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Live Vital vs Midi Health

In our scoring, Live Vital edges ahead overall (7.7 vs 7.0 out of 10), and Live Vital costs less for compounded semaglutide (about $597 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed

Key differences

Price
Live Vital $130/mo vs Midi Health $165.90/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $597 a year less with Live Vital · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
Coverage
Both serve the same 50 states
Included
Live Vital: medication, clinician visits, shipping; Midi Health: not stated

How we compare providers

Live Vital logo

Live Vital

Affiliate partner

Best for low-cost, physician-led compounded GLP-1 with peptide and hormone options

semaglutide

$130/mo

$99 first month

Our score 7.7/10

Midi Health logo

Midi Health

Affiliate partner

Best for menopause-focused care with GLP-1 as a metabolic adjunct

semaglutide

$165.90/mo

billed every 4 weeks

Our score 7.0/10

We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.

Costs & coverage

Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.

Live Vital

Midi Health

Price

Semaglutide / month

Better on this row: $130/mo

$99 first month

$165.90/mo

billed every 4 weeks

Semaglutide / year (modeled)

Better on this row: $1,560

$2,157

13 charges

Tirzepatide / month

$239/mo

$183 first month

Better on this row: $210/mo

billed every 4 weeks

Tirzepatide / year (modeled)

$2,868

Better on this row: $2,730

13 charges

Oral semaglutide / month

Not listed

$164/mo

billed every 4 weeks

Oral tirzepatide / month

Not listed

$209/mo

billed every 4 weeks

Coverage

State availability

50 states

50 states

Oral option listed

Not listed

Yes

Included in the price

Medication, clinician visits, shipping

Not disclosed

Terms & safety

Price shown

Before intake

Plan quoted after intake; a price is published

Lab work

Not required

Not disclosed

Video visit

Better on this row: Not required

Required

Cancel anytime

Yes

Not disclosed

Minimum commitment

Sold as 10-week protocols

Not disclosed

Refunds

Terms section 7: 'You may cancel at any time. Cancellation will be effective at the end of your current billing period. Refunds for consultations are provided at our discretion. Medications and lab work are generally non-refundable once ordered or dispensed.'

Not disclosed

FDA warning letters

None on record

None on record

Provider facts checked

August 2026

August 2026

Every dose and plan: Live Vital · Midi Health

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Which fits your priorities?

Only the points where these two differ, from the table above and each provider’s record.

Live Vital logo

Choose Live Vital if…

  • About $597 a year less than Midi Health for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • No video visit required
  • Physician-led — founded by Dr. Patrick Taylor, MD; all treatments doctor-prescribed via the clinical team

What to weigh up

  • The advertised '/mo' rate divides a 10-week protocol by three, so a calendar month really costs about $130 or $239
  • Doesn't accept insurance (HSA/FSA funds only)
Midi Health logo

Choose Midi Health if…

  • Lists oral compounded semaglutide and oral compounded tirzepatide, which Live Vital doesn't price
  • Accepts commercial insurance — a differentiator vs cash-pay-only GLP-1 telehealth
  • Menopause + metabolic-health focus suits women where GLP-1 efficacy and weight regulation overlap most

What to weigh up

  • About $597 a year more than Live Vital for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • Video visit required

Explore the scoring factors

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Live Vital

7.7/10

Overall

Midi Health

7.0/10

Value25%

8.5A
vs
B
7.0

Effectiveness25%

7.5A
vs
B
7.0

User Experience15%

6.5A
vs
B
7.0

Trust & Safety15%

7.3A
vs
B
7.3

Accessibility10%

8.5A
vs
B
6.5

Support10%

8.0A
vs
B
7.0

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Live Vital vs Midi Health: FAQ

For compounded semaglutide, Live Vital costs less: about $597 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo); one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost. See Costs & coverage above for each medication side by side.
Live Vital scores higher overall at 7.7/10 versus 7.0/10, and is particularly strong for low-cost, physician-led compounded GLP-1 with peptide and hormone options. That said, Midi Health is a better fit if you want menopause-focused care with GLP-1 as a metabolic adjunct.
Both Live Vital and Midi Health are affiliate partners, meaning we may earn a commission if you sign up through our links. Our scores are assigned editorially using the same six-dimension framework for every provider — partnership never changes a score. We disclose every commercial relationship.
Live Vital: $130, about $1,560 a year; first month $99. Midi Health: $165.90 (billed every 4 weeks, 13 charges a year), about $2,157 a year. Live Vital costs about $597 less a year at these prices.
Both publish the same list (50 states), so where you live won't decide between them.
Live Vital: cancel anytime — yes; minimum commitment — Sold as 10-week protocols; early-cancellation fee — not disclosed. Midi Health doesn't state its cancellation terms. Check the provider's own terms before you buy.

Key terms, explained

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