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Head-to-head dispatch

NextMeds vs OrderlyMeds

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.

Dispatch #135Desk pick
NextMeds

NextMeds is a cash-pay telehealth membership that now publishes a full four-term ladder for both molecules, bundling the medication, telehealth visits, a 1:1 care coach and a registered nutritionist into one flat monthly price.

$79/mo month-to-month ($76/mo on the 3-month plan, $73/mo on the 6-month plan, $49/mo on the 12-month plan; compounded) sema · $109/mo month-to-month ($105/mo on the 3-month plan, $100/mo on the 6-month plan, $95/mo on the 12-month plan; compounded) tirz · Verified August 29, 2026

Marked down on: The page title, the banner and the closing panel all shout $49/mo and $95/mo — both are the 12-month rungs, and the month-to-month rates ($79 and $109) appear only on the card

vs
Dispatch #240
OrderlyMeds

OrderlyMeds is a telehealth provider selling compounded semaglutide and tirzepatide with no membership fees or hidden costs.

$74/mo (starting dose, 2-mo starter plan, new patients only, compounded) sema · $299/mo (compounded) tirz · Verified August 1, 2026

Marked down on: The $74 rate is a two-month starter plan billed as $149 up front, and it is open only to patients new to GLP-1 medication; the standing monthly rate is $149

FDAWarning letter issued to OrderlyMeds LLC dba OrderlyMeds in June 2026. See the FDA warning-letter database.

NextMeds takes this head-to-head with the higher Desk Score, 71/100 (C) against 64/100 (C) for OrderlyMeds. OrderlyMeds 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.

NextMeds

71/100

C

Overall

OrderlyMeds

64/100

C

Price transparency

56
86

State access

86
24

Molecule range

66
66

Onboarding speed

78
74

Support responsiveness

82
78

Licensing & trust

62
51

The spec sheet

FieldNextMedsOrderlyMeds
Semaglutide$79/mo month-to-month ($76/mo on the 3-month plan, $73/mo on the 6-month plan, $49/mo on the 12-month plan; compounded)$74/mo (starting dose, 2-mo starter plan, new patients only, compounded)
Tirzepatide$109/mo month-to-month ($105/mo on the 3-month plan, $100/mo on the 6-month plan, $95/mo on the 12-month plan; compounded)$299/mo (compounded)
CoverageAll 50 statesNot listed on OrderlyMeds's site (checked August 1, 2026)
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forFirst-time patients who want an all-inclusive monthly price with coaching built in and no commitment — the $79 and $109 monthly rungs, not the advertised annual figures.A first GLP-1 course at a published starter rate, with the standing rate published beside it.
Desk Score71/100C64/100C

The verdict

Desk pick — NextMeds

NextMeds takes this head-to-head with the higher Desk Score, 71/100 (C) against 64/100 (C) for OrderlyMeds. OrderlyMeds still holds its ground where its strengths line up with yours.

Choose NextMeds if…

First-time patients who want an all-inclusive monthly price with coaching built in and no commitment — the $79 and $109 monthly rungs, not the advertised annual figures.

$79/mo month-to-month ($76/mo on the 3-month plan, $73/mo on the 6-month plan, $49/mo on the 12-month plan; compounded) sema · $109/mo month-to-month ($105/mo on the 3-month plan, $100/mo on the 6-month plan, $95/mo on the 12-month plan; compounded) tirz · All 50 states

Choose OrderlyMeds if…

A first GLP-1 course at a published starter rate, with the standing rate published beside it.

$74/mo (starting dose, 2-mo starter plan, new patients only, compounded) sema · $299/mo (compounded) tirz

FDAWarning letter issued to OrderlyMeds LLC dba OrderlyMeds in June 2026. See the FDA warning-letter database.

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: NextMeds · OrderlyMeds.

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

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.