Aquivia Health Review: Price, Pros & Cons

Aquivia Health sells compounded semaglutide and tirzepatide, low-dose "microdose" versions of both, and brand-name Ozempic and Zepbound. Every plan ships medication every four weeks. What changes the price is how you pay:

• Billed every 4 weeks: the highest price per shipment, charged as each one goes out.
• 12, 24 or 52 weeks: one upfront payment for 3, 6 or 13 shipments, with a lower price per shipment the longer you commit.

Aquivia's pricing page lists the exact figure for each option. Tirzepatide costs more than semaglutide at every plan length. Check which tab you're on before you pay, because the 52-week plan is a single charge covering 13 shipments, about a year of medication. Microdose plans for either drug are $169 per shipment.

Brand-name drugs are priced per four-week fill: Ozempic at $1,299 and Zepbound at $1,399.

The price includes the clinician visit and dose adjustments, supplies, labs, care coaching and free shipping. Aquivia is self-pay only, with no insurance needed.

You answer a short eligibility check covering your health, goals and state. A licensed clinician from Open Loop Healthcare Partners, a national clinician network, reviews your case and decides whether treatment is appropriate. Aquivia stresses that a person, not an algorithm, makes that call, and that a prescription isn't guaranteed.

Aquivia names its leadership: Dr. Steven Bishop, an internal medicine physician and chief medical officer; Phillip Gray, PharmD, chief pharmacist; and president Tom Foster. Compounded medication ships from licensed 503A pharmacies (ones that mix each prescription for a named patient), which Aquivia doesn't name. Not every therapy is offered in every state, and there's no published list, so check yours in the eligibility step.

You can stop at any time, by email or through the patient portal, but the request must arrive at least 72 hours before your next billing date. Otherwise you'll be charged once more. Service continues through the end of the cycle you've paid for.

• If a clinician disqualifies you for a medical reason, you get a full refund.
• For the current cycle, you can get a refund only if your medication hasn't been ordered yet. For new patients, that point usually comes when you submit your intake, or at the end of your video visit if one is required.
• On a prepaid 12-, 24- or 52-week plan, the refund is prorated. Aquivia reprices the shipments you've already received at the regular every-4-weeks rate and refunds the rest.

• Compounded semaglutide and tirzepatide aren't FDA-approved.
• Aquivia also plans longevity and POTS programs, which are listed as coming soon.