Livbetr Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.6/10
Best for: people who want compounded semaglutide or tirzepatide with phone support and a flat price at every dose
Livbetr scores below our bar on medical oversight — read the score breakdown before signing up.
Semaglutide
Tirzepatide
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Included
No insurance needed · Vetted by our editors
Livbetr is a Miami telehealth company that sells compounded semaglutide and tirzepatide, plus brand Ozempic and Zepbound, with prescribing by OpenLoop Health clinicians. The month-to-month plans cost $99 for semaglutide and $129 for tirzepatide at checkout, but they renew every 21 days rather than once a month. The $49 and $89 home-page prices are 12-month plans paid upfront.
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Vetted alternatives to Livbetr
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Livbetr at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide, Ozempic, Zepbound
- Starting price
- $99/mo
- Pricing model
- Flat — dose increases don't raise the monthly price
- What's included
- Medication · Consult · Shipping · Coaching
- FDA status
- No FDA warning letter on record
How we scored Livbetr
Each dimension is scored algorithmically from Livbetr’s real pricing, drugs offered, verification status, and disclosed inclusions — using the same six-dimension framework we apply to every provider.
Value25%
7.9/10At $99/mo, Livbetr runs about 41% below the $169 median for GLP-1 providers. Pricing is flat across doses, so there is no escalation markup as you titrate up.
Effectiveness25%
7.0/10Livbetr offers both semaglutide and tirzepatide — the two GLP-1 molecules with the strongest published weight-loss trial outcomes. FDA-approved brand options are available alongside compounded versions.
User Experience15%
6.0/10Online intake and platform experience — consult included in the price; 8 platform features disclosed.
Trust & Safety15%
5.9/10Core details confirmed by our editors; no FDA warning letters on file.
Accessibility10%
5.1/10Livbetr's exact state footprint isn't published — confirm coverage in your state before signing up. FSA/HSA cards are accepted.
Support10%
5.8/10Coaching/dietitian access included.
Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →
How we verified this Livbetr review
Last checked October 2026- Confirmed current pricing across 4 dose/plan tiers
- Confirmed what the monthly price does and doesn't include
- Checked the FDA warning-letter database for enforcement actions
- Walked the public intake/checkout flow on the provider's site
Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records — see the sources below. Editorial confidence in this data: medium.
What we checked
- Provider's own pricing page
- $99–$1,599/mo across 4 dose/plan tiers — checked October 2026
- FDA warning-letter register
- No letter on file for this provider
What to expect when you sign up with Livbetr
We walked Livbetr’s public signup flow in October 2026 to document the process — the steps, pricing transparency, and what’s required — before you commit. (We don’t create accounts, enter medical information, or check out; this is the observable funnel, not a prescribing outcome.)
- 1Every Get Started button opens the same intake, which starts with height and weight for a BMI check
- 2Enter a goal weight, then sex at birth and date of birth
- 3Answer pregnancy and safety screening, symptom and priority questions, and a sleep question
- 4The intake shows a projected weekly weight-loss pace and a before-and-after testimonial screen (walk stopped here)
- 5The form then asks for name, email and phone before shipping and checkout, where plan prices appear
- The home page shows only 12-month averages ($49 and $89); month-to-month prices of $99 and $129 appear at checkout
- Checkout shows Total Due Today and says payment is collected before clinical review
- The refund and cancellation policy states the month-to-month plan renews every 21 calendar days, not monthly
- Prepaid plans show an automatic new-patient discount at checkout, such as $500 off the 12-month plan
- The before-and-after photos carry a note that they are not Livbetr patients
- Phone support is published with hours; checkout lists a second phone number
- We did not take the medication; nothing here describes a patient outcome
Livbetr customer support
- Phone
- 1-888-664-9435
- Hours
- Mon–Sat, 9am–10pm ET
GLP-1 medications Livbetr offers
Tap any medication to read our plain-English guide — how it works, dosing, side effects, and what the trials found.
Pricing
Prices re-verified
Charged every 21 days (up to 18 charges in the first year). Prepaid plans: 3 months $267, 6 months $438, 12 months $588
Charged every 21 days (up to 18 charges in the first year). Prepaid plans: 3 months $378, 6 months $738, 12 months $1,068
Brand price as listed on the home page
Brand price as listed on the home page
Ready to get started?
Plans and promotions change often — check Livbetr's current pricing and active discounts before you decide.
What we like
- Names its medical group, OpenLoop Health, in its terms and privacy notice
- Checkout states the same price at every prescribed dose for both compounded drugs
- The refund policy promises a full automatic refund if the clinician does not approve treatment
- Publishes a phone line and support hours of 9am to 10pm Eastern, Monday through Saturday
- Cancellation works by phone, voicemail, email or portal message, with no retention call required
- Free overnight shipping and a 1:1 care coach are included in every plan
Watch-outs
- The month-to-month plan renews every 21 days, so a year can bring up to 18 charges rather than 12
- The home page says compounded doses ship every 4 weeks, which does not match the 21-day billing in the policy
- The $49 and $89 home-page prices are 12-month plans paid upfront at $588 and $1,068
- The Trustpilot rating shown on the site belongs to a different company, WellMedr, whose intake form Livbetr also uses
- Trustpilot says it removed the Livbetr profile for going against its guidelines
- Checkout promises a refund if you do not reach your goal, but the refund policy excludes lack of results
- The dispensing pharmacy is not named before you buy
- The intake projects a loss of 3.75 to 5 pounds a week, faster than the rapid-loss warning in its own disclosures
Is Livbetr worth it?
What Livbetr is selling, in one line, is people who want compounded semaglutide or tirzepatide with phone support and a flat price at every dose. It runs $99/month, the same price at every dose, — toward the affordable end of the category, so cost isn't the reason to look elsewhere. Its flat, all-dose pricing is a genuine plus for anyone worried about cost climbing as they titrate up.
It charges the same price at every dose and takes HSA/FSA payment.
How much Livbetr actually costs
Compounded semaglutide runs $99/month, compounded tirzepatide runs $129/month, brand-name semaglutide runs $1399/month, and brand-name tirzepatide runs $1599/month.
That puts Livbetr below the roughly $169 median ongoing price across the GLP-1 providers we track — a real cost advantage.
bmiMD (about $99/month) is one of the closest alternatives to weigh Livbetr against.
Medications: what Livbetr prescribes
Livbetr prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro) — the pair backed by the largest published weight-loss trials. Pick the brand-name pen for the FDA-approved product, or the compounded version to cut the monthly cost — the compounded trade-off being that it isn't FDA-approved as a finished formulation.
Who Livbetr is best for — and who should skip it
A good fit if you…
- are focused on the lowest ongoing monthly cost — $99/month is below the roughly $169 median we track across the category.
- want coaching and follow-up built into the price already, instead of sold separately as an upsell.
Look elsewhere if you…
- need to bill insurance, since like most of this market it's cash-pay with no claims filed on your behalf.
Trust, safety, and medical oversight
We found no FDA warning letter on file for it, though a clean record isn't the same as an endorsement — read the rest of this review for the full picture. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation — we explain how in our scoring methodology.
Bottom line
Livbetr earns its place on the shortlist mainly on price: at $99/month it's one of the more affordable ways to stay on a GLP-1, without obvious corners cut on access or oversight.
The Bottom Line
Livbetr scores below our bar on medical oversight — read the score breakdown before signing up.
Ready to start with Livbetr?
Starting at $99/month. See current pricing and start your free consultation.
Frequently Asked Questions
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
Sources
The primary regulatory filings and peer-reviewed studies cited throughout this Livbetr review:
Sources & methodology — as of October 2026
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
See Livbetr's current pricing
Plans start at $99/month. Start your free consultation to check eligibility and today's price.