Live Vital vs SkinnyRx
In our scoring, Live Vital edges ahead overall (7.7 vs 7.6 out of 10), and Live Vital costs less for compounded semaglutide (about $231 a year less).
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Key differences
- Price
- Live Vital $130/mo vs SkinnyRx $149.25/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $231 a year less with Live Vital)
- Coverage
- Live Vital 50 states (SkinnyRx doesn't publish a state list)
- Included
- Live Vital: medication, clinician visits, shipping; SkinnyRx: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: Live Vital none, SkinnyRx 1
Live Vital
Affiliate partnerBest for low-cost, physician-led compounded GLP-1 with peptide and hormone options
semaglutide
$130
$99 first month
Our score 7.7/10
SkinnyRx
Affiliate partnerBest for compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
semaglutide
$149.25
Our score 7.6/10
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
SkinnyRx
Price
Semaglutide / month
Better on this row: $130/mo
$99 first month
$149.25/mo
Semaglutide / year (modeled)
Better on this row: $1,560
$1,791
Tirzepatide / month
$239/mo
$183 first month
Better on this row: $224.25/mo
Tirzepatide / year (modeled)
$2,868
Better on this row: $2,691
Oral semaglutide / month
Not listed
$199/mo
Brand Wegovy / Ozempic / month
Not listed
$1,400/mo
Brand Zepbound / Mounjaro / month
Not listed
$1,400/mo
Coverage
State availability
50 states
List not published
Oral option listed
Not listed
Yes
Brand-name access listed
Not listed
Wegovy / Ozempic, Zepbound / Mounjaro
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Plan quoted after intake; a price is published
Lab work
Not required
Not disclosed
Video visit
Not required
Not disclosed
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.'
90-day money-back guarantee
FDA warning letters
Better on this row: None on record
1 warning letter
Provider facts checked
August 2026
August 2026
Every dose and plan: Live Vital · SkinnyRx
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Live Vital if…
- About $231 a year less than SkinnyRx for compounded semaglutide at standing prices
- Publishes its full state list (50 states)
- No FDA warning letters on record (SkinnyRx has 1)
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)
Choose SkinnyRx if…
- Lists oral compounded semaglutide, brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Live Vital doesn't price
- Licensed US clinicians on every prescription
- Discreet shipping included; cancel anytime
What to weigh up
- 1 FDA warning letter on record
- About $231 a year more than Live Vital for compounded semaglutide
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
SkinnyRx
7.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →From $219/mo
Get started →Found
Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s
Read full review →From $169/mo
Get started →Live Vital vs SkinnyRx: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.