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One list. Both medicines. One price.
NexLife states: is your state on the list?
By the NexLife Medical Team · Medically reviewed by Adam Kennah, MD · Updated
NexLife is available in each state on this page’s list, at the same price: compounded tirzepatide is $115 a month on the 12-month plan (as of November 5, 2026). Its licensed providers prescribe both medicines in each state listed, and a state-licensed pharmacy ships there. Semaglutide is $95 a month on the 12-month plan. Month to month, tirzepatide is $129 and semaglutide $109, at every dose.
$115/mo on 12 months, every dosePrice Match Guarantee†
- Compounded tirzepatide and semaglutide in each state on the list
- A provider licensed where you are decides if treatment is right for you
- A state-licensed pharmacy ships to you, free and expedited
$115/mo on a 12-month plan, all-inclusive, same price at every dose
Or $129/mo month to month
Moving, or living in two states? Call or text us and we’ll check both addresses
About 3 minutes of health questions · No insurance needed · Not prescribed? No charge for medication
See all 4 plans and what a year costs
| Plan | Per month | 12 months at this rate |
|---|---|---|
| 12-month Lowest monthly price | $115 | $1,380 |
| 6-month | $119 | $1,428 |
| 3-month | $125 | $1,500 |
| Month to month | $129 | $1,548 |
Month to month costs $168 more over 12 months than the 12-month plan. Plans renew until you cancel. Longer plans bill the way you choose at checkout.
Price Match Guarantee†. Paying less elsewhere? We match your regular monthly price. How it works
4.8 out of 5 on Trustpilot, 407 reviewsLegitScript-certified
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. The vial shown is an illustration. Always use the strength on your pharmacy’s label.
- Licensed U.S. providers
- LegitScript certified
- Free expedited shipping
- HSA, FSA, Affirm, Klarna, Afterpay
- 24/7 support, real people
- Filled by Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA)
At a glance
NexLife by state: availability, price, pharmacy and moving
| Question | Answer |
|---|---|
| Where is NexLife available? | In each state on this page’s list, for both medicines, as NexLife confirmed on November 1, 2026. |
| Not on the list? | Washington, D.C., and U.S. territories aren’t listed. Call or text |
| Can NexLife treat me? | NexLife’s eligibility check confirms whether its providers can treat you where you live. A licensed provider decides if treatment is right for you. |
| Does the price change by state? | No. On the 12-month plan, compounded tirzepatide is $115 a month and semaglutide $95, at every dose. |
| Who ships it? | A state-licensed partner pharmacy, free and expedited. NexLife doesn’t make or dispense medicine. |
| Moving? | Tell us before your next shipment. Your care moves to a provider licensed in your new state, at the same price. |
As NexLife confirmed on November 1, 2026. Prices from NexLife’s own pages, the same at every dose, with no membership fee.
- Tell us about you About 3 minutes of health questions
- A licensed provider decides You’re prescribed only if it’s right for you
- Your partner pharmacy ships Usually within 1 to 2 business days, free
Key takeaways
- NexLife is available in each state on this page’s list, for both medicines, as NexLife confirmed on November 1, 2026.
- Not listed: Washington, D.C., and U.S. territories. Call or text
(949) 818-8000 to check before you start. - Your provider is licensed where you are. NexLife’s eligibility check confirms whether its providers can treat you where you live.
- The price doesn’t change by state: on the 12-month plan, compounded tirzepatide is $115 a month and semaglutide $95.
- A state-licensed pharmacy ships to you: Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA), free and expedited.
- Moving? Call or text
(949) 818-8000 before your next shipment. Your care moves to a provider licensed in your new state.
State list
Which states is NexLife available in? The full list
Find your state. Both medicines are available in each state below, and each row links its state guide where one is published.
| State | Compounded tirzepatide | Compounded semaglutide | State guide |
|---|---|---|---|
| Alabama | Available | Available | – |
| Alaska | Available | Available | – |
| Arizona | Available | Available | Tirzepatide guide |
| Arkansas | Available | Available | – |
| California | Available | Available | Tirzepatide guide · Semaglutide guide |
| Colorado | Available | Available | Tirzepatide guide |
| Connecticut | Available | Available | – |
| Delaware | Available | Available | – |
| Florida | Available | Available | Tirzepatide guide · Semaglutide guide |
| Georgia | Available | Available | Tirzepatide guide · Semaglutide guide |
| Hawaii | Available | Available | – |
| Idaho | Available | Available | – |
| Illinois | Available | Available | Tirzepatide guide · Semaglutide guide |
| Indiana | Available | Available | – |
| Iowa | Available | Available | – |
| Kansas | Available | Available | – |
| Kentucky | Available | Available | – |
| Louisiana | Available | Available | – |
| Maine | Available | Available | – |
| Maryland | Available | Available | Tirzepatide guide |
| Massachusetts | Available | Available | – |
| Michigan | Available | Available | – |
| Minnesota | Available | Available | – |
| Mississippi | Available | Available | – |
| Missouri | Available | Available | – |
| Montana | Available | Available | – |
| Nebraska | Available | Available | – |
| Nevada | Available | Available | – |
| New Hampshire | Available | Available | – |
| New Jersey | Available | Available | – |
| New Mexico | Available | Available | – |
| New York | Available | Available | Tirzepatide guide · Semaglutide guide |
| North Carolina | Available | Available | Tirzepatide guide · Semaglutide guide |
| North Dakota | Available | Available | – |
| Ohio | Available | Available | Tirzepatide guide · Semaglutide guide |
| Oklahoma | Available | Available | – |
| Oregon | Available | Available | – |
| Pennsylvania | Available | Available | Tirzepatide guide · Semaglutide guide |
| Rhode Island | Available | Available | – |
| South Carolina | Available | Available | – |
| South Dakota | Available | Available | – |
| Tennessee | Available | Available | – |
| Texas | Available | Available | Tirzepatide guide · Semaglutide guide |
| Utah | Available | Available | – |
| Vermont | Available | Available | – |
| Virginia | Available | Available | – |
| Washington | Available | Available | Tirzepatide guide · Semaglutide guide |
| West Virginia | Available | Available | – |
| Wisconsin | Available | Available | – |
| Wyoming | Available | Available | – |
Swipe the table sideways to see every column.
As NexLife confirmed on November 1, 2026. Washington, D.C., and U.S. territories aren’t listed: call or text
Where you live
What changes by state? Not the price, but the summer heat at your door
Not your price: NexLife’s price is the same wherever it ships, and care is online. What changes is the heat at your door. In summer 2026, the hottest region we counted in Texas, around McAllen, reached 86°F or more, the most the Zepbound and Wegovy labels allow outside the fridge, on 122 of 122 days. In Maine, the hottest region we counted did on 24.
Pick your state on the map
Tap a dot to see the hottest region we counted in that state and what to plan for. Each state on the map is in the table below too.
- 298weather stations counted
- 0–122days at 86°F or more
- 118°Fhottest, Casa Grande area, Arizona
In each state NexLife serves, care is online and orders ship to your door with cold packs.
| State | Hottest region we counted | Days at 86°F or more |
|---|---|---|
| Arizona | Lake Havasu City and Kingman: Lake Havasu City, Bullhead City | 121 of 122 · hottest 118°F |
| Arkansas | Texarkana: Texarkana, Ashdown | 117 of 122 · hottest 106°F |
| California | Palm Springs area: Palm Springs, Palm Desert | 121 of 121 · hottest 118°F |
| Colorado | Pueblo area: Pueblo, Pueblo West | 103 of 122 · hottest 107°F |
| Connecticut | Hartford metro: Hartford, West Hartford | 38 of 122 · hottest 100°F |
| Florida | Orlando area: Orlando, Kissimmee | 119 of 122 · hottest 99°F |
| Georgia | Southwest Georgia: Albany, Thomasville | 113 of 121 · hottest 100°F |
| Idaho | Boise area (Treasure Valley): Boise, Meridian | 74 of 122 · hottest 104°F |
| Illinois | Southern Illinois: Carbondale, Marion | 87 of 122 · hottest 103°F |
| Indiana | Evansville: Evansville, Newburgh | 88 of 121 · hottest 101°F |
| Iowa | Council Bluffs (Omaha metro): Council Bluffs, Glenwood | 62 of 122 · hottest 104°F |
| Maine | York County (Southern Maine): Biddeford, Saco | 24 of 119 · hottest 96°F |
| Maryland | Montgomery County: Germantown, Silver Spring | 75 of 122 · hottest 103°F |
| Massachusetts | Greater Boston: Boston, Cambridge | 32 of 122 · hottest 101°F |
| Michigan | Metro Detroit: Detroit, Warren | 34 of 122 · hottest 97°F |
| Minnesota | Moorhead (Fargo–Moorhead): Moorhead, Fargo (ND) | 46 of 122 · hottest 101°F |
| Nebraska | Scottsbluff: Scottsbluff, Gering | 82 of 122 · hottest 108°F |
| New Hampshire | Manchester area: Manchester, Bedford | 39 of 122 · hottest 97°F |
| New Jersey | South Jersey (Camden, Burlington, Gloucester): Camden, Cherry Hill | 64 of 122 · hottest 103°F |
| New York | New York City: Brooklyn, Queens | 40 of 122 · hottest 104°F |
| North Carolina | Jacksonville area: Jacksonville, Richlands | 100 of 121 · hottest 101°F |
| Ohio | Cincinnati area: Cincinnati, Hamilton | 50 of 122 · hottest 97°F |
| Oklahoma | Ardmore: Ardmore, Lone Grove | 118 of 122 · hottest 111°F |
| Oregon | Medford–Grants Pass (Rogue Valley): Medford, Grants Pass | 81 of 122 · hottest 106°F |
| Pennsylvania | Philadelphia: Philadelphia, Upper Darby | 64 of 122 · hottest 103°F |
| South Carolina | Aiken–North Augusta (Augusta area): Aiken, North Augusta | 112 of 122 · hottest 102°F |
| Tennessee | Memphis area: Memphis, Bartlett | 105 of 122 · hottest 103°F |
| Texas | McAllen area (Rio Grande Valley): McAllen, Edinburg | 122 of 122 · hottest 108°F |
| Utah | St. George: St. George, Washington | 111 of 117 · hottest 112°F |
| Virginia | Danville and Southside: Danville, Martinsville | 93 of 122 · hottest 103°F |
| Washington | Tri-Cities: Kennewick, Pasco | 70 of 122 · hottest 102°F |
| Wisconsin | La Crosse: La Crosse, Onalaska | 31 of 122 · hottest 97°F |
Heat
How do you keep tirzepatide or semaglutide cold in summer heat?
Zepbound’s label lets an unopened single-dose pen or vial sit unrefrigerated at up to 86°F (30°C) for up to 21 days, and Wegovy’s single-dose pen can be kept at 46°F to 86°F for up to 28 days. Compounded vials follow their own pharmacy label, which is often stricter. In summer 2026, the hottest region we counted in Texas reached 86°F or more on 122 of 122 days.
- Texas122 of 122
- Arizona121 of 122
- California121 of 121
- Florida119 of 122
- Oklahoma118 of 122
- Arkansas117 of 122
- Georgia113 of 121
- South Carolina112 of 122
- Utah111 of 117
- Tennessee105 of 122
- Colorado103 of 122
- North Carolina100 of 121
Show all 32 states
- Virginia93 of 122
- Indiana88 of 121
- Illinois87 of 122
- Nebraska82 of 122
- Oregon81 of 122
- Maryland75 of 122
- Idaho74 of 122
- Washington70 of 122
- New Jersey64 of 122
- Pennsylvania64 of 122
- Iowa62 of 122
- Ohio50 of 122
- Minnesota46 of 122
- New York40 of 122
- New Hampshire39 of 122
- Connecticut38 of 122
- Michigan34 of 122
- Massachusetts32 of 122
- Wisconsin31 of 122
- Maine24 of 119
What to do. Plan deliveries for when you’re home and bring the box inside right away. Orders through NexLife ship with cold packs. A box that shows up warm shouldn’t be used: call or text
Price
Does NexLife’s price change by state?
No. It’s the same monthly price in each state on the list, at every dose: on the 12-month plan, tirzepatide is $115 and semaglutide $95.
| Plan | Compounded tirzepatide | Compounded semaglutide |
|---|---|---|
| 12 months | $115 a month | $95 a month |
| 6 months | $119 a month | $99 a month |
| 3 months | $125 a month | $105 a month |
| Month to month | $129 a month | $109 a month |
Swipe the table sideways to see every column.
NexLife’s monthly price by plan length as of November 5, 2026: the same at every dose and in each state on the list, with no membership fee.
Picks
Which NexLife plan fits you?
Each plan costs the same in each state on the list and at every dose. Here’s what each one suits, and its catch.
| Best for | Program | Price | The catch |
|---|---|---|---|
| Paying less each month | NexLife, 12-month plan | $115 a month for compounded tirzepatide; $95 for semaglutide | Plans renew until you cancel by email, effective 30 days after NexLife receives it. Compounded, not FDA-approved. |
| A shorter plan | NexLife, 6-month or 3-month plan | $119 or $125 a month for tirzepatide; $99 or $105 for semaglutide | A higher monthly price than the 12-month plan. |
| No long plan | NexLife, month to month | $129 a month for tirzepatide; $109 for semaglutide | For tirzepatide, $168 more over 12 months than the 12-month plan. |
| Moving, or two homes | Any NexLife plan | The same price in each state on the list | Your new state must be on the list. Tell us before your next shipment: call or text |
Prices from NexLife’s own pages, as of November 5, 2026: the same at every dose, with no membership fee.
Pharmacies
Which pharmacies fill NexLife prescriptions?
Two state-licensed 503A partner pharmacies prepare and dispense NexLife prescriptions.
Absolute Pharmacy
Lutz, Florida. A state-licensed 503A pharmacy that prepares and dispenses prescriptions from NexLife’s licensed providers.
Boudreaux’s New Drug Store
Lake Charles, Louisiana. A state-licensed 503A pharmacy that prepares and dispenses prescriptions from NexLife’s licensed providers.
Which one fills your prescription depends on your provider’s direction, your location and pharmacy availability. NexLife doesn’t make, compound or dispense medicine. For NexLife’s certification and medical director, see NexLife reviews and licenses.
In their words
What do state boards and the FDA say about care in your state?
Three rules behind NexLife’s state list, in the regulators’ own words.
Why NexLife’s list goes state by state, and why your provider is licensed where you are, from Tennessee’s medical board:
“The practice of medicine occurs where the patient is located.”
Tennessee Board of Medical Examiners, FAQ: Telemedicine
Telehealth doesn’t change that rule, as Maryland’s Board of Physicians puts it:
“You must be licensed in Maryland to treat patients in Maryland, including treatment via telehealth.”
Maryland Board of Physicians, FAQs For Telehealth
To check a pharmacy’s license yourself, the FDA’s BeSafeRx page points you to your own state’s board of pharmacy:
“Click on your state to look for your online pharmacy in the state’s board of pharmacy license database.”
U.S. Food and Drug Administration, Locate a State-Licensed Online Pharmacy
Moving
What if you move or live in two states?
Your care follows you: tell us before your next shipment.
Moving to another state? Call or text
Living in two states? Tell us both addresses and we’ll check which one your care and shipments should use.
What changes from state to state (coverage, pharmacy rules, state plans) is in each state guide.
Step by step
How do you start NexLife in your state, step by step?
From finding your state on the list to your first shipment, and what to do if you move.
- Find your state on the list. Both medicines are available in each state on the list. Washington, D.C., and U.S. territories aren’t listed: call or text (949) 818-8000 to check.
- Take the eligibility check. The online health questions take about 3 minutes and confirm whether NexLife’s providers can treat you where you live.
- Let a licensed provider decide. Your provider is licensed where you are and decides if treatment is right for you. If you’re not prescribed, you aren’t charged for medication.
- Pick your plan. The price is the same in each state on the list and at every dose: compounded tirzepatide is $115 a month on the 12-month plan or $129 month to month; semaglutide $95 or $109.
- Get your shipment. A state-licensed partner pharmacy, Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA), ships it free and expedited, most often within 1 to 2 business days.
- Moving? Tell us first. Call or text (949) 818-8000 before your next shipment. If your new state is on the list, your care moves to a provider licensed there, at the same price.
The same steps, and the same price, in each state on the list.
Check a program
How do you check a GLP-1 telehealth program in your state?
Ask any program these six questions before you join. Here are NexLife’s answers.
| Ask this | NexLife’s answer |
|---|---|
| Are your providers licensed in my state? | Yes, in each state on the list: your provider is licensed where you are. Our eligibility check confirms whether we can treat you where you live. |
| Which pharmacy fills my prescription? | One of two state-licensed 503A partner pharmacies: Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA). |
| Is the program certified? | Yes. NexLife is LegitScript-certified; you can check our listing. |
| Does the price change by state or dose? | No. On the 12-month plan, compounded tirzepatide is $115 a month and semaglutide $95, at every dose, with no membership fee. |
| How do I cancel? | By email. It takes effect 30 days after NexLife receives it. |
| What if I’m not prescribed? | You aren’t charged for medication. |
Vial math
How many units is your tirzepatide or semaglutide dose?
On a compounded vial, the units depend on its strength. Here are the label doses at example strengths, with the math to check your own.
Tirzepatide
| Dose | mL at 25 mg/mL | Units (U-100) | On the label |
|---|---|---|---|
| 2.5 mg | 0.1 mL | 10 units | Starting dose, for 4 weeks |
| 5 mg | 0.2 mL | 20 units | A maintenance dose |
| 7.5 mg | 0.3 mL | 30 units | A step up |
| 10 mg | 0.4 mL | 40 units | A maintenance dose |
| 12.5 mg | 0.5 mL | 50 units | A step up |
| 15 mg | 0.6 mL | 60 units | The maximum, and a maintenance dose |
The math: mL = dose ÷ strength (mg per mL), and units = mL × 100. At 25 mg/mL, 10 mg is 10 ÷ 25 = 0.4 mL, or 40 units.
Semaglutide
| Weeks | Weekly dose | At 2.5 mg/mL | At 5 mg/mL |
|---|---|---|---|
| 1 to 4 | 0.25 mg | 0.1 mL (10 units) | 0.05 mL (5 units) |
| 5 to 8 | 0.5 mg | 0.2 mL (20 units) | 0.1 mL (10 units) |
| 9 to 12 | 1 mg | 0.4 mL (40 units) | 0.2 mL (20 units) |
| 13 to 16 | 1.7 mg | 0.68 mL (68 units) | 0.34 mL (34 units) |
| 17 onward | 2.4 mg | 0.96 mL (96 units) | 0.48 mL (48 units) |
The math: mL = dose ÷ strength (mg per mL); units = mL × 100. At 2.5 mg/mL, 1 mg is 1 ÷ 2.5 = 0.4 mL, or 40 units. At 5 mg/mL, the same 1 mg is 0.2 mL, or 20 units.
25 mg per mL is an example only: it’s the strength of the 15 mg multi-dose vial on Zepbound’s label (15 mg per 0.6 mL). Read the strength on your own vial’s label; your provider sets your dose, in steps at least 4 weeks apart. Every step: the tirzepatide dosage chart. Or enter your own vial’s strength in the tirzepatide and semaglutide dosage calculator. Both strengths are examples only. The same dose is a different number of units at a different strength, so read the strength on your own vial’s label. Your prescription sets your dose and schedule, which may differ from these label steps. Every step: the semaglutide dosage chart.
What does NexLife cost?
One flat price at every dose.
No membership fee. Provider care, a nutrition plan, coaching and shipping are included. Paying less with another licensed provider? We match your regular monthly price.†
GIP + 12-month plan $115/mo
Tirzepatide
Weekly and dual-action. Care, coaching and shipping included. On a 12-month plan; $129/mo month to month.
Check my eligibilityCompounded, not FDA-approved · Not prescribed? No charge for medication
12-month plan $95/mo
Semaglutide
Weekly
Compounded, not FDA-approved · Not prescribed? No charge for medication
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. Vials shown are illustrations. Always use the strength on your pharmacy’s label. Every plan and price · Price Match Guarantee† terms
The NexLife Price Match Guarantee†
Paying less elsewhere?
Keep your price. Upgrade your care.
Already on compounded tirzepatide or semaglutide? Pay less with another licensed U.S. telehealth provider or clinic, and we match your regular monthly price for as long as your plan stays active.† Plus a provider who follows your dose, a nutrition plan, a coaching call and real people 24/7.
- 1Send a receipt from the last 60 days
- 2A NexLife provider reviews your prescription
- 3Pay your matched price, at every dose
Locked while your plan is activeSame price at every doseNo membership fee
†Terms: see the Price Match Guarantee† details below. Compounded medications aren’t FDA-approved; a provider prescribes one only when it offers a significant difference for you.
NexLife and your state: your questions
Fair questions about NexLife
- Will my price go up with my dose?
- No. You pay the same at every dose.
- What if I’m not prescribed?
- You aren’t charged for medication.
- Can I cancel?
- Yes, by email. It takes effect 30 days after we receive it. Plans renew until you cancel; our cancellation policy has the details.
- Do I need insurance?
- No. Pay with an HSA or FSA card, or with Affirm, Klarna or Afterpay at checkout.
Is NexLife available in my state?
NexLife is available in your state if it’s on this page’s list: as of November 1, 2026, NexLife’s licensed providers prescribe compounded tirzepatide and semaglutide in each state listed, and a state-licensed pharmacy ships there. Washington, D.C., and U.S. territories aren’t on the list: call or text
Where can I get tirzepatide or semaglutide near me?
Wherever you live, you can start online: a provider licensed in your state evaluates you and, if a GLP-1 is right for you, a licensed pharmacy ships it to your home. In person, health-system weight programs and local clinics prescribe them; with a prescription, brand-name Zepbound and Wegovy come from LillyDirect, NovoCare Pharmacy or a retail pharmacy. Our state guides list your local options.
Can I get GLP-1 weight-loss injections online in my state?
Yes. A provider licensed in your state can prescribe one online if it’s right for you, and a licensed pharmacy mails it: at least 37 programs in our price index sell compounded tirzepatide, and 35 sell compounded semaglutide, in each state our guides cover. Compounded versions aren’t FDA-approved.
Does NexLife have clinics near me?
No, and you don’t need one: NexLife’s care is online. After about 3 minutes of health questions, a provider licensed in your state decides whether treatment is right for you; if you’re prescribed, a state-licensed compounding pharmacy sends it with free expedited shipping. Support is around the clock:
Does NexLife’s price change by state?
No. Compounded tirzepatide is $115 a month on the 12-month plan, $119 on 6 months, $125 on 3 months or $129 month to month, and semaglutide $95, $99, $105 or $109, the same at every dose and in each state on the list. There’s no membership fee.
Which pharmacy ships my prescription?
One of NexLife’s two partner pharmacies: Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA), both state-licensed 503A pharmacies. Which one depends on your provider’s direction, your location and pharmacy availability. NexLife doesn’t make or dispense medicine.
What if I move to another state?
Tell us before your next shipment: call or text
Are compounded medicines FDA-approved?
No. In FDA’s words, “Compounded drugs are not FDA-approved. This means that FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed.” A licensed provider prescribes one only when it offers a significant difference for you.
Does NexLife ship to my state?
Yes, if your state is on the list. A state-licensed partner pharmacy ships your prescription to you, free and expedited, usually within 1 to 2 business days. NexLife doesn’t make or dispense medicine. Washington, D.C., and U.S. territories aren’t on the list as of November 1, 2026: call or text
What if I live in two states?
Tell us both addresses, and we’ll check which one your care and shipments should use. Call or text
How do I know if NexLife can treat me where I live?
Start the eligibility check: about 3 minutes of health questions. It confirms whether NexLife’s providers can treat you where you live, and NexLife is available only in states where its affiliated providers are licensed. A licensed provider then decides if treatment is right for you. If you’re not prescribed, you aren’t charged for medication.
Does my NexLife provider have to be licensed in my state?
Yes. Your provider is licensed where you are. Tennessee’s medical board explains why: “The practice of medicine occurs where the patient is located.” Maryland’s board adds that you must be licensed in Maryland to treat patients there, including by telehealth. NexLife’s eligibility check confirms whether its providers can treat you where you live.
What if my medication arrives warm in summer heat?
Don’t use it. Orders through NexLife ship with cold packs, but a box that shows up warm shouldn’t be used. Call or text (949) 818-8000 and we’ll take it from there. To help, plan deliveries for when you’re home and bring the box inside right away.
How do I check a pharmacy’s license in my state?
Look it up with your state’s board of pharmacy. The FDA’s BeSafeRx page says to click on your state and search that board’s license database. NexLife’s prescriptions are filled by Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA), both state-licensed 503A pharmacies.
Important safety information
Compounded tirzepatide and semaglutide are not FDA-approved, and the FDA hasn’t reviewed them for safety, effectiveness or quality. A provider prescribes them only when they offer a significant difference for you compared with an FDA-approved product. Both medicines may cause thyroid tumors, including cancer: don’t use either if you or a family member has had medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2).
Read the full safety information
In studies with rodents, both medicines caused thyroid tumors; it isn’t known whether they cause them in people. Tell your provider if you notice a lump or swelling in your neck, hoarseness, trouble swallowing or shortness of breath. Serious side effects can include inflammation of the pancreas (pancreatitis), gallbladder problems, low blood sugar (especially with insulin or sulfonylureas), kidney problems from dehydration, severe stomach problems, serious allergic reactions, vision changes in people with type 2 diabetes, and a faster heart rate. Tell your care team before any surgery or procedure that uses anesthesia or deep sedation. Don’t combine either medicine with other
Tirzepatide can make birth control pills less effective: switch to a non-oral method, or add a barrier method such as condoms, for 4 weeks after you start and for 4 weeks after each dose increase. Both medicines may harm an unborn baby. Semaglutide should be stopped at least 2 months before a planned pregnancy. Tell your provider right away if you’re pregnant, planning to be, or breastfeeding.
This is a summary, not the complete safety information. Read the full Prescribing Information for FDA-approved tirzepatide (Zepbound) and semaglutide (Wegovy), and talk with your provider. You can report side effects to the FDA at
† NexLife Price Match Guarantee: for new NexLife members switching from a licensed U.S. telehealth provider or clinic with an active prescription for compounded tirzepatide or semaglutide. We match your regular all-in monthly price there (medication plus any required membership, program or visit fee, on a month-to-month plan); first-month offers, coupons, referral credits and prepaid multi-month rates aren’t matched. Proof from the last 60 days required. A licensed provider must determine that treatment is right for you. Not open to people with Medicare, Medicaid or TRICARE coverage. Full terms.
About NexLife. NexLife is a telehealth and care-coordination platform. Care is delivered through affiliated, physician-owned medical groups, and licensed providers decide whether treatment is right for you. NexLife doesn’t make or compound medication: state-licensed partner pharmacies fill each prescription, and we coordinate the rest. Available only in states where our affiliated providers are licensed.
Who wrote and medically reviewed this page?
Leads the NexLife Medical Team, which writes and medically reviews NexLife’s guides, including this one.
States confirmed and prices as of November 1, 2026.
- How we checked. The list of states is NexLife’s own, confirmed November 1, 2026. Prices, the two partner pharmacies and who does what come from NexLife’s own pages. What changes by state is in each state guide, with its sources.
- Every fact, sourced. Each price and rule links to the page it comes from.
- How we make money. NexLife is a telehealth and care-coordination platform. We earn revenue when people join NexLife.
- Corrections, fast. See something wrong or out of date? Email care@nexlife.us and we’ll fix it.
Paying less elsewhere? We match it.†
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A licensed provider decides if treatment is right for you. Compounded tirzepatide is $115 a month on the 12-month plan or $129 month to month, and semaglutide $95 or $109, at every dose.
4.8 out of 5 on Trustpilot · Medical director Adam Kennah, MD (NPI 1144260043) · LegitScript-certified
Compounded medications aren’t FDA-approved. A provider prescribes one only when it offers a significant difference for you.
- 1Tell us about you
Start online with your health history.
- 2A licensed provider decides
You’re prescribed only if treatment is right for you.
- 3We ship it, then stay with you
Our partner pharmacy usually ships within 1 to 2 business days. Free shipping, and questions come to us 24/7, never to the pharmacy.
Sources
- NexLife: pricing, every plan. Prices as of November 1, 2026.
- FDA: Compounding and the FDA, questions and answers. Read November 1, 2026.
- U.S. Food and Drug Administration. Human Drug Compounding Laws. Content current as of December 17, 2024. Read November 2, 2026.
- U.S. Food and Drug Administration. Human Drug Compounding. Content current as of June 15, 2026. Read November 2, 2026.
- U.S. Food and Drug Administration. FDA’s Concerns with Unapproved GLP-1 Drugs Used for Weight Loss. Content current as of October 1, 2026. Read November 2, 2026.
- U.S. Food and Drug Administration. Understanding the Risks of Compounded Drugs. Content current as of June 22, 2026. Read November 2, 2026.
- U.S. Food and Drug Administration. Locate a State-Licensed Online Pharmacy. Content current as of November 13, 2024. Read November 2, 2026.
- U.S. Food and Drug Administration. MedWatch: The FDA Safety Information and Adverse Event Reporting Program. Read November 2, 2026.
- Eli Lilly and Company. ZEPBOUND (tirzepatide) injection, for subcutaneous use: prescribing information. Revised August 2026. Read November 2, 2026.
- Florida Board of Pharmacy. Homepage - Florida Board of Pharmacy. Licensure and license verification for Florida pharmacies. Read November 2, 2026.
- Oregon Medical Board. Telemedicine. An Oregon license is required for telemedicine care of patients located in Oregon. Read November 2, 2026.
- Maryland Board of Physicians. Telehealth FAQs. A Maryland license is required to treat patients in Maryland, including by telehealth. Read November 2, 2026.
- Tennessee Board of Medical Examiners. FAQ: Telemedicine. A Tennessee license is required to see patients located in Tennessee. Read November 2, 2026.
- North Carolina Medical Board. 5.1.4: Telemedicine. Providers treating patients located in North Carolina should be licensed there, with listed exceptions. Read November 2, 2026.
- NOAA Regional Climate Centers (ACIS). Daily maximum temperatures, June 1 to September 30, 2026, at the weather station for each region of our state guides; our count. Read November 3, 2026.