NextGenTech has developed a wearable device, Theo, designed to operate with built-in wifi and cellular connectivity, aiming for $1 billion in annual revenue in the U.S. Within the context of distribution, NextGenTech faces a strategic decision to either partner exclusively with AT&T and Verizon or pursue other carriers, considering customer preferences and potential market penetration. The recommendation favors partnering with AT&T and Verizon for their larger retail footprint and customer base alignment with Theo's target market.