Head-to-head dispatch
NextMeds vs StackMD
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
NextMeds is a cash-pay telehealth platform offering compounded semaglutide and compounded tirzepatide on a flat monthly membership — one price bundling the medication (if prescribed), telehealth visits, a…
Marked down on: Shows a LegitScript 'approval' but links only a generic directory search, not a verifiable seal — we couldn't independently confirm it
Desk Score
StackMD is a New York telehealth platform (Medical 360 HC PLLC) selling compounded semaglutide and tirzepatide, both formulated with B12 and glycine, alongside NAD+, sermorelin and other longevity peptides.
Marked down on: All sales are final — 'No refunds are issued except as described below', and dispensed medication cannot be returned
StackMD takes this head-to-head with the higher Desk Score, 76/100 (C) against 71/100 (C) for NextMeds. NextMeds 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
StackMD
76/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | NextMeds | StackMD |
|---|---|---|
| Semaglutide | $129/mo (plus a separate fee, compounded) | $125/mo (1 mg dose, plus a separate fee, compounded) |
| Tirzepatide | $179/mo (plus a separate fee, compounded) | $199/mo (5 mg dose, compounded) |
| Coverage | All 50 states | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Readers who want flat-price compounded semaglutide or tirzepatide bundled with a care coach and registered dietitian. | Shoppers who want an exact price for their specific dose before committing. |
| Desk Score | 71/100C | 76/100C |
The verdict
Desk pick — StackMDStackMD takes this head-to-head with the higher Desk Score, 76/100 (C) against 71/100 (C) for NextMeds. NextMeds still holds its ground where its strengths line up with yours.
Choose NextMeds if…
Readers who want flat-price compounded semaglutide or tirzepatide bundled with a care coach and registered dietitian.
$129/mo (plus a separate fee, compounded) sema · $179/mo (plus a separate fee, compounded) tirz · All 50 states
Choose StackMD if…
Shoppers who want an exact price for their specific dose before committing.
$125/mo (1 mg dose, plus a separate fee, compounded) sema · $199/mo (5 mg dose, compounded) 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: NextMeds · StackMD.
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: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.
More head-to-heads
- NextMeds vs CoreAge Rx
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- StackMD vs Ondra Health
- NextMeds vs Invigor Medical
- StackMD 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.