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Head-to-head · Cost-Efficiency Index

Live Vital vs No BS RX

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 B− · #26

Live Vital

Cost-first semaglutide shoppers who want an all-50 program and will vet oversight themselves.

Visit Live Vital
VS
Grade B− · #28

No BS RX

Someone who wants every term and every dose level comparable without starting an intake to see a price.

Visit No BS RX

The verdict

Too close to callGrade B− vs B−

Live Vital and No BS RX tie on the Cost-Efficiency Index at 82/100, so neither wins outright on the numbers. For most shoppers we'd start with Live Vital (ranked #26, a hair above #28) — Cost-first semaglutide shoppers who want an all-50 program and will vet oversight themselves. But No BS RX 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 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

91
88

Price Transparency

78
94

Nationwide Access

95
62

Formulation Options

76
90

Clinical Oversight

74
74

Contract Flexibility

78
78

Pricing, coverage & formulary

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

SpecLive VitalNo BS RX
Cost-Efficiency Index82/10082/100
Semaglutide / mo$99/mo$179/mo month-to-month; a separate low-dose program runs $140
Tirzepatide / mo$183/mo$249/mo month-to-month; a separate low-dose program runs $140
Semaglutide / yr (modeled)$1,188$2,148
Tirzepatide / yr (modeled)$2,196$2,988
CoverageAll 50 statesNot disclosed
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#26#28

Live Vital

82/100

Where the value is

  • $99 semaglutide — among the lowest in the ranking
  • 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
Visit Live Vital

Full Live Vital review →

No BS RX

82/100

Where the value is

  • Names four dispensing pharmacies with street addresses and telephone numbers — Red Rock Compounding Pharmacy, Health Warehouse, Precision Medicine and Triad Rx
  • "No Fake Intro Rate — the price on the page is the ongoing program price" is a named commitment, and the $140 in its hero really is a month-to-month rate
  • Every program row prints "503A pharmacy fulfillment" and "No dose-based price changes" on the table itself

The tradeoffs

  • The same $409 twelve-week block appears under three different monthly rates — an $11 saving against one and a $128 saving against another, styled identically
  • The low-dose programs stop at twelve weeks; only the standard programs carry 24- and 52-week rungs
Visit No BS RX

Full No BS RX 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.

Keep comparing

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