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Head-to-head · Cost-Efficiency Index

LIV by WellNow vs tru Weight Loss

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 · #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
VS
Grade C · #404

tru Weight Loss

Patients comfortable committing to 3 months upfront who want a named, credentialed physician rather than an anonymous provider network.

Visit tru Weight Loss

The verdict

Too close to callGrade C vs C

LIV by WellNow and tru Weight Loss tie on the Cost-Efficiency Index at 51/100, so neither wins outright on the numbers. For most shoppers we'd start with LIV by WellNow (ranked #399, a hair above #404) — 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. But tru Weight Loss 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 LIV by WellNow.

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

21
35

Price Transparency

64
86

Nationwide Access

42
24

Formulation Options

66
66

Clinical Oversight

79
76

Contract Flexibility

55
20

Pricing, coverage & formulary

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

SpecLIV by WellNowtru Weight Loss
Cost-Efficiency Index51/10051/100
Semaglutide / mo$279/mo (plus a separate fee, compounded)$299/mo (3-month plan, compounded)
Tirzepatide / moNot disclosed$399/mo (3-month plan, compounded)
Semaglutide / yr (modeled)$3,348$3,588
Tirzepatide / yr (modeled)$4,788
Coverage5 statesCoverage not published
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank here#399#404

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 →

tru Weight Loss

51/100

Where the value is

  • Flat, clearly stated monthly pricing with no hidden dose-tier escalation found
  • Named, credentialed medical director (Dr. Neha Grover, MD, obesity-management focus) rather than an anonymous network
  • Backed by an established local primary/urgent care practice, not a pure drop-ship telehealth startup

The tradeoffs

  • Mandatory 3-month minimum commitment before cancellation is allowed -- roughly $900-$1,200 minimum spend
  • No insurance, HSA, or FSA accepted
Visit tru Weight Loss

Full tru Weight Loss 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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