Head-to-head · Cost-Efficiency Index
bmiMD vs Live Vital
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
bmiMD
Price-driven shoppers who want both molecules cheap and nationwide, with a real month-to-month option if they don't want to prepay a year.
Visit bmiMDLive Vital
Cost-first semaglutide shoppers who want an all-50 program and will vet oversight themselves.
Visit Live VitalThe verdict
bmiMD and Live Vital tie on the Cost-Efficiency Index at 82/100, so neither wins outright on the numbers. For most shoppers we'd start with bmiMD (ranked #24, a hair above #25) — Price-driven shoppers who want both molecules cheap and nationwide, with a real month-to-month option if they don't want to prepay a year. But Live Vital is a genuine coin-flip alternative here.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs bmiMD.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | bmiMD | Live Vital |
|---|---|---|
| Cost-Efficiency Index | 82/100 | 82/100 |
| Semaglutide / mo | $129/mo (true month-to-month; $99/mo requires 12-mo prepay) | $99/mo |
| Tirzepatide / mo | $179/mo (true month-to-month; $139/mo requires 12-mo prepay) | $183/mo |
| Semaglutide / yr (modeled) | $1,548 | $1,188 |
| Tirzepatide / yr (modeled) | $2,148 | $2,196 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #24 | #25 |
bmiMD
82/100Where the value is
- Low prices on both molecules even month-to-month — $129 semaglutide / $179 tirzepatide, with no dose-based escalation
- A genuine no-commitment month-to-month option exists alongside the cheaper prepay tiers, unlike sites that gate pricing entirely behind a term
- Nationwide all-50 access with both molecules disclosed
The tradeoffs
- The advertised $99/$139 headline requires a full 12-month prepay ($1,188/$1,668 paid upfront) — the true month-to-month rate is 29-30% higher
- Compounded only — no oral or brand option
Live Vital
82/100Where the value is
- $99 semaglutide — among the lowest in the ranking
- Nationwide all-50 access with both molecules disclosed
- Strong raw cost-per-month on semaglutide
The tradeoffs
- Not LegitScript-certified
- Compounded only; tirzepatide is pricier relative to its semaglutide
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.