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Head-to-head · WeighScore

LIV by WellNow vs Optimized Health

LIV by WellNow
Graded #264

Lower grade

vs+4.300000000000004
Optimized Health
Graded #174

Higher grade

The verdict

Optimized Health takes it — 67.2/100 to 62.9/100.

Optimized Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Optimized Health is a concierge medical weight loss and hormone clinic offering clinician-supervised GLP-1 programs with compounded semaglutide and tirzepatide, plus oral options like phentermine.

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 +6
51
45
Dose & formulationOptimized Health +2
73
75
Clinical oversightLIV by WellNow +3
79
76
Labs & monitoringOptimized Health +37
52
89
FulfillmentOptimized Health +4
63
67
Contract termsEven
55
55
LIV by WellNow · left barOptimized Health · right bar

The numbers

MetricLIV by WellNowOptimized Health
WeighScore62.9/10067.2/100
GradeCC
Scorecard rank#264#174
Semaglutide$279/mo$200/mo (starting dose, compounded)
TirzepatideNot disclosed$250/mo (starting dose, compounded)
Coverage5 states5 states
Brand-name accessYesCompounded only
Oral / sublingualInjection onlyYes
LIV by WellNow

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
Optimized Health

Graded #174 · C

Strengths

  • Fully transparent pricing published on the website
  • Semaglutide from $200/mo and tirzepatide from $250/mo
  • Lab panels included with clinician-supervised dosing
  • LegitScript certified clinic
  • Lead PA-C with over a decade in obesity medicine

Where it loses points

  • Telehealth limited to MO, IA, KS, UT, and WA
  • Compounded GLP-1 only, not brand-name
  • No insurance billing (cash-pay)
  • PA-led rather than MD/DO-led

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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