Head-to-head · Cost-Efficiency Index
Citizen Meds vs Livv
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.
Citizen Meds
Shoppers who want to buy a low-dose starting month without any subscription commitment.
Visit Citizen MedsLivv
Cost-first shoppers who want a flat price that doesn't rise as the GLP-1 dose is titrated upward.
Visit LivvThe verdict
Citizen Meds and Livv tie on the Cost-Efficiency Index at 64/100, so neither wins outright on the numbers. For most shoppers we'd start with Citizen Meds (ranked #176, a hair above #178) — Shoppers who want to buy a low-dose starting month without any subscription commitment. But Livv 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 Citizen Meds.
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 | Citizen Meds | Livv |
|---|---|---|
| Cost-Efficiency Index | 64/100 | 64/100 |
| Semaglutide / mo | $125/mo (0.25 mg dose, compounded) | $135/mo (all doses, compounded) |
| Tirzepatide / mo | $145/mo (2.5 mg dose, compounded) | $199/mo (all doses, compounded) |
| Semaglutide / yr (modeled) | $1,500 | $1,620 |
| Tirzepatide / yr (modeled) | $1,740 | $2,388 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #176 | #178 |
Citizen Meds
64/100Where the value is
- No subscription — every month is a separate one-time purchase, so there's no auto-renewing commitment to cancel
- LegitScript badge genuinely renders on the live homepage (seal 11945825), correcting the prior claim of no certification
- PCCA compounding-pharmacy trade-association badge and PCAB-labeled imagery displayed
The tradeoffs
- The headline '$125'/'$145' price is Month-1-only at the lowest dose; the mandatory titration schedule pushes maintenance-dose months to $395-$545, roughly 3-4x the advertised figure
- No compounding pharmacy is named anywhere on the site
Livv
64/100Where the value is
- Dose-independent flat pricing — the site explicitly commits that cost won't rise as the dose is adjusted, which is unusual among compounded-GLP-1 competitors
- One published price bundles consultation, medication, supplies, shipping and follow-ups with 'no hidden fees' language
- LegitScript verified
The tradeoffs
- Not available in all 50 states, and the site does not list which states are excluded
- No compounding pharmacy name or medical director is disclosed anywhere I could find
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.