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Head-to-head · WeighScore

Lean Rx vs LIV by WellNow

Lean Rx
Graded #319

Lower grade

vs+2.299999999999997
LIV by WellNow
Graded #265

Higher grade

The verdict

LIV by WellNow takes it — 62.9/100 to 60.6/100.

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 +11
40
51
Dose & formulationLean Rx +2
75
73
Clinical oversightLean Rx +2
81
79
Labs & monitoringEven
52
52
FulfillmentLIV by WellNow +3
60
63
Contract termsEven
55
55
Lean Rx · left barLIV by WellNow · right bar

The numbers

MetricLean RxLIV by WellNow
WeighScore60.6/10062.9/100
GradeCC
Scorecard rank#319#265
Semaglutide$266/mo (starting dose, compounded)$279/mo
Tirzepatide$399/mo (starting dose, compounded)Not disclosed
CoverageCoverage not published5 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
Lean Rx

Graded #319 · C

Strengths

  • Both semaglutide and tirzepatide offered
  • Three formulations: injectable, sublingual, and tablet
  • Upfront pricing with no hidden fees advertised
  • Semaglutide starts at a low $266/month
  • Telehealth call with a licensed provider before prescribing

Where it loses points

  • Compounded-only; no FDA-approved branded options
  • No published state availability list
  • Platform is technology only, not a healthcare provider itself
  • Provider credentials not detailed on site
LIV by WellNow

Graded #265 · 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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