Head-to-head dispatch
Next Vial vs Oak
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.
$250/mo (compounded) sema · Verified July 3, 2026
Marked down on: Tirzepatide pricing not listed publicly (starting price covers GLP-1 generally)
Desk Score
Nationwide, package-based and quick to approve, at $200/mo for compounded semaglutide and $250 for tirzepatide — one flat rate at every dose. The catch is not secrecy but inconsistency: its advertising carries nine different "starting" prices and none of them is what it charges.
$250/mo (one flat rate at every dose), read on its order form the afternoon of 15 August; it showed $200/mo that morning sema · $300/mo (one flat rate at every dose), read on its order form the afternoon of 15 August; it showed $250/mo that morning tirz · Verified August 8, 2026
Marked down on: Oak's MARKETING layer publishes nine different "starting" figures — $119, $133, $160, $167, $180, $185, $190, $199 and $250 — and attaches a term or billing cadence to none of them. None of the nine is what it charges: its own funnel quotes $200/mo semaglutide and $250/mo tirzepatide, one flat rate at every dose
Oak takes this head-to-head with the higher Desk Score, 71/100 (C) against 62/100 (C) for Next Vial. Next Vial still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Next Vial
62/100
C
Oak
71/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Next Vial | Oak |
|---|---|---|
| Semaglutide | $250/mo (compounded) | $250/mo (one flat rate at every dose), read on its order form the afternoon of 15 August; it showed $200/mo that morning |
| Tirzepatide | Not listed on Next Vial's site (checked July 3, 2026) | $300/mo (one flat rate at every dose), read on its order form the afternoon of 15 August; it showed $250/mo that morning |
| Coverage | 49 states | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner. | People who want nationwide package-based care and are willing to complete a long intake before learning what they will actually pay. |
| Desk Score | 62/100C | 71/100C |
The verdict
Desk pick — OakOak takes this head-to-head with the higher Desk Score, 71/100 (C) against 62/100 (C) for Next Vial. Next Vial still holds its ground where its strengths line up with yours.
Choose Next Vial if…
People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner.
$250/mo (compounded) sema · 49 states
Choose Oak if…
People who want nationwide package-based care and are willing to complete a long intake before learning what they will actually pay.
$250/mo (one flat rate at every dose), read on its order form the afternoon of 15 August; it showed $200/mo that morning sema · $300/mo (one flat rate at every dose), read on its order form the afternoon of 15 August; it showed $250/mo that morning tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Next Vial · Oak.
Also here
CoreAge Rx tops every dispatch at 94/100
Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- Next Vial vs CoreAge Rx
- Oak vs Vaylen
- Next Vial vs Strut Health
- Oak vs Ondra Health
- Next Vial vs Invigor Medical
- Oak vs Vytora Health
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.