Overview
LIV by WellNow is the weight-management arm of WellNow, an established healthcare network better known for urgent care. That heritage is the most interesting thing about it: unlike most of this market, LIV is a service extension of a real clinical organisation rather than a standalone telehealth startup.
The pricing model is one we like. LIV states that membership with medication included starts at $195 per month with no hidden fees — and it is specific about what that covers. The company states the cost of membership for an average dose of 1 mg per week is $195 per month, rising to $265 per month for higher doses of 1.7 mg or 2.4 mg per week. Membership includes the medication rather than sitting on top of it.
That is a meaningful distinction. Most memberships in this market buy you access and leave the drug as a separate charge; LIV’s is the price of treatment. The dose-related step from $195 to $265 is a real escalation, but at $70 across the full range it is modest compared with providers whose pricing doubles or triples.
The service is entirely self-pay — the company states explicitly that all LIV by WellNow services are out-of-pocket and it does not accept insurance. Patient accounts have also described month-to-month pricing around $279 with roughly $30 off on a three-month subscription, so confirm which tier applies to you before enrolling. Only compounded semaglutide is offered; there is no tirzepatide route.
What Makes LIV by WellNow Different
Medication Is Inside the Membership
LIV states membership with medication included starts at $195 per month with no hidden fees. Most memberships in this market buy access and bill the drug separately — a structure that makes cross-provider comparison misleading. This one is the price of treatment.
Backed by an Established Healthcare Network
LIV is the weight-management service of WellNow, a healthcare organisation with an existing clinical footprint. That is a different risk profile from a standalone telehealth startup with no operating history outside GLP-1s.
A Two-Step Dose Structure, Not a Ladder
Pricing moves once: $195 for an average 1 mg weekly dose, $265 for higher doses of 1.7 mg or 2.4 mg weekly. A $70 spread across the whole range is far flatter than most dose-tiered competitors manage.
Explicitly Self-Pay, Stated Upfront
The company states plainly that all its services are self-pay and out-of-pocket, and that it does not accept insurance. That clarity is more useful than a provider implying an insurance pathway that turns out not to exist for you.
✓ Pros
- •Medication included in the membership — the quoted figure is the cost of treatment
- •From $195/month for an average dose — competitive for a bundled offering
- •Only a $70 step to the highest dose tier — flatter than most dose-tiered pricing
- •Backed by an established healthcare network — not a standalone GLP-1 startup
- •No hidden fees stated — the company is explicit about what membership covers
- •Self-pay status stated upfront — no ambiguity about insurance
- •Subscription discount available — patient accounts describe savings on a 3-month plan
- •Weekly dosing with virtual visits — a straightforward, conventional programme
✗ Cons
- •Semaglutide only — no tirzepatide pathway at all
- •No insurance accepted — stated explicitly by the company
- •Pricing is dose-related — $195 to $265 depending on weekly dose
- •Patient-reported figures differ — accounts describe around $279 month-to-month
- •Compounded products are not FDA-approved — no agency review of safety or efficacy
- •Above the cheapest all-inclusive competitors — several charge $99 to $163
- •Compounding pharmacy not named publicly — ask which facility dispenses
- •Limited independent review coverage — less third-party scrutiny than large platforms
Our #1 Recommended Provider
LIV gets the bundling right — medication genuinely inside the membership. If you want that same structure at half the price with tirzepatide available too, Coreage RX is our top recommendation.
Medications Offered
Brand-Name or Compounded?
Compounded semaglutide only. LIV does not offer tirzepatide or brand-name products. Compounded preparations are not FDA-approved and have not been evaluated by the FDA for safety, efficacy or manufacturing quality. The regulatory basis narrowed further when the FDA proposed in April 2026 to exclude semaglutide from the 503B bulks list — ask which pharmacy dispenses your prescription and on what basis.
Compounded Semaglutide (Average Dose)
$195/month, membership with medication includedThe company states the cost of membership for an average dose of 1 mg per week is $195 per month, covering everything. Weekly injection with virtual visits included.
Compounded Semaglutide (Higher Doses)
$265/month for 1.7 mg or 2.4 mg weeklyThe higher dose tier, covering the maintenance doses most patients titrate toward. A $70 step from the average-dose rate across the entire remaining range.
Because most patients titrate toward 1.7 mg or 2.4 mg weekly, budget from the $265 tier rather than the $195 entry figure. Also confirm which billing structure applies to you — patient accounts have described a month-to-month figure around $279 with a discount on three-month subscriptions.
Pricing, Membership & Medication Fees
| Cost Item | What You Pay |
|---|---|
| Membership, average dose (1 mg/week) | $195/month, medication included |
| Membership, higher doses (1.7 or 2.4 mg/week) | $265/month, medication included |
| What membership covers | Medication, virtual visits and programme access, with no hidden fees stated |
| Month-to-month | Patient accounts describe around $279/month — confirm directly |
| Subscription discount | Patient accounts describe roughly $30 off on a 3-month subscription |
| Molecules offered | Semaglutide only — no tirzepatide route |
| Insurance | Not accepted. The company states all services are self-pay and out-of-pocket |
| HSA / FSA | Prescription and eligible medical costs are commonly HSA/FSA eligible; confirm with your plan administrator |
Budget from $265, not $195. The average-dose figure describes 1 mg per week, and most patients titrate onward to 1.7 mg or 2.4 mg — the doses where the higher tier applies. At $265 all-in, LIV sits mid-market: more than the flat-rate leaders, less than the two-part memberships once you add their medication charge back in.
How LIV by WellNow Works
Budget From the Higher Dose Tier
The $195 figure applies to an average dose of 1 mg per week. Most patients titrate to 1.7 mg or 2.4 mg, where the rate is $265. Plan from the number you will actually be paying in six months, not the one you start at.
Confirm Which Billing Structure Applies
The company publishes $195 and $265 tiers, while patient accounts describe around $279 month-to-month with roughly $30 off on a three-month subscription. Get your specific figure and billing cadence in writing.
Complete the Online Consultation
LIV uses virtual visits within its programme. Be thorough about thyroid history, pancreatitis, gallbladder disease and any family history of medullary thyroid carcinoma or MEN2.
Note There Is No Tirzepatide Option
LIV offers compounded semaglutide only. If you or your clinician later decide the dual agonist is a better fit — for tolerability or results — you would need to change providers to access it.
Ask Which Pharmacy Compounds Your Medication
LIV does not name its compounding pharmacy publicly. Ask which facility prepares your prescription, whether it is a 503A pharmacy or a 503B outsourcing facility, and on what basis it is compounding semaglutide currently.
Plan Around Self-Pay
The company states explicitly that it does not accept insurance and all services are out-of-pocket. If you have insurance coverage for a brand-name GLP-1, price that route first — it may cost you considerably less.
Program Details at a Glance
| Detail | LIV by WellNow |
|---|---|
| Consultation process | Online consultation with virtual visits included in membership, within an established healthcare network model. |
| Eligibility | Adults meeting clinical criteria for semaglutide as assessed by the reviewing clinician. Confirm the thresholds applied. |
| Provider involvement | Virtual visits included in membership. Confirm the ongoing contact channel and response times before you need them during titration. |
| Lab requirements | Not prominently published. Ask whether baseline labs are required or recommended for your situation. |
| Pharmacy fulfillment | Compounded preparations dispensed through a compounding pharmacy. The facility is not named publicly — ask directly and ask whether it is 503A or 503B. |
| Shipping frequency | Aligned to your membership billing. Injectables require refrigeration on arrival. |
| Support services | Virtual visits and programme access included in membership. Labs, dietitian access and structured coaching are not described as bundled. |
| Membership fee | The membership is the total price — $195/month at an average 1 mg weekly dose, $265/month at 1.7 or 2.4 mg weekly, medication included. |
| Medication fee | Included in membership rather than billed separately. |
| Cancellation policy | Not prominently published. Confirm terms in writing before your first charge, particularly on any subscription tier. |
| Refund policy | Not prominently published. Ask what applies once medication has shipped. |
| Insurance | Not accepted. The company states all LIV by WellNow services are self-pay and out-of-pocket. |
| HSA / FSA | Prescription and eligible medical expenses are commonly HSA/FSA eligible. Confirm with your plan administrator and request itemised receipts. |
| States served | Availability depends on clinician licensure in your state. Confirm before enrolling. |
Who LIV by WellNow Is Best For
✓ Best For:
- • Patients who want medication genuinely inside a membership rather than billed separately
- • Anyone who prefers a provider backed by an established healthcare network
- • People who want a narrow two-step dose structure rather than a full price ladder
- • Patients comfortable with semaglutide who do not anticipate needing tirzepatide
- • Anyone who values a provider stating its self-pay status plainly upfront
✗ Not Best For:
- • Patients who may need tirzepatide — it is not offered at all
- • Anyone with insurance coverage for a brand-name GLP-1, which LIV cannot use
- • Price-first patients — several all-inclusive providers charge $99 to $163
- • People who want brand-name FDA-approved medication
- • Patients who want the compounding pharmacy named before ordering
- • Anyone who wants published cancellation and refund terms upfront
Limitations to Know Before You Sign Up
- ⚠LIV offers compounded semaglutide only. There is no tirzepatide pathway, so a clinical decision to switch molecules means changing providers.
- ⚠The company states explicitly that it does not accept insurance and all services are self-pay. If your plan covers a brand-name GLP-1, a different route will likely cost you less.
- ⚠Pricing is dose-related: $195 at an average 1 mg weekly dose, $265 at 1.7 mg or 2.4 mg weekly. Since most patients titrate to the higher range, budget from $265.
- ⚠Patient accounts describe a month-to-month figure around $279 with roughly $30 off on a three-month subscription, which differs from the published tiers. Confirm your specific figure.
- ⚠Compounded semaglutide is not FDA-approved, and the regulatory basis narrowed further when the FDA proposed in April 2026 to exclude semaglutide from the 503B bulks list.
- ⚠The compounding pharmacy is not named publicly, and cancellation and refund terms are not prominently published. Ask for all three before enrolling.
Alternatives to LIV by WellNow
Coreage RX
Our top-rated provider at a flat $99/month all-inclusive covering both molecules with no dose step.
Gimme Care
All-inclusive from $130/month on a 3-month cycle, same price at every dose, with tirzepatide also available.
Lavender Sky Health
From $95/month with named pharmacies and published state-coverage tables.
Measured
Insurance-first at a $49/month membership, if your plan covers a brand-name GLP-1.
Frequently Asked Questions
How much does LIV by WellNow cost?
LIV states membership with medication included starts at $195 per month. Specifically, the cost of membership for an average dose of 1 mg per week is $195 per month, rising to $265 per month for higher doses of 1.7 mg or 2.4 mg per week. Patient accounts have also described around $279 month-to-month with roughly $30 off on a three-month subscription.
Is the medication included in the membership?
Yes, and that is the main structural strength here. LIV states membership with medication included starts at $195 per month with no hidden fees. Most memberships in this market buy access and bill the drug separately, which makes their advertised prices misleading by comparison.
Does LIV offer tirzepatide?
No. LIV by WellNow offers compounded semaglutide only. If you or your clinician decide the dual GLP-1/GIP agonist is a better fit — whether for tolerability or for results — you would need to change providers.
Does LIV accept insurance?
No. The company states plainly that all LIV by WellNow services are self-pay and out-of-pocket, and that it does not accept insurance. Prescription costs are commonly HSA/FSA eligible — confirm with your plan administrator.
Which dose tier will I be on?
The $195 rate covers an average dose of 1 mg per week. The $265 rate covers higher doses of 1.7 mg or 2.4 mg per week. Because standard semaglutide protocols titrate toward those higher doses, most patients should budget from $265 rather than $195.
What is WellNow?
WellNow is an established healthcare network, and LIV is its weight-management service. That heritage means LIV is a service extension of an existing clinical organisation rather than a standalone GLP-1 telehealth startup — a different operational risk profile.
Which pharmacy compounds the medication?
LIV does not name its compounding pharmacy publicly. Ask directly which facility prepares your prescription, whether it is a 503A pharmacy or a 503B outsourcing facility, and on what basis it is compounding semaglutide now that the FDA has proposed excluding it from the 503B bulks list.
Is LIV good value?
It is mid-market. At $265 all-in for a maintenance dose, LIV costs more than flat-rate providers charging $99 to $163 but less than two-part memberships once you add their separate medication charge back in. The bundling and the network backing are what you are paying the difference for.
The Bottom Line
LIV by WellNow earns 3.5 out of 5 stars — a straightforward, honestly structured programme from an operator with a real clinical history behind it.
The structural decision we like most is that the medication is inside the membership. LIV states membership with medication included starts at $195 per month with no hidden fees, and specifies exactly what that means: $195 at an average 1 mg weekly dose, $265 at higher doses of 1.7 mg or 2.4 mg. In a market where a membership usually buys access and leaves the drug as a separate charge, a membership that is the cost of treatment makes comparison possible.
Being the weight-management arm of an established healthcare network rather than a standalone GLP-1 startup is also worth something, particularly as the compounded market faces increasing regulatory pressure. And stating plainly that the service is self-pay with no insurance accepted is more useful than implying a coverage pathway that turns out not to exist.
Our recommendation: budget from $265 rather than $195, since standard semaglutide protocols titrate to the higher tier. LIV is a reasonable mid-market choice if you want bundled pricing from an established operator and semaglutide is what you need. If you want tirzepatide available too, or a lower price for the same bundled structure, Coreage RX at a flat $99 and Gimme Care at $130 both cover more ground for less.
Disclosure:
This review is based on publicly available information from LIV by WellNow’s own website at liv.wellnow.com, including its home, service and FAQ pages, together with public patient community accounts, current as of August 27, 2026. Presidential GLP-1 may receive compensation from some providers featured on this site, which helps us provide free, independent reviews; we do not have a compensation relationship with LIV by WellNow or WellNow. Patient-reported pricing differs from the company’s published tiers — confirm your specific figure and billing cadence directly. Compounded medications are not FDA-approved and their regulatory position narrowed further after the FDA proposed in April 2026 to exclude semaglutide, tirzepatide and liraglutide from the 503B bulks list. We do not sell, dispense, or ship medication.
⚕ Medical Disclaimer:
This review is for informational purposes only and is not medical advice, diagnosis, or treatment. Prescription weight-management medications carry serious risks and contraindications; GLP-1 receptor agonists carry a boxed warning for thyroid C-cell tumors. Only a licensed clinician who knows your medical history can determine whether any weight-management medication is appropriate for you. Never start, stop, or change a prescription based on this page. If you experience severe abdominal pain, persistent vomiting, signs of an allergic reaction, or other concerning symptoms, seek medical care immediately. See our full medical disclaimer.
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