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Head-to-head · Cost-Efficiency Index

Livea vs Somi Health

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 · #208

Livea

Cost-first shoppers who want mN/WI residents wanting in-person clinic access, or telehealth patients in MN, WI, IA, or FL.

Visit Livea
VS
Grade C · #212

Somi Health

Shoppers comfortable committing to a 3-month plan to unlock the lower blended monthly rate.

Visit Somi Health

The verdict

Too close to callGrade C vs C

Livea and Somi Health tie on the Cost-Efficiency Index at 62/100, so neither wins outright on the numbers. For most shoppers we'd start with Livea (ranked #208, a hair above #212) — Cost-first shoppers who want mN/WI residents wanting in-person clinic access, or telehealth patients in MN, WI, IA, or FL. But Somi Health 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 Livea.

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

79
64

Price Transparency

30
78

Nationwide Access

42
24

Formulation Options

79
77

Clinical Oversight

93
82

Contract Flexibility

55
47

Pricing, coverage & formulary

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

SpecLiveaSomi Health
Cost-Efficiency Index62/10062/100
Semaglutide / mo$99/mo (starting dose, compounded)$135/mo (compounded)
Tirzepatide / mo$199/mo (starting dose, compounded)$165/mo (3-month plan, compounded)
Semaglutide / yr (modeled)$1,188$1,620
Tirzepatide / yr (modeled)$2,388$1,980
Coverage4 statesCoverage not published
Oral / sublingualNoYes
Brand-name accessYesCompounded only
Rank here#208#212

Livea

62/100

Where the value is

  • Hybrid model offers real in-person clinic locations (8 across MN & WI), not telehealth-only
  • Low headline starting price for semaglutide ($99/mo)
  • Broader wellness service menu (nutrition, hormone therapy, NAD+) beyond just GLP-1s

The tradeoffs

  • Tirzepatide explicitly flagged 'when available,' implying inconsistent supply
  • No named medical director or specific compounding pharmacy partner
Visit Livea

Full Livea review →

Somi Health

62/100

Where the value is

  • Offers an oral semaglutide tablet option in addition to injections, a differentiator versus most peers
  • Displays a LegitScript 'Approved' seal
  • Discloses it uses 503A state-licensed pharmacies (category-level transparency)

The tradeoffs

  • 'Starting at' injection prices are 3-month prepay rates, not real monthly cash prices
  • The correct domain (joinsomi.com) is easy to confuse with the abandoned somihealth.com, a parked/for-sale domain
Visit Somi Health

Full Somi Health 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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