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Head-to-head · Cost-Efficiency Index

Levity vs AlyveRx

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 · #172

Levity

Cost-first shoppers who want all-inclusive branded GLP-1 pens with named clinical leadership, for shoppers willing to pay premium cash prices.

Visit Levity
VS
Grade C · #173

AlyveRx

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

Visit AlyveRx

The verdict

Too close to callGrade C vs C

Levity and AlyveRx tie on the Cost-Efficiency Index at 64/100, so neither wins outright on the numbers. For most shoppers we'd start with Levity (ranked #172, a hair above #173) — Cost-first shoppers who want all-inclusive branded GLP-1 pens with named clinical leadership, for shoppers willing to pay premium cash prices. But AlyveRx 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 Levity.

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

37
66

Price Transparency

78
78

Nationwide Access

66
24

Formulation Options

79
90

Clinical Oversight

75
71

Contract Flexibility

61
55

Pricing, coverage & formulary

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

SpecLevityAlyveRx
Cost-Efficiency Index64/10064/100
Semaglutide / mo$1,199/mo (brand Ozempic)$183/mo (starting dose, compounded)
Tirzepatide / mo$1,299/mo (brand Mounjaro)$283/mo (starting dose, compounded)
Semaglutide / yr (modeled)$14,388$2,196
Tirzepatide / yr (modeled)$15,588$3,396
Coverage36 statesCoverage not published
Oral / sublingualNoYes
Brand-name accessYesYes
Rank here#172#173

Levity

64/100

Where the value is

  • FDA-approved branded medications only (Ozempic, Mounjaro, Wegovy), with named clinical leadership (a licensed PharmD and a board-certified MD, both with license/NPI numbers shown)
  • All-inclusive pricing covers consultation, prescription, medication and shipping in one recurring charge
  • LegitScript-certified with a visible seal number

The tradeoffs

  • Premium pricing: $1,199-$1,599/mo standing, among the most expensive options in the category
  • Not a 50-state service — California and 14 other states are not on the published list
Visit Levity

Full Levity review →

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.

AlyveRx

64/100

Where the value is

  • 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

The tradeoffs

  • The dataset's previous $249/mo tirzepatide figure is the SUBLINGUAL DROPS price, not the standard injection ($283/mo) — confirm which form a quoted price refers to
  • Sublingual PermeAct absorption relies on the company's own proprietary technology claims and is not FDA-reviewed for weight-loss efficacy
Visit AlyveRx

Full AlyveRx 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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