zone given); +1 458-877-4178 and a support email address.
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about Next Vial
How much does Next Vial cost a month?Month to month, compounded semaglutide is $199 a month and compounded tirzepatide $249. The $99 it advertises is the 12 months.
Does Next Vial charge a membership fee?No. Next Vial bills compounded semaglutide at $199 a month with nothing added for a membership.
Does Next Vial sell compounded or brand-name GLP-1s?Compounded semaglutide and tirzepatide injections, which the footer says are “prepared by licensed compounding pharmacies in compliance with Section 503A”. No brand-name GLP-1 is sold.
Which pharmacy fills Next Vial prescriptions?Manifest Pharmacy, Greer, SC.
Has Next Vial received an FDA warning letter?No. FDA's published warning-letter index holds no letter to Next Vial on a search of “Next Vial”, “nextvial”, “Next Vial LLC”, “Manifest Pharmacy”, “MD Integrations”, and the search is linked under Sources.
Does GLP America earn money from Next Vial?No. Next Vial pays us nothing, and its $199 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 record8 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: Next Vial's public site: Next Vial's home page, Next Vial's GLP-1 medications page, Next Vial's FAQ page, Next Vial's about page, Next Vial's contact us page, Next Vial's terms page, Next Vial's returns refund policy page, Next Vial's privacy page, Next Vial's hipaa page, Next Vial's ccpa page, Next Vial's sms terms and conditions page and the other treatment pages. The “Start your visit” intake and the patient portal were not opened.
The prices, from the plan picker at /product/glp-1-medications/. With “Semaglutide Injection” selected (the default): “1 Month billed monthly $199 /mo”, “3 Months $507 total $169 /mo”, “6 Months $894 total $149 /mo” and “12 Months BEST SELLER $1,188 total $99 /mo”. With “Tirzepatide Injection” selected: “1 Month billed monthly $249 /mo”, “3 Months $687 total $229 /mo”, “6 Months $1,194 total $199 /mo” and “12 Months MOST POPULAR $1,788 total $149 /mo”. Further down the page: “Doctor-Led Weight Loss Plans as Low as $249.97/Month”.
What the price includes, from the same page: “Includes: Ongoing Provider Care & Support Syringes & Alcohol Pads Kit • Platform Access & Educational Content”, “Free Shipping on $50+ Orders, No Monthly Membership Fees” and “Personalized treatment plan from a licensed provider Includes online consultation, medication, and shipping Transparent monthly pricing – no hidden fees.” The home page: “Same price for all doses” and “Upfront pricing, no membership required”.
Billing, from the FAQ: “You will be billed for your medication when the medication is shipped based on the treatment plan you select.” “Login to your Next Vial account and reorder or cancel at any time. You will be contacted before your medication is to be refilled and billed to your credit card.” The FAQ also says “You may qualify for a complimentary consultation with your order.”
Refunds, from the Returns & Refund Policy: “Once your method of payment has been charged and your package has been handed over to the carrier (USPS, FedEx, UPS), all sales are final.” “In the rare case your package is lost in transit, Next Vial will reship your prescription or non-prescription order.” “Since we currently do not ship refrigerated products, your product will not be affected by increased transit time.” The home FAQ, by contrast: “These medications should be stored in the refrigerator between doses.”
Who does what: the footer says “Next Vial operates as a marketplace platform that connects patients with independently licensed healthcare providers” and “Next Vial does not directly dispense medication or provide medical services”. The FAQ: “Each doctor you interact with is licensed to prescribe medicine and treat patients in the state you live in.” “We use MD Integrations”. Terms (“Last Updated: April 2, 2026”) are those of Next Vial LLC, governed by Georgia law with JAMS arbitration in San Diego, California. No company street address is published apart from the returns address.
Pharmacy and shipping, from the FAQ and the refund policy: “Manifest Pharmacy 1018 S. Batesville Road Greer, SC 29650 Tel: 888-770-4009 Monday-Friday 8:00am-5:00pm EST”; returns go to “Next Vial LLC/Manifest Pharmacy”. “Your medication will ship via Rush No-Contact delivery, a signature is not required.” The service list names 49 states and omits Alaska. Contact page: “Our customer support hours are: 9:00am – 6:00pm, Mon to Sun”, +1 458-877-4178, Next Vial's support email.
No FDA enforcement action on record: FDA's warning-letter search on “Next Vial”, “nextvial”, “Next Vial LLC”, “Manifest Pharmacy”, “MD Integrations”, returns no letter addressed to Next Vial, its operator, the named pharmacies or Next Vial. Search FDA's warning letters.
Sources
Next Vial's own pages
Next Vial's GLP-1 medications pageCompounded semaglutide price
The companies whose month of compounded semaglutide is closest in price to Next Vial's, membership included. Picked by price alone; whether a company pays us plays no part.