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Ranked #178 · Grade C

Livv review

Livv is a telehealth platform selling compounded semaglutide and tirzepatide at a flat, dose-independent price — $135/month and $199/month respectively — bundling the consultation, medication, supplies and shipping.

Visit Livv 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. See our disclosure.
Semaglutide
$135/mo (all doses, compounded)
Tirzepatide
$199/mo (all doses, compounded)
Coverage
Coverage not published
Brand-name
Compounded only

Semaglutide · modeled / year

$1,620

Tirzepatide · modeled / year

$2,388

Pricing verified August 2026

The Index scorecard

Livv scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month74/100
Price Transparency94/100
Nationwide Access24/100
Formulation Options66/100
Clinical Oversight79/100
Contract Flexibility33/100

Where 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
  • Lower published starting price ($135/mo semaglutide) than several larger-name competitors reviewed in this same batch

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
  • Several of Livv's other product lines are explicitly billed as 6-month prepay plans; whether the GLP-1 price carries the same prepay requirement is not stated on the weight-loss page and could not be confirmed
  • No dedicated FAQ, pharmacy, or state-eligibility page was reachable without starting the qualification quiz

The bottom line

Best for: Cost-first shoppers who want a flat price that doesn't rise as the GLP-1 dose is titrated upward. Livv is a telehealth platform selling compounded semaglutide and tirzepatide at a flat, dose-independent price — $135/month and $199/month respectively — bundling the consultation, medication, supplies and shipping.

Ranked #178 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.

Compare with other providers

All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Livv.

The 24 programs nearest this one

Pricing, states and verification reflect Livv's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Livv's site. Not medical advice; see our disclosure.

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