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WeighLab

Bliv vs AlyveRx

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Bliv

Provider comparison

Cost-first shoppers who want mainstream telehealth GLP-1 access.

Semaglutide / month
$116/moAs low as, varies by plan and eligibility, compounded
Tirzepatide / month
$199/moAs low as, varies by plan and eligibility, compounded
Index 65/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Bliv pricing Read review

AlyveRx

Provider comparison

Shoppers who specifically want a needle-free sublingual GLP-1 option alongside standard injections on the same platform.

Semaglutide / month
$183/moStarting dose, compounded
Tirzepatide / month
$283/mo'Starting at'; the site banner says $329/month, compounded
Index 64/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check AlyveRx pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Bliv has the higher Cost-Efficiency Index: 65/100 versus 64/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Bliv

AlyveRx

Semaglutide / month
Bliv: $116/moAs low as, varies by plan and eligibility, compounded
AlyveRx: $183/moStarting dose, compounded
Tirzepatide / month
Bliv: $199/moAs low as, varies by plan and eligibility, compounded
AlyveRx: $283/mo'Starting at'; the site banner says $329/month, compounded
Semaglutide / year (modeled)
Bliv: $1,392
AlyveRx: $2,196
Tirzepatide / year (modeled)
Bliv: $2,388
AlyveRx: $3,396
State availability
Bliv: Coverage not published
AlyveRx: Coverage not published
Oral / sublingual option listed
Bliv: Not listed
AlyveRx: Yes
Brand-name access listed
Bliv: Not confirmed
AlyveRx: Yes
Provider facts checked
Bliv: October 2026
AlyveRx: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Bliv

Cost-first shoppers who want mainstream telehealth GLP-1 access.

Reasons to consider it

  • Both semaglutide and tirzepatide available
  • Compounded GLP-1 access

What to weigh up

  • The advertised rates are 'as low as' figures footnoted 'based on plan structure and eligibility', and the plan selector sits behind the medical intake, so you don't know your rate until after you share your medical history
  • A site-wide '50% off' banner and a 'starting as low as $58/mo' headline don't say which plan or how many months the discount covers
  • A $24.99 provider consultation fee is charged on top, and the refund policy deducts $200 for 'clinical coordination and account setup'

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

Compounded drugs are not FDA-approved. Understand the medication options.

Check Bliv pricing Read the full Bliv review

AlyveRx

Shoppers who specifically want a needle-free sublingual GLP-1 option alongside standard injections on the same platform.

Reasons to consider it

  • Offers a genuinely needle-free sublingual delivery option (PermeAct) for both semaglutide and tirzepatide, not just injections
  • Also carries brand-name Ozempic, Wegovy, and Mounjaro for patients who want an FDA-approved product
  • All four price points (injection and drops, both drugs) are published upfront on the homepage before intake

What to weigh up

  • The $249/mo tirzepatide figure you may see quoted is the sublingual-drops price, not the standard injection ($283/mo), so confirm which form a price refers to
  • Sublingual PermeAct absorption relies on the company's own proprietary technology claims and is not FDA-reviewed for weight-loss efficacy
  • No compounding pharmacy or medical director is publicly named

Compounded drugs are not FDA-approved. Understand the medication options.

Check AlyveRx pricing Read the full AlyveRx review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

BlivAlyveRx
Normalized Cost/Month
Bliv:
77/100
AlyveRx:
66/100
Price Transparency
Bliv:
78/100
AlyveRx:
78/100
Nationwide Access
Bliv:
24/100
AlyveRx:
24/100
Formulation Options
Bliv:
66/100
AlyveRx:
90/100
Clinical Oversight
Bliv:
70/100
AlyveRx:
71/100
Contract Flexibility
Bliv:
73/100
AlyveRx:
55/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.