Best-value alternatives
Alternatives to LIV by WellNow
LIV by WellNow scores 51/100 on our Cost-Efficiency Index (ranked #399 of 539). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 02C51/ 100Index
JRNYS
Ranked #398JRNYS is a telehealth weight-loss membership built around branded GLP-1 medications, and the membership itself buys no medication.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- Multi-state
- Brand
- Yes
- 03C51/ 100Index
Gaya Wellness
Ranked #397Gaya Wellness is a women's telehealth practice led by a board-certified OB/GYN, bundling GLP-1 weight-loss prescribing with menopause and hormone-replacement care for women 40 and up.
- Sema
- $149/mo (quarterly plan, compounded)
- Tirz
- $349/mo (quarterly plan, compounded)
- Coverage
- 5 states
- Brand
- Compounded
- 04C51/ 100Index
Bloom MD
Ranked #396BloomMD is a telehealth platform with unusually transparent, explicitly dose-tiered pricing for compounded semaglutide and tirzepatide (both starting at $295/month, scaling up to $595/month at the highest published tirzepatide dose).
- Sema
- $295/mo (starting dose, plus a separate fee, compounded)
- Tirz
- $295/mo (2.2 mg dose, plus a separate fee, compounded)
- Coverage
- Multi-state
- Brand
- Yes
- 05C51/ 100Index
BioGlow Health
Ranked #395BioGlow Health is a multi-service telehealth platform (weight loss, peptides, TRT, ED, hair loss) that does offer compounded semaglutide and tirzepatide.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
- 06C51/ 100Index
Empower Pharmacy
Ranked #394Empower Pharmacy is a large 503A/503B compounding pharmacy that manufactures and fulfills compounded semaglutide and tirzepatide for practitioners and telehealth companies nationwide -- it is a B2B (and refill-only B2C) fulfillment pharmacy.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
Regulatory note: the FDA issued a warning letter to Empower Clinic Services, LLC dba Empower Pharmacy in April 2025. We still list and link to Empower Pharmacy; you should know the letter is on the public record before you decide.
- 07C52/ 100Index
Vyora Wellness
Ranked #393Vyora Wellness is a compounded GLP-1 telehealth subscription priced as a genuinely flat rate $299/mo for semaglutide, $399/mo for tirzepatide that does not change as the prescribed dose is titrated up.
- Sema
- $299/mo (all doses, compounded)
- Tirz
- $399/mo
- Coverage
- Multi-state
- Brand
- Compounded
- 08C52/ 100Index
Shape Vantage
Ranked #392Shape Vantage (shapevantage.com) sells a single flat-rate, prepaid 3-month tirzepatide program for $399 (~$133/mo).
- Sema
- Not disclosed
- Tirz
- $133/mo (3-month plan, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.