Head-to-head · Cost-Efficiency Index
Levity 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.
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 LevityLivv
Cost-first shoppers who want a flat price that doesn't rise as the GLP-1 dose is titrated upward.
Visit LivvThe verdict
Levity 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 Levity (ranked #172, a hair above #178) — Cost-first shoppers who want all-inclusive branded GLP-1 pens with named clinical leadership, for shoppers willing to pay premium cash prices. 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 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
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 | Levity | Livv |
|---|---|---|
| Cost-Efficiency Index | 64/100 | 64/100 |
| Semaglutide / mo | $1,199/mo (brand Ozempic) | $135/mo (all doses, compounded) |
| Tirzepatide / mo | $1,299/mo (brand Mounjaro) | $199/mo (all doses, compounded) |
| Semaglutide / yr (modeled) | $14,388 | $1,620 |
| Tirzepatide / yr (modeled) | $15,588 | $2,388 |
| Coverage | 36 states | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #172 | #178 |
Levity
64/100Where 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
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.
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.