Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

Aquivia Health vs LifeMD

Aquivia Health and LifeMD both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Aquivia Health logo

Aquivia Health

6.0
★★★☆☆3/5

Best for: moving between compounded and brand without changing seller

Visit Aquivia Health →
VS
LifeMD logo

LifeMD

7.9
★★★★☆4/5

Best for: bloodwork inside the monthly price rather than billed on top

Visit LifeMD →

If you are choosing between Aquivia Health and LifeMD, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. LifeMD leads our six-part score, 7.9 to 6.0.

Aquivia Health vs LifeMD price

Aquivia Health and LifeMD start at the same figure, $149 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $149 a month; tirzepatide is cheaper at Aquivia Health ($179 a month vs $349 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, Aquivia Health prices compounded injections and brand-name pens, while LifeMD prices brand-name pens.

Where each one treats patients

Aquivia Health does not publish where it ships, and LifeMD lists 50 states.

Pricing

Aquivia Health

Compounded semaglutide, 4-week supply (same price all doses)Compounded
$149/mo
semaglutide
Compounded tirzepatide, 4-week supply (same price all doses)Compounded
$179/mo
tirzepatide
Compounded semaglutide, 52-week prepay (13 shipments, $2,327 one-time)Compounded
$179/mo
semaglutide
Compounded tirzepatide, 52-week prepay (13 shipments, $3,497 one-time)Compounded
$269/mo
tirzepatide
Branded Ozempic, 4-week supply (semaglutide, all doses)Brand-name
$1299/mo
semaglutide
Branded Zepbound, 4-week supply (tirzepatide, all doses)Brand-name
$1399/mo
tirzepatide

LifeMD

Program & provider feemonthly subscription
$149$75/mo
Save 50% right now
program-fee

First month $75, then $149/mo. Brand medication billed separately, or $0-$25/mo copay with commercial insurance.

Wegovy pill (oral semaglutide)Brand-name
$149/mo
wegovy

Medication only; plus the $149/mo program fee.

Wegovy penBrand-name
$199/mo
wegovy

Medication only (starting); plus the program fee. As low as $0-$25/mo with insurance.

Zepbound vialBrand-name
$349/mo
zepbound

Medication only; plus the $149/mo program fee.

What each price covers

Both prices cover the clinician visit.

Aquivia Health's price also covers the medication itself and shipping, which LifeMD does not claim.

LifeMD's price also covers lab work and coaching, which Aquivia Health does not claim.

Aquivia Health is silent on lab work and coaching.

LifeMD is silent on shipping.

That matters most for the drug: unless LifeMD confirms otherwise, budget for medication on top of its listed price.

Aquivia Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

LifeMD

Covered by the monthly price

Medication

Charged on top

Clinician visits

In the price

Shipping

Not stated

Lab work

In the price

Coaching

In the price

Where each one scores higher

Overall, LifeMD scores 7.9 and Aquivia Health 6.0 out of 10.

Aquivia Health is stronger on support (7.0 vs 5.5).

LifeMD is stronger on value (10.0 vs 7.4), trust & safety (6.0 vs 0.0) and accessibility (10.0 vs 5.0).

Effectiveness and user experience are within half a point.

How we score

Aquivia Health

6.0/10

Overall

LifeMD

7.9/10

Value25%

7.4A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
3.0

Trust & Safety15%

0.0A
vs
B
6.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

7.0A
vs
B
5.5

FDA warning letters

Neither Aquivia Health nor LifeMD has an FDA warning letter on record with us.

Features & Coverage

FeatureAquivia HealthLifeMD
Starting Price$149/mo$149/mo
Features✓7 features0 features
States AvailableNot disclosed50
Compounded✓ Yes—
Brand Name✓ Yes✓ Yes
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Aquivia Health

Every dose of compounded semaglutide costs $149/mo and every dose of compounded tirzepatide $179/mo. Patients who want a branded drug can move up to Ozempic or Zepbound, a pairing few compounded sellers offer. Aquivia Health is clinician-led and self-pay. Open Loop Healthcare Partners delivers the care. The founders are named, headed by a Chief Medical Officer and a Chief Pharmacist whose background is in 503A.

Read our full Aquivia Health review →

About LifeMD

LifeMD is a publicly traded telehealth seller. It carries brand-name GLP-1 medications only.

Read our full LifeMD review →

Pros & Cons

Aquivia Health

What we like

  • Semaglutide costs $149 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $179 a month, 28% below the $250 median for compounded tirzepatide across the sellers we compare
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to Aquivia Health

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

LifeMD

What we like

  • Semaglutide costs $149 a month, 85% below the $990 median for brand-name semaglutide across the sellers we compare
  • Tirzepatide costs $349 a month, 72% below the $1249 median for brand-name tirzepatide across the sellers we compare
  • The monthly price includes clinician visits, lab work and coaching
  • Serves all 50 states
  • We found no FDA warning letters issued to LifeMD

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Not included in the monthly price: medication
  • Ask which pharmacy fills the prescription before you pay, so you can check its license

Our Verdict

Winner: LifeMD

LifeMD wins this one, 7.9 to 6.0, above all for bloodwork inside the monthly price rather than billed on top. Aquivia Health fits better if moving between compounded and brand without changing seller is your priority.

Choose Aquivia Health if…

You want moving between compounded and brand without changing seller and an opening price near $149 a month.

Choose LifeMD if…

You want bloodwork inside the monthly price rather than billed on top and an opening price near $149 a month.

Ready to start? GLP-1 providers we have vetted

Telehealth providers, vetted by us, prescribing GLP-1 online.

Vetted by our editors · no insurance required

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

6.6

Willow

Seeing what it charges before you answer any medical questions

6.5

Sesame Care

Oral orforglipron alongside the injectables

8.4

Collective

Flat any-dose pricing, if you can absorb a $199 annual membership on top

Aquivia Health vs LifeMD: FAQ

Neither on the entry price: Aquivia Health and LifeMD both start at about $149 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Aquivia Health does not publish where it ships; LifeMD lists 50 states. Confirm your state before paying.
Both include the clinician visit. Only Aquivia Health includes the medication itself and shipping. Only LifeMD includes lab work and coaching.
Aquivia Health has none. LifeMD has none.
No. Neither Aquivia Health nor LifeMD pays us anything.

Or see the full category ranking.

Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.