Provider review, September 2026
Next Vial names its dispensing pharmacy with a street address and telephone number, and enumerates the forty-nine states it serves rather than printing a count. Against that, four of its five peptide products show a plan selector where a price should be, so only one figure on the site is actually visible.
Next Vial also sells 3 compounds this site boards without publishing a price for them: Sermorelin, NAD+ and PT-141.
Next Vial is not a paid partner; this link may earn a commission if that changes. Full disclosure.
It names Manifest Pharmacy with a street address in Greer, South Carolina and a telephone number, and it names the clinician network that reviews the intake.
Its state coverage is enumerated rather than counted: forty-nine states are listed by name, with Alaska absent.
A list can be checked, which is why it is recorded here. Forty-nine is also not fifty, so no nationwide claim is credited.
Its glutathione page prints a starting-at figure. Its sermorelin, PT-141, injectable NAD+ and nasal NAD+ pages are structurally identical to it and print "Select plan" in the place where that figure sits.
Visible text is the test, so only the glutathione figure is filed and the other four products are recorded as unpriced.
The one figure that is visible carries no billing period either, so it is recorded as not monthly.
A headline advertises doctor-led weight-loss plans as low as a stated monthly floor.
The control directly beneath it offers both semaglutide and tirzepatide.
One floor across two compounds is not a price for either, so nothing is filed from it.
In its own words: "Please note that compounded medications are not reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety or efficacy."
It continues: "However, they are prepared by licensed compounding pharmacies in compliance with Section 503A of the Federal Food, Drug, and Cosmetic Act."
It also says plainly that it does not manufacture compounded medications, and it publishes no certificate of analysis.
Trellis Vitality frames its program around body-composition tracking rather than scale weight, pairing NAD+, glutathione and tesamorelin with at-home biomarker panels and a 90-day re-test, and names its dispensing pharmacy, VialsRX in Houston, by address.
Read the full Trellis Vitality review
Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Trellis VitalityFour of its five peptide pages render a plan selector where the glutathione page renders a figure. Nothing is recorded for those four, because visible text is the test.
No. It is a starting-at figure at the bottom of a range, and the page names no billing period.
It lists forty-nine states by name. Alaska is the one absent from that list, so coverage is broad but not nationwide.
It names Manifest Pharmacy, with a street address in Greer, South Carolina and a telephone number, and says it does not manufacture compounded medications itself.
Next Vial is not a paid partner; this link may earn a commission if that changes. Full disclosure.