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Best-value alternatives

Alternatives to Livv

Livv scores 64/100 on our Cost-Efficiency Index (ranked #178 of 539). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.

Read the Livv review →CoreAge Rx vs Livv →
  1. Our #1 pick
    01A

    CoreAge Rx

    Ranked #1

    Best 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
    Visit CoreAge Rx CoreAge Rx vs Livv →
  2. 02C

    Cost Plus Drugs

    Ranked #177

    Mark Cuban's transparent-pricing online pharmacy.

    Sema
    $279/mo (brand Ozempic)
    Tirz
    Not disclosed
    Coverage
    All 50 states
    Brand
    Yes
    Visit Cost Plus Drugs Cost Plus Drugs vs Livv →
  3. 03C

    Citizen Meds

    Ranked #176

    Citizen Meds is a compounded-GLP-1 telehealth seller using a one-time-purchase, no-subscription model built around a mandatory dose-titration schedule: each month's vial is bought separately and its price rises with the dose.

    Sema
    $125/mo (0.25 mg dose, compounded)
    Tirz
    $145/mo (2.5 mg dose, compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit Citizen Meds Citizen Meds vs Livv →
  4. 04C

    Brello Health

    Ranked #175

    Brello Health is a telehealth wellness platform selling compounded semaglutide at a discounted $133/mo (off a stated $198/mo) and tirzepatide at $166/mo (off $247/mo).

    Sema
    $133/mo (3-month plan, compounded)
    Tirz
    $166/mo (3-month plan, compounded)
    Coverage
    35 states
    Brand
    Compounded
    Visit Brello Health Brello Health vs Livv →
  5. 05C

    Blis MD

    Ranked #174

    Blis MD is a telehealth service offering compounded semaglutide ($109/mo) and tirzepatide ($159/mo) at flat monthly rates with a free initial consultation and ongoing provider check-ins.

    Sema
    $109/mo (compounded)
    Tirz
    $159/mo (compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit Blis MD Blis MD vs Livv →
  6. 06C

    AlyveRx

    Ranked #173

    AlyveRx (Alyve) is a telehealth platform selling compounded semaglutide and tirzepatide in both standard injection and proprietary PermeAct sublingual-drop form, plus brand Ozempic, Wegovy.

    Sema
    $183/mo (starting dose, compounded)
    Tirz
    $283/mo (starting dose, compounded)
    Coverage
    Multi-state
    Brand
    Yes
    Visit AlyveRx AlyveRx vs Livv →
  7. 07C

    Levity

    Ranked #172

    Levity is a telehealth weight-loss provider dispensing only FDA-approved branded GLP-1 medications Ozempic ($1,199/mo), Mounjaro ($1,299/mo) and Wegovy ($1,599/mo), all all-inclusive of consultation, prescription and shipping.

    Sema
    $1,199/mo (brand Ozempic)
    Tirz
    $1,299/mo (brand Mounjaro)
    Coverage
    36 states
    Brand
    Yes
    Visit Levity Levity vs Livv →

    Regulatory note: the FDA issued a warning letter to Levity Inc. dba Levity in February 2026. We still list and link to Levity; you should know the letter is on the public record before you decide.

  8. 08C

    YourEra

    Ranked #171

    Two molecules, two headline prices, and two different reasons neither headline is what you will actually be billed in month two.

    Sema
    $179/mo (all doses, month-to-month, compounded)
    Tirz
    $259/mo (all doses, month-to-month, compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit YourEra YourEra vs Livv →

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.

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