Head-to-head · Cost-Efficiency Index
Live Vital vs Trellis Vitality
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 VitalTrellis Vitality
Shoppers who want a low month-to-month GLP-1 price that holds at every dose, with no membership or consultation fee.
Visit Trellis VitalityThe verdict
Live Vital and Trellis Vitality 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. Trellis Vitality: Shoppers who want a low month-to-month GLP-1 price that holds at every dose, with no membership or consultation fee.
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 | Trellis Vitality |
|---|---|---|
| Cost-Efficiency Index | 82/100 | 82/100 |
| Semaglutide / mo | $99/mo | $150/moCompounded, month to month; same price at every dose |
| Tirzepatide / mo | $183/mo | $199/moCompounded, month to month; same price at every dose |
| Semaglutide / yr (modeled) | $1,188 | $1,800 |
| Tirzepatide / yr (modeled) | $2,196 | $2,388 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #25 | #29 |
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
Trellis Vitality
82/100Where the value is
- A single table shows one-, three- and six-month prices for both drugs, labeled as per-month prices: semaglutide $150, $140 and $133; tirzepatide $199, $189 and $179
- Same price at every dose, so your cost doesn't rise as you titrate up
- No membership fee, no consultation fee, and you can pause or cancel any time
The tradeoffs
- Its NAD+, glutathione, lipo-MIC and tesamorelin programs show only "starting at" prices with no plan table
- The refund policy says only that refunds are decided order by order
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.