$139/mo
Semaglutide
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Get startedHome / Compounded semaglutide storage
Cold at home. Cold on the road.
Keep compounded semaglutide in the fridge at 36°F to 46°F, in its box, unless your label says otherwise, and never let it freeze. Use an opened vial within 28 days or by its beyond-use date. Wegovy’s room-temperature rules don’t apply to vials.
Not sure about your vial? Text us a photo at (949) 818-8000. We check with the pharmacy for you.
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The common mix-up
It’s easy to borrow Wegovy’s storage rules, because they’re printed everywhere. They don’t transfer. Here’s why, side by side.
| Wegovy pen | Compounded vial | |
|---|---|---|
| Who sets the rules | Novo Nordisk, from stability testing reviewed by the FDA | The pharmacy that prepared it, on your label |
| Out of the fridge | Up to 28 days at 46°F to 86°F, before the cap comes off | Only if your label allows it |
| After first use | Single-use pen, then discarded | Up to 28 days, or the beyond-use date if sooner |
| Freezing | Don’t freeze; don’t use if frozen | Don’t freeze; don’t use if frozen |
Wegovy storage from its FDA-approved prescribing information. Compounded semaglutide isn’t FDA-approved.
Compounded semaglutide comes with its own storage rules, printed by the pharmacy that made it. Here’s how to follow them.
Real people, real answers. A package arrived warm, or a vial looks wrong? Tell us first. Call or text (949) 818-8000, 24/7.
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Opened vials
Days, not doses, set the limit. Once you puncture a multiple-dose vial, the clock starts. The FDA recommends discarding it after 28 days, even if there’s medication left, because every puncture adds a little contamination risk.
Your dose decides how much you use. Early on, at low doses like 0.25 mg a week, a vial may hold more than four weeks of medication. That extra doesn’t make it safe to stretch past day 28.
Concentration changes the math. Compounded vials don’t all hold the same strength, so the same dose can be a different volume in a different vial. Go by the milligrams and the instructions your provider gives you, not by units you used before.
New vial looks different from your last one, or the instructions changed? Text us at (949) 818-8000 before your next dose. We check with your provider and the pharmacy and come back to you.
On the road
Cargo holds can get cold enough to freeze a vial, and checked bags get lost. Keep it with you.
TSA allows medically necessary gel ice packs in reasonable amounts, even when they’re melted or slushy.
TSA allows larger amounts of medically necessary liquids. Declare the vial and your supplies at the checkpoint.
Hotel minibars can run warm or freeze things. Ask for a medical fridge if the room has none.
Both are prepared by state-licensed 503A partner pharmacies and shipped free. Your provider helps you decide which one fits.
$139/mo
Weekly GLP-1. Care, coaching and shipping included.
Get started$169/mo
Weekly and dual-action. Care, coaching and shipping included.
Get startedPrescription required. Compounded medications are not FDA-approved. On 12-month plans: $139 a month for tirzepatide, $119 for semaglutide, still the same at every dose. Prices checked October 7–8, 2026.
No membership, no dose surcharges, no surprises. One flat, all-inclusive monthly price at every dose.
| Month one | Month two | Month three | Every month after | |
|---|---|---|---|---|
| Semaglutide | $139 | $139 | $139 | $139 |
| Tirzepatide | $169 | $169 | $169 | $169 |
Paying less somewhere else? Send us a receipt from another licensed U.S. telehealth provider and we’ll match your regular monthly price. See the terms
Month-to-month plan, all-inclusive. Longer plans cost less and stay flat. Tirzepatide is $159, $149 and $139 a month on 3-, 6- and 12-month plans. Semaglutide is $132, $125 and $119.
Tap where you are now. We’ll show your NexLife price next to it, or tell you we’ll match it.
Pick one above to see your price.
Prices from each provider, checked October 7–8, 2026. Brand-name and compounded medications are different products; compounded medications are not FDA-approved. †Price Match Guarantee terms apply.
The NexLife Price Match Guarantee
Already on compounded tirzepatide or semaglutide? Bring your price to NexLife. If you pay less with another licensed U.S. telehealth provider, we match your regular monthly price for as long as your plan stays active.† You keep your price, and you gain a provider who follows your dose, a personal nutrition plan, a 1:1 coaching call and real people who answer 24/7.
Locked while your plan is activeSame price at every doseNo membership fee
†NexLife Price Match Guarantee: for new members switching from a licensed U.S. telehealth provider with an active prescription for compounded tirzepatide or semaglutide. Send a receipt from the last 60 days and we match your regular all-in monthly price on the month-to-month plan, for the same medication (medication plus required fees; not first-month offers, coupons or prepaid multi-month rates), for as long as your plan stays active. A NexLife provider must determine that treatment is right for you. Not open to people with Medicare, Medicaid or TRICARE coverage. Full terms.
Support
Keep everything, don’t use the vial, and call or text us. We contact the pharmacy.
Don’t inject it. We confirm with the pharmacy and arrange what comes next.
Tell us early. We time your next shipment around your dose.
Stop and call or text us. We check it against your prescription.
A question about your vial, a package that arrived warm, a dose that feels wrong: call or text us 24/7 at (949) 818-8000. Real people answer. We follow up with the pharmacy for you and get back to you. You never have to chase anyone.
Follow the label from your pharmacy. Most compounded semaglutide vials go in the refrigerator at 36°F to 46°F (2°C to 8°C), in their box, never frozen. Your label’s storage line and beyond-use date are the rules that apply to your vial.
Only if your label says so, and only for as long as it says. Wegovy pens can be kept at 46°F to 86°F for up to 28 days before the cap comes off, but that was tested for Wegovy, not for a compounded vial.
Up to 28 days after you first puncture it, as the FDA recommends for multiple-dose vials, or until the beyond-use date on the label if that’s sooner. Discard it then, even if medication is left.
Yes. Keep it in your carry-on, never in checked bags, in an insulated case with a cold pack. TSA allows medically necessary liquids in larger amounts and medically necessary gel ice packs even when they’re slushy; tell the officer at screening.
Don’t use it. Keep the vial and packaging, and call or text us at (949) 818-8000, 24/7. We contact the pharmacy for you and come back with the next step.
Keep it in the original box unless your label says otherwise. The box protects it from light and from knocks in the fridge.
Compounded tirzepatide and semaglutide are not FDA-approved, and the FDA hasn’t reviewed them for safety, effectiveness or quality. 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 informationIn 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 depression or thoughts of suicide. Tell your care team before any surgery or procedure that uses anesthesia or deep sedation. Don’t combine either medicine with other GLP-1 medicines.
Tirzepatide can make birth control pills less effective: use another method for 4 weeks after you start and after each dose increase. Semaglutide should be stopped at least 2 months before a planned pregnancy. Tell your provider 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 1-800-FDA-1088 or fda.gov/medwatch.
Leads the NexLife clinical team, which medically reviewed this page on October 8, 2026.
Checked the FDA’s storage guidance, Wegovy’s labeling and TSA’s medical travel rules on October 8, 2026.
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