Head-to-head · WeighScore
LIV by WellNow vs Next Vial
The verdict
LIV by WellNow takes it — 62.9/100 to 59.3/100.
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.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | LIV by WellNow | Next Vial |
|---|---|---|
| WeighScore | 62.9/100 | 59.3/100 |
| Grade | C | C |
| Scorecard rank | #264 | #345 |
| Semaglutide | $279/mo | $250/mo (compounded) |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | 5 states | 49 states |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #264 · 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
Graded #345 · C
Strengths
- LegitScript verified with named pharmacy partner (Manifest Pharmacy, Greer, SC)
- No membership fees — one all-in price covering consultation, medication, and shipping
- Compounded semaglutide, tirzepatide, and microdose options available
- Free rushed shipping; serves 49 states nationwide
- Board-certified physician oversight with ongoing provider support
Where it loses points
- Tirzepatide pricing not listed publicly (starting price covers GLP-1 generally)
- Compounded medications are not FDA-approved
- Labs and nutritional coaching not disclosed
- Microdose pricing not published on product page
- Alaska not listed among served states
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.