Head-to-head · Cost-Efficiency Index
Livv vs NuviaRx
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.
Livv
Cost-first shoppers who want a flat price that doesn't rise as the GLP-1 dose is titrated upward.
Visit LivvNuviaRx
Cost-first shoppers who want the lowest 'starting' price on paper, if you're willing to prepay a full year.
Visit NuviaRxThe verdict
Livv and NuviaRx tie on the Cost-Efficiency Index at 64/100, so neither wins outright on the numbers. For most shoppers we'd start with Livv (ranked #178, a hair above #179) — Cost-first shoppers who want a flat price that doesn't rise as the GLP-1 dose is titrated upward. But NuviaRx 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 Livv.
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 | Livv | NuviaRx |
|---|---|---|
| Cost-Efficiency Index | 64/100 | 64/100 |
| Semaglutide / mo | $135/mo (all doses, compounded) | $140/mo (all doses, annual plan, compounded) |
| Tirzepatide / mo | $199/mo (all doses, compounded) | $170/mo (all doses, compounded) |
| Semaglutide / yr (modeled) | $1,620 | $1,680 |
| Tirzepatide / yr (modeled) | $2,388 | $2,040 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #178 | #179 |
Livv
64/100Where the value is
- Dose-independent flat pricing — the site explicitly commits that cost won't rise as the dose is adjusted, which is unusual among compounded-GLP-1 competitors
- One published price bundles consultation, medication, supplies, shipping and follow-ups with 'no hidden fees' language
- LegitScript verified
The tradeoffs
- Not available in all 50 states, and the site does not list which states are excluded
- No compounding pharmacy name or medical director is disclosed anywhere I could find
NuviaRx
64/100Where the value is
- Genuinely flat pricing across all doses within the annual plan, with consultation and monthly check-ins bundled in
- No membership fees or dose-escalation surcharges disclosed
- Free home delivery included; cancel-anytime language present despite the annual-prepay framing
The tradeoffs
- The advertised '$140/$170 starting' price is gated behind a full annual prepay — no month-to-month rate is published anywhere on the site, so the headline figure is not accessible the way it reads
- No compounding pharmacy is named — only described generically as 'a licensed 503A compounding pharmacy'
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.