Is semaglutide $99 or $190 a month?

Nex Gen publishes both. Its homepage advertises semaglutide "for as low as $99.00 a month" and tirzepatide "for as low as $149.00 a month"; the product rail that appears on its own treatment pages lists semaglutide "weekly dosing, from $190" and tirzepatide "from $239". The site does not reconcile the two. We list the higher, product-page figures, because those are attached to the pages you actually buy from — but treat the real price as something to confirm before you check out.

Which pharmacy fills the prescription?

Manifest Pharmacy, a 503A compounding facility, named on fifteen separate pages across the catalog rather than once in a footer. That is the single most useful disclosure a compounded seller can make, because the pharmacy is the party whose sterility, potency and licensure you are relying on — and many sellers never name one. A 503A facility compounds for individually identified patients, as distinct from a 503B outsourcing facility, which produces in bulk under stricter FDA oversight.

Why is the NAD+ so much more expensive here?

The site does not explain it, but the size of the gap is clear: Nex Gen prices NAD+ injectable at $299/month, against $99 at Bayan Health, $129 at Mondae, $135 at Magnolia and $134 all-in at Nova. That is roughly three times the lowest of those prices for a compound whose injected form has no controlled human outcome trials. Its own glutathione, at $57.32/month, is priced competitively, which suggests a product decision rather than a general pricing model. If you are buying NAD+ specifically, compare before committing.

How does the 30/90/180/360-day plan structure work?

Each product page shows three numbers together: the effective monthly rate, the per-day cost, and the total billed upfront. Men's hair loss, for instance, is presented as "$30/month, $1.00 per day, 90 day supply, $90 billed upfront", and premature ejaculation as "$60/month, $2.00 per day, 90 day supply, $180 billed upfront". That is a genuinely honest way to present prepay, because the charge that lands on your card is stated beside the average rather than hidden behind it — which is exactly the disclosure several other providers omit.

Can I get testosterone through Nex Gen?

Injectable TRT is live and has its own product page; oral TRT is listed but marked coming soon. Sermorelin is sold alongside at $195/month. Because injectable testosterone is genuine exogenous therapy rather than a drug acting on your own production, we cover Nex Gen as a TRT provider — unlike Magnolia Regenerative and Goldspan Health, whose hormone lines contain no exogenous testosterone at all.

Is Nex Gen Health Rx expensive compared with other GLP-1 telehealth providers?

Nex Gen Health Rx publishes a starting figure of $190/mo. Across the 112 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $399 with a median of $179, which puts Nex Gen Health Rx above the median. The other 173 GLP-1 telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Updated September 2026

Nex Gen Health Rx review

Names its 503A pharmacy

Names Manifest Pharmacy as a 503A facility on fifteen pages — then advertises GLP-1 prices its own product rail contradicts.

Our verdict

Nex Gen does the most important disclosure in this category better than almost anyone: it names the pharmacy. Manifest Pharmacy, a 503A facility, appears on fifteen separate pages rather than once in a footer, "compounded medications are not FDA-approved" appears fourteen times, its LegitScript seal resolves, and plans are sold in 30/90/180/360-day supplies with the per-month rate, the per-day cost and the upfront charge all shown together. Against that, its GLP-1 pricing does not hold up: the homepage advertises semaglutide "for as low as $99.00 a month" and tirzepatide "$149.00 a month", while the product rail on its own treatment pages lists semaglutide from $190 and tirzepatide from $239. Both figures are published on its own site. Read the product page, not the banner, and the rest of the service is well disclosed.

Disclosure: Aminoscope is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.

Check availability →Homepage says semaglutide $99/mo and tirzepatide $149; its own product rail says $190 and $239

At a glance

Category: GLP-1 telehealth
Access: Homepage says semaglutide $99/mo and tirzepatide $149; its own product rail says $190 and $239
Medications: Compounded semaglutide · Compounded tirzepatide
Insurance: Cash-pay, no insurance
Visit: Quiz intake / Video visit
Availability: Not published
LegitScript: Claimed by provider

Partner alternative

Enhance MD

Lab-guided treatment under ongoing physician oversight

Check Enhance MD availability →

What it is

A broad telehealth catalog covering GLP-1 weight loss, injectable and oral TRT, NAD+, sermorelin, glutathione, PT-141, erectile dysfunction, premature ejaculation, men's and women's hair loss, skincare, birth control, herpes, cold sores, acid reflux, metformin and smoking cessation. Prescriptions are filled by Manifest Pharmacy, a 503A compounding facility, named throughout. It displays a LegitScript seal (ID 46279487).

How it works

Questionnaire-led with a video visit referenced, described as a 100% discreet online consultation with free delivery from accredited pharmacies. The disclosure discipline is the standout: Manifest Pharmacy is named on fifteen pages with its 503A status stated, and the compounded-status warning appears fourteen times across the catalog rather than once. Plans are structured as 30/90/180/360-day supplies, and each product page shows the monthly rate, the per-day cost and the total billed upfront together — so the prepay total is never disguised as a monthly average. No list of states served is published.

Pricing transparency

Clear at the product level, contradictory at the banner level. On the homepage: semaglutide "for as low as $99.00 a month" and tirzepatide "for as low as $149.00 a month". On its own product pages' cross-sell rail: "Semaglutide, weekly dosing, from $190" and "Tirzepatide, weekly dosing, from $239". Both are published on the same site and they are not the same offer. Elsewhere the pricing is consistent and well presented: NAD+ injectable from $299/month, glutathione from $57.32/month, sermorelin from $195, PT-141 from $189, erectile dysfunction from $60, premature ejaculation (sertraline) $60/month at $2.00 per day with $180 billed upfront for 90 days, men's hair loss $30/month at $1.00 per day with $90 upfront, bimatoprost $43/month with $129 upfront, metformin from $25, birth control from $46.97, cold sores and herpes from $60, skincare from $89.

Branded vs compounded

Compounded semaglutide and tirzepatide, injectable and oral testosterone, NAD+, sermorelin, glutathione, PT-141, PDE5 inhibitors, sertraline, finasteride and minoxidil combinations, bimatoprost, metformin, antivirals and hormonal contraception. Its compounded disclosure is unusually thorough at fourteen mentions. On the evidence: GLP-1 outcome data belongs to the branded products, not to compounded copies; sermorelin has a real growth-hormone-axis mechanism with thin long-term outcome data; injected NAD+ has no controlled human outcome trials, with the randomized evidence sitting on oral NR/NMN; injected glutathione has essentially none for its marketed uses; PT-141 is FDA-approved only for hypoactive sexual desire disorder in premenopausal women, so prescribing to men is off-label; and the PDE5 inhibitors, finasteride, minoxidil and metformin — most of the catalog's non-compounded half — are all well-evidenced approved drugs.

Pros and watch-outs

What we like

Names Manifest Pharmacy as a 503A facility on fifteen separate pages
"Compounded medications are not FDA-approved" stated fourteen times across the catalog
Shows monthly rate, per-day cost and upfront charge together on every plan
Displays a LegitScript seal with a checkable ID
Very wide menu including several well-evidenced approved drugs, not only compounded products

Watch-outs

Homepage GLP-1 prices ($99 and $149) contradict its own product rail ($190 and $239)
NAD+ at $299/month is roughly three times Bayan Health's $99
No list of states served published
Oral TRT is listed but marked coming soon

Best for

Buyers who treat a named, 503A-designated pharmacy as the first requirement and want the full prepay charge shown rather than a monthly average.

Who should look elsewhere

Anyone buying on the advertised GLP-1 headline, or shopping NAD+ on price.

The evidence behind what Nex Gen Health Rx prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

What the semaglutide weight-loss trials actually showed
STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.
Sermorelin benefits: does it work? What the trials show
A real GHRH drug, read against the anti-aging pitch: an approved growth-hormone-releasing analog with a pediatric track record, and a longevity case built more on biomarkers than outcomes.
NAD+ injections: benefits, side effects, cost and what the evidence says
Subcutaneous NAD+ is sold as a cheaper, at-home alternative to the IV drip, through “near me” clinics or telehealth shipped to your door. It’s compounded, not FDA-approved, and has no outcome trials; oral NR/NMN precursors are the route with the human data.
Glutathione: the master antioxidant, and where the evidence actually is
Oral glutathione really does raise your body stores (a 6-month RCT proved it) — but the longevity and detox claims are unproven, skin-lightening is modest, and IV glutathione is the most marketed, least evidenced route. The precursors may be the smarter bet.
PT-141 (bremelanotide): the evidence on a peptide that is actually FDA-approved
Bremelanotide (Vyleesi) is FDA-approved for HSDD in premenopausal women, with phase-3 trial evidence. A straight read of what's proven — and where off-label use goes beyond it.
TRT: what testosterone therapy is actually proven to do
An FDA-approved therapy for diagnosed hypogonadism — with real but moderate benefits (sexual function, mood; not vitality), cardiovascular non-inferiority in TRAVERSE, and a real fertility trade-off.

How Nex Gen Health Rx compares

A few alternatives worth a look, depending on what you’re optimizing for.

Live Vital
Pairing a GLP-1 with a wider peptide and longevity protocol
See Live Vital →
Collective
A low all-in GLP-1 cost, if you will actually keep the annual membership
See Collective →
Clume Health
Buyers who want the dispensing pharmacy named with a verifiable address before they order
See Clume Health →

Compare all providers side by side →

More GLP-1 telehealth reviews: Believe HealthGoldspan HealthLean MedsLongevixxMagnolia Regenerative MedicineMondae

Nadia Feldman

Access & cost

How we assessed this. This review reflects Aminoscope’s own read of Nex Gen Health Rx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

Is semaglutide $99 or $190 a month?: Nex Gen publishes both. Its homepage advertises semaglutide "for as low as $99.00 a month" and tirzepatide "for as low as $149.00 a month"; the product rail that appears on its own treatment pages lists semaglutide "weekly dosing, from $190" and tirzepatide "from $239". The site does not reconcile the two. We list the higher, product-page figures, because those are attached to the pages you actually buy from — but treat the real price as something to confirm before you check out.
Which pharmacy fills the prescription?: Manifest Pharmacy, a 503A compounding facility, named on fifteen separate pages across the catalog rather than once in a footer. That is the single most useful disclosure a compounded seller can make, because the pharmacy is the party whose sterility, potency and licensure you are relying on — and many sellers never name one. A 503A facility compounds for individually identified patients, as distinct from a 503B outsourcing facility, which produces in bulk under stricter FDA oversight.
Why is the NAD+ so much more expensive here?: The site does not explain it, but the size of the gap is clear: Nex Gen prices NAD+ injectable at $299/month, against $99 at Bayan Health, $129 at Mondae, $135 at Magnolia and $134 all-in at Nova. That is roughly three times the lowest of those prices for a compound whose injected form has no controlled human outcome trials. Its own glutathione, at $57.32/month, is priced competitively, which suggests a product decision rather than a general pricing model. If you are buying NAD+ specifically, compare before committing.
How does the 30/90/180/360-day plan structure work?: Each product page shows three numbers together: the effective monthly rate, the per-day cost, and the total billed upfront. Men's hair loss, for instance, is presented as "$30/month, $1.00 per day, 90 day supply, $90 billed upfront", and premature ejaculation as "$60/month, $2.00 per day, 90 day supply, $180 billed upfront". That is a genuinely honest way to present prepay, because the charge that lands on your card is stated beside the average rather than hidden behind it — which is exactly the disclosure several other providers omit.
Can I get testosterone through Nex Gen?: Injectable TRT is live and has its own product page; oral TRT is listed but marked coming soon. Sermorelin is sold alongside at $195/month. Because injectable testosterone is genuine exogenous therapy rather than a drug acting on your own production, we cover Nex Gen as a TRT provider — unlike Magnolia Regenerative and Goldspan Health, whose hormone lines contain no exogenous testosterone at all.
Is Nex Gen Health Rx legit?: Nex Gen Health Rx is a GLP-1 telehealth service you reach through an online questionnaire and a video visit with a clinician. The medications it names are Compounded semaglutide and Compounded tirzepatide. What it publishes up front: Homepage says semaglutide $99/mo and tirzepatide $149; its own product rail says $190 and $239. It is cash-pay and states it does not bill insurance. It shows a LegitScript seal. Ask the company for its certificate number before you rely on it. Before you pay, ask in writing about which states it serves.
Is Nex Gen Health Rx expensive compared with other GLP-1 telehealth providers?: Nex Gen Health Rx publishes a starting figure of $190/mo. Across the 112 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $399 with a median of $179, which puts Nex Gen Health Rx above the median. The other 173 GLP-1 telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Check availability →

Or compare every GLP-1 provider.