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Head-to-head · WeighScore

AquaVita NextGen vs LIV by WellNow

AquaVita NextGen
Graded #415

Lower grade

vs+6.600000000000001
LIV by WellNow
Graded #262

Higher grade

The verdict

LIV by WellNow takes it — 62.9/100 to 56.3/100.

LIV by WellNow grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. LIV by WellNow is the telehealth weight-management arm of WellNow Urgent Care, offering compounded semaglutide for weight loss.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueLIV by WellNow +28
23
51
Dose & formulationAquaVita NextGen +2
75
73
Clinical oversightAquaVita NextGen +3
82
79
Labs & monitoringAquaVita NextGen +1
53
52
FulfillmentLIV by WellNow +1
62
63
Contract termsLIV by WellNow +8
47
55
AquaVita NextGen · left barLIV by WellNow · right bar

The numbers

MetricAquaVita NextGenLIV by WellNow
WeighScore56.3/10062.9/100
GradeCC
Scorecard rank#415#262
Semaglutide$375/mo (first-month rate, compounded)$279/mo
Tirzepatide$320/mo (starting dose, 3-month plan, compounded)Not disclosed
Coverage5 states5 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
AquaVita NextGen

Graded #415 · C

Strengths

  • Physical address in Lake Forest CA
  • Named medical director (Dr. Steve Groke)
  • Both semaglutide and tirzepatide including ODT tablets
  • Compounding disclaimer present on site

Where it loses points

  • Only 5 states (AZ, CA, FL, TX, NV)
  • No LegitScript or PCAB accreditation
  • Primarily a local medspa expanding into telehealth
  • Only a first-month semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished
LIV by WellNow

Graded #262 · C

Strengths

  • Flat $279/month covers medication, supplies, and unlimited virtual visits
  • Backed by established WellNow Urgent Care brand
  • Board-certified online medical providers
  • Same-day approval and monthly home delivery
  • Transparent all-inclusive pricing with no hidden fees

Where it loses points

  • Compounded semaglutide is not FDA-approved or evaluated
  • Only available in five states (IL, IN, MI, NY, PA)
  • No tirzepatide option offered
  • Insurance not accepted for compounded semaglutide

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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