Head-to-head · Cost-Efficiency Index
Live Vital vs Brightmeds
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.
Live Vital
Cost-first semaglutide shoppers who want an all-50 program and will vet oversight themselves.
Visit Live VitalBrightmeds
Shoppers who want a low flat price at every dose on compounded semaglutide or tirzepatide, with the option to save more on a three-month pack.
Visit BrightmedsThe verdict
Live Vital and Brightmeds tie on the Cost-Efficiency Index at 82/100, so neither wins outright on the numbers, so choose on fit. Live Vital: Cost-first semaglutide shoppers who want an all-50 program and will vet oversight themselves. Brightmeds: Shoppers who want a low flat price at every dose on compounded semaglutide or tirzepatide, with the option to save more on a three-month pack.
Worth knowing either way: CoreAge Rx is one of our partners and leads our leaderboard, where partners are listed first (Cost-Efficiency Index 94/100). See how it stacks up: CoreAge Rx vs Live Vital.
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 | Live Vital | Brightmeds |
|---|---|---|
| Cost-Efficiency Index | 82/100 | 82/100 |
| Semaglutide / mo | $99/mo | $129/moCompounded, month to month, same price at every dose; $99/mo on a 3-month pack billed $297 |
| Tirzepatide / mo | $183/mo | $149/moCompounded, month to month, same price at every dose; $119/mo on a 3-month pack billed $357 |
| Semaglutide / yr (modeled) | $1,188 | $1,548 |
| Tirzepatide / yr (modeled) | $2,196 | $1,788 |
| Coverage | All 50 states | 38 states + DC |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Yes |
| Rank here | #25 | #28 |
Live Vital
82/100Where the value is
- $99 semaglutide — among the lowest prices we track
- Nationwide all-50 access with both molecules disclosed
- Strong raw cost-per-month on semaglutide
The tradeoffs
- Not LegitScript-certified
- Compounded only; tirzepatide is pricier relative to its semaglutide
Brightmeds
82/100Where the value is
- Month-to-month prices of $129 for semaglutide and $149 for tirzepatide are on the pricing page, and the price stays the same as your dose goes up
- A three-month pack lowers that to $99 and $119 a month, and you can choose month to month instead
- Medication, clinician visits, dose adjustments and shipping are included, with no membership, consultation or lab fee
The tradeoffs
- The advertised GLP-1 prices apply only in 38 states and D.C.; if you are already on a GLP-1 or transferring a prescription, you must contact support for pricing
- Its terms say fees are otherwise non-refundable, and month-to-month plans renew automatically until you cancel
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.