
Medications
Compounded semaglutide
Monthly Cost
$279
Speed to Start
Fast
Trustpilot
Not yet rated
Compounded Medications
Est. 2023
About LIV by WellNow
Liv by WellNow entered the telehealth weight loss market in 2023 as the digital health extension of WellNow Urgent Care, a network of over 100 brick-and-mortar urgent care clinics across the eastern United States. That clinical infrastructure gives Liv a differentiator most pure-play telehealth startups lack: every prescription is backed by an established medical organization with real exam rooms, lab capabilities, and in-person providers. For patients who worry about the “faceless app” feel of many online weight loss programs, Liv’s urgent care parentage offers a measure of reassurance.
The program revolves around compounded semaglutide, dispensed at a flat 9 per month that covers the medication, provider consultations, and shipping. There are no hidden titration fees or separate pharmacy charges β what you see is what you pay. That all-inclusive pricing puts Liv in the mid-range of the compounded semaglutide market, slightly above budget options but well below brand-name alternatives. Patients should understand, however, that compounded medications are not FDA-approved finished products and are prepared by 503B outsourcing pharmacies rather than the original manufacturer.
Liv holds an A rating with the Better Business Bureau, which signals satisfactory complaint resolution and business transparency. The platform does not yet have a Trustpilot presence, so independent review data is limited. Our editorial team found the onboarding process straightforward β a brief health questionnaire, asynchronous provider review, and medication shipped to your door β but the overall support model is moderate. You will have access to a prescribing provider for check-ins, though Liv does not offer the dedicated dietitian coaching or behavioral programming seen in higher-tier competitors.
One area where Liv falls short compared to comprehensive platforms is clinical depth. There is no integrated lab testing, no structured nutrition curriculum, and no mental health or behavioral component. The program is fundamentally a prescription service with medical oversight rather than a holistic weight management program. For patients who are self-motivated and primarily need affordable access to GLP-1 medication, that simplicity may actually be a virtue. For those who need accountability and lifestyle guidance, it may not be enough.
Liv is best understood as a clinically-backed, no-frills compounded semaglutide service at a competitive price point. The WellNow urgent care pedigree adds legitimacy, the flat pricing eliminates surprise costs, and the BBB rating suggests reasonable business practices. It is not a full-spectrum weight loss program, and patients seeking brand-name medications, insurance billing, or intensive coaching should look elsewhere.
At a Glance
Medications Offered
Compounded semaglutide
Compounded
Cost & Insurance
- Monthly: $279
- 6-month estimate: $1,674
- Insurance: No
- Self-pay: Yes
Clinical Features
- Lab testing: No
- Dietitian access: No
- Verified Pharmacy: WellNow Urgent Care pharmacy network
- BBB Rating: A
Delivery & Access
- Format: Subcutaneous
- Nationwide telehealth: No (currently PA, NY, IL, IN, MI)
- Speed: Fast
- Spanish-speaking providers: Not available
What the LIV by WellNow Intake Looks Like
We walked through LIV by WellNow’s GLP-1 intake ourselves. LIV uses a single-page Compounded Semaglutide Eligibility Form rather than a step-by-step wizard β the form is short, but the clinical screening packed into it is among the most comprehensive in the catalog. The notable trade-off is geographic: LIV currently operates in only five states.
Strong for an 8-screen flow. Pancreatitis, MEN-2, MTC, semaglutide-specific allergy, chronic kidney disease, insulin-dependent diabetes, ACTIVE OR PAST EATING DISORDER (anorexia/bulimia named explicitly), and pregnancy/breastfeeding/TTC all appear in a single conditions multi-select. Missing PHQ, substance/alcohol depth, BP/HR.
Low. Single-page form, no account-creation gate, no marketing testimonial walls, and no fake-urgency timers. The main friction sources are pricing ($747 quarterly upfront or $279/mo) and the 5-state geographic limit. Patient identity is captured at the eligibility-result screen rather than up-front.
The 8 Stages
Clinical Safety Screens Performed
The state dropdown on the account-setup screen lists only Illinois, Indiana, Michigan, New York, and Pennsylvania. Patients outside these five states cannot complete the address and will be unable to start a membership. This is the narrowest service area in our catalog β most direct-to-consumer GLP-1 platforms operate nationwide. LIV by WellNow appears to operate as a regional clinic chain offering compounded semaglutide via telehealth; the geographic constraint reflects state-by-state telehealth licensure and pharmacy distribution, not patient-side limits.
LIV is one of the platforms in our catalog that names “active or past diagnosis of an eating disorder (e.g. anorexia, bulimia, or other)” as a discrete option in the conditions multi-select. For a medication class with documented appetite-suppression and binge-eating-disorder considerations, asking the question by name β rather than burying it in a generic mental-health checkbox or omitting it entirely β is a meaningful clinical choice. Pregnancy, breastfeeding, and trying-to-conceive are similarly named explicitly.
No validated PHQ-2 or PHQ-9 mental-health instrument and no suicidality. No substance or alcohol screen beyond the smoking/vaping Y/N. No current-medication review depth beyond a Y/N gate. No blood pressure or resting heart rate. No MEN-2 separate from MTC β the two are combined into one checkbox option. No ID upload. No phone OTP. The single-page format is efficient but means clinical depth on any one dimension is necessarily shallower than a multi-screen wizard would allow.
Source: GLP-1.Reviews editorial walkthrough on April 29, 2026. We completed every screen of the LIV by WellNow Compounded Semaglutide Eligibility Form using a representative GLP-1 candidate persona and stopped before submitting payment.
Opens liv.wellnow.com in a new tab. We may earn a commission if you start treatment through this link, at no additional cost to you. LIV is currently available in IL, IN, MI, NY, and PA only.
Start your GLP-1 weight loss journey with LIV by WellNow today
Medical Disclaimer: This review is for informational purposes only and does not constitute medical advice. GLP-1 medications are prescription drugs that should only be used under the supervision of a licensed healthcare provider. Individual results may vary.
Editorial Independence: GLP-1.Reviews maintains full editorial independence. Our scores are based on verified data and standardized criteria.








