LIV by WellNow Review 2026
Reviewed August 5, 2026 · Compounded only — compounded semaglutide, explicitly stated as not FDA-approved or evaluated for safety, efficacy or quality
Visit LIV by WellNow WebsiteOverview
LIV by WellNow is the weight-loss arm of the WellNow urgent care network, and it behaves more like a clinical service than a subscription product. Everything is bundled into one $279/month price — medication, supplies and unlimited virtual visits — with no hidden fees, and medication is delivered monthly. What sets it apart is the eligibility disclosure: LIV publishes not just BMI thresholds (30+, or 27+ with a weight-related comorbid condition such as high cholesterol or hypertension) but also the specific exclusions, naming pregnancy, trying to conceive, and personal or family history of pancreatitis, medullary thyroid cancer or multiple endocrine neoplasia. Very few competitors publish contraindications at all. It also states plainly that compounded semaglutide is not approved or evaluated for safety, efficacy or quality by the FDA. The trade-offs are price and reach: $279 is well above the compounded market, and LIV serves only Illinois, Indiana, Michigan, New York and Pennsylvania.
Medications Offered
Brand-name or compounded: Compounded only — compounded semaglutide, explicitly stated as not FDA-approved or evaluated for safety, efficacy or quality
- Compounded semaglutide — the only GLP-1 offered
- Medication, supplies and unlimited virtual visits bundled into the $279/month price
- Explicitly stated: 'Compounded semaglutide is not approved or evaluated for safety, efficacy, or quality by FDA'
- No compounded tirzepatide offered
- No brand-name Ozempic, Wegovy, Mounjaro or Zepbound offered
Consultation Process
Online health assessment
You complete an online health assessment including your current height and weight.
Provider review, possibly with a visit
A provider may meet with you to discuss your history and goals. Same-day approval is available.
Membership starts at $279/month
One price covers medication, supplies and unlimited virtual visits — there is nothing metered or billed separately.
Monthly delivery
Medication is delivered to your door once a month following approval.
Eligibility
- Age 18 or older
- BMI of 30 or above, OR BMI of 27 or above with a weight-related comorbid condition such as high cholesterol or hypertension
- Ineligible if pregnant or trying to become pregnant
- Ineligible with a personal or family history of pancreatitis, medullary thyroid cancer, or multiple endocrine neoplasia
Provider Involvement
Unlimited virtual visits are included in the membership rather than metered, which removes the financial disincentive to check in when side effects appear — a genuinely patient-favourable design that most subscription platforms do not offer. LIV also benefits from sitting inside an established urgent care network, so escalation pathways exist beyond telehealth.
Lab Requirements
Not published. LIV's published exclusions cover history-based contraindications rather than lab values. Ask your provider whether baseline kidney function, A1c and lipids are advisable for you.
Pharmacy Fulfillment
Not published. LIV states the medication is compounded semaglutide and is explicit that it is not FDA-evaluated, but does not name the compounding pharmacy. Ask which facility fills your prescription and whether it is 503A or 503B.
Shipping Frequency
Medication is delivered to your door once a month following approval, matching the monthly membership cycle.
Membership Fees vs. Medication Fees
Membership fees
$279 per month, described as covering everything — medication, supplies and unlimited virtual visits — with no hidden fees. There is no separate medication charge.
Medication fees
- $279/month all-inclusive: compounded semaglutide, supplies and unlimited virtual visits
- A 'save $30/mo' offer was referenced at the time of review
- No separate consultation, shipping or supply charges
Cancellation & Refund Policy
Cancellation
Not published. Because the membership recurs monthly, confirm the cancellation process and any notice period before enrolling.
Refunds
Not published on the pages we reviewed.
Insurance
LIV is cash-pay for its compounded program. It does note, helpfully, that if you are diabetic you should seek information from your primary care doctor because brand-name semaglutide may be covered by your insurance — pointing patients toward a potentially cheaper and FDA-approved route rather than keeping them in-house.
HSA / FSA
Not stated. Cash-pay medical membership charges are commonly HSA/FSA-eligible with documentation — confirm with LIV and your plan administrator.
See our GLP-1 insurance and HSA/FSA guide for how reimbursement works in practice.
Support Services
- Unlimited virtual visits included in the membership
- Injection supplies included
- Same-day approval available
- Backed by the WellNow urgent care network
- Monthly home delivery
State Availability
Illinois, Indiana, Michigan, New York and Pennsylvania. A narrow footprint, but published clearly rather than left vague.
Pros
- Genuinely all-inclusive at $279/month — medication, supplies and unlimited virtual visits
- Publishes complete eligibility criteria including named contraindications
- Unlimited virtual visits included rather than metered
- Explicit statement that compounded semaglutide is not FDA-approved or evaluated
- Same-day approval available
- Backed by an established urgent care network
Cons
- $279/month is expensive relative to compounded competitors
- Only five states served
- Compounded semaglutide only — no tirzepatide or brand-name option
- Pharmacy partners not named
- Cancellation and refund terms not published
Who LIV by WellNow May Be Best For
- Patients in Illinois, Indiana, Michigan, New York or Pennsylvania
- People who want unlimited clinician access without per-visit charges
- Patients who want to know the exclusion criteria before applying
- Anyone who values a provider connected to a physical urgent care network
Limitations
- $279/month is well above the compounded market average
- Five states only
- Compounded semaglutide only — no tirzepatide or brand-name option
- Pharmacy partners not named
- Cancellation and refund terms not published
Reputation & Trust
LIV publishes more clinical detail than almost any compounded competitor: full BMI criteria, named contraindications including pancreatitis and MEN, an explicit FDA non-evaluation statement, and a published state list. It also actively points diabetic patients toward insurance-covered brand-name semaglutide, which works against its own revenue. Backing from an established urgent care network adds institutional weight. The unpublished cancellation terms and unnamed pharmacy are the remaining gaps.
What Makes LIV by WellNow Different
- Publishes named contraindications, not just BMI thresholds
- Unlimited virtual visits included in the flat monthly price
- One all-inclusive price with medication and supplies bundled
- Backed by the WellNow urgent care network
- Points diabetic patients toward potentially insurance-covered brand-name options
Our Verdict
LIV by WellNow earns 4/5 for treating patients like patients. Publishing full eligibility criteria including named contraindications, bundling unlimited virtual visits into the price so checking in costs nothing, stating outright that compounded semaglutide is not FDA-evaluated, and pointing diabetic patients toward potentially insurance-covered brand-name alternatives are all things a purely commercial operator would not do. The urgent care network behind it adds real substance. The problems are price and reach: $279/month is two to three times what the cheapest compounded providers charge, and only five states are served. If you live in one of them and want clinical access over the lowest price, it is a solid choice.
Alternatives to LIV by WellNow
All-inclusive compounded plans at a third of the price, with named pharmacies.
$99/month semaglutide with a free physician visit and 50-state coverage.
Another health-system-backed option, with insurance accepted and no membership fee.
Insurance-first brand-name prescribing if you want FDA-approved medication.
Compare more options on our best online GLP-1 providers and cheapest GLP-1 programs pages.
Frequently Asked Questions
What does LIV by WellNow's $279 include?
Everything — compounded semaglutide medication, injection supplies and unlimited virtual visits, delivered monthly, with no hidden fees. There is no separate medication charge, consultation fee or shipping cost.
Who qualifies for LIV by WellNow?
LIV publishes its criteria: age 18+, and a BMI of 30 or above, or 27 or above with a weight-related comorbid condition such as high cholesterol or hypertension. You are ineligible if pregnant or trying to conceive, or with a personal or family history of pancreatitis, medullary thyroid cancer, or multiple endocrine neoplasia.
Which states does LIV by WellNow serve?
Illinois, Indiana, Michigan, New York and Pennsylvania.
Is $279 a month worth it?
It is roughly double to triple what the cheapest compounded providers charge for semaglutide. What you get for the difference is unlimited virtual visits included, supplies bundled, published contraindications and an urgent care network behind the service. If you want clinical access rather than the lowest price, that is a defensible trade — but shop it against providers charging $86-$149.
Important Notes & Warnings
- Compounded semaglutide is NOT approved or evaluated for safety, efficacy or quality by the FDA — LIV states this itself.
- Available only in Illinois, Indiana, Michigan, New York and Pennsylvania.
- Cancellation and refund terms are not published — confirm before enrolling in a recurring membership.
- If you have diabetes, brand-name semaglutide may be covered by your insurance — LIV itself recommends checking with your primary care doctor.
- Contraindicated with a personal or family history of pancreatitis, medullary thyroid carcinoma or MEN.
Sources
- LIV by WellNow weight loss GLP-1 page, liv.wellnow.com (accessed August 2026)
- Google Search results collected via Bright Data SERP API, August 2026
Medical Disclaimer
This review is for informational purposes only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with real risks and contraindications. Only a licensed clinician who has evaluated you can decide whether any medication is appropriate. Talk to a healthcare provider before starting, changing, or stopping any treatment, and call emergency services for urgent symptoms.
Facts in this review were compiled from the provider's own public website and public search results as of August 5, 2026. Prices, medication availability, pharmacy partners, and policies change frequently and vary by state — verify everything directly with the provider before purchasing.
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