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Head-to-head · Cost-Efficiency Index

Gaya Wellness vs LIV by WellNow

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.

Better valueGrade C · #397

Gaya Wellness

Cost-first shoppers who want women 40+ wanting GLP-1 weight loss integrated with menopause/HRT care from an OB/GYN-led practice.

Visit Gaya Wellness
VS
Grade C · #399

LIV by WellNow

Cost-first shoppers who want residents of IL, IN, MI, NY, or PA who want a flat all-inclusive semaglutide membership from a known urgent-care brand.

Visit LIV by WellNow

The verdict

Too close to callGrade C vs C

Gaya Wellness and LIV by WellNow tie on the Cost-Efficiency Index at 51/100, so neither wins outright on the numbers. For most shoppers we'd start with Gaya Wellness (ranked #397, a hair above #399) — Cost-first shoppers who want women 40+ wanting GLP-1 weight loss integrated with menopause/HRT care from an OB/GYN-led practice. But LIV by WellNow 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 Gaya Wellness.

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

52
21

Price Transparency

30
64

Nationwide Access

42
42

Formulation Options

66
66

Clinical Oversight

93
79

Contract Flexibility

33
55

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecGaya WellnessLIV by WellNow
Cost-Efficiency Index51/10051/100
Semaglutide / mo$149/mo (quarterly plan, compounded)$279/mo (plus a separate fee, compounded)
Tirzepatide / mo$349/mo (quarterly plan, compounded)Not disclosed
Semaglutide / yr (modeled)$1,788$3,348
Tirzepatide / yr (modeled)$4,188
Coverage5 states5 states
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#397#399

Gaya Wellness

51/100

Where the value is

  • Named, credentialed medical founder (board-certified OB/GYN) rather than an anonymous clinical team
  • Transparent tiered pricing that discloses both the discounted and full month-to-month rate on the same page
  • GLP-1 bundled with hormone/menopause care in one program for women 40+

The tradeoffs

  • Licensed in only 5 states (FL, NC, VA, IN, TN), sharply limiting who can actually sign up
  • Lowest advertised price requires a quarterly upfront commitment, not simple month-to-month
Visit Gaya Wellness

Full Gaya Wellness review →

LIV by WellNow

51/100

Where the value is

  • Backed by an established urgent-care brand (WellNow)
  • Named, specific compounding pharmacy partner (Logos Pharmacy)
  • Flat, transparent all-inclusive membership price with 'no hidden fees' language

The tradeoffs

  • Only available in 5 states (IL, IN, MI, NY, PA)
  • No tirzepatide option found anywhere on the site -- semaglutide only
Visit LIV by WellNow

Full LIV by WellNow review →

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.

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