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bmiMD vs Livbetr

bmiMD and Livbetr both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
bmiMD logo

bmiMD

9.1
★★★★★4.6/5

Best for: starting below a standard dose, with microdose tiers

Visit bmiMD →
VS

Livbetr

8.5
★★★★☆4.3/5

Best for: dose-flat compounded GLP-1 pricing with a coach, if you check the renewal cycle before paying

Visit Livbetr →

If you are choosing between bmiMD and Livbetr, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. bmiMD leads our six-part score, 9.1 to 8.5.

bmiMD vs Livbetr price

bmiMD and Livbetr start at the same figure, $99 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, $99 a month; tirzepatide is cheaper at Livbetr ($129 a month vs $139 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

bmiMD lists 50 states, and Livbetr does not publish where it ships.

Pricing

bmiMD

Compounded semaglutide injection (all doses, flat)Compounded
$99/mo
semaglutide

Price depends on plan length: $99/mo on a 12-month plan ($1,188.00 total), $109/mo for 6 months, $119/mo for 3 months, $129/mo on a 1-month plan. Same price at every dose; provider visit and free shipping included.

Compounded tirzepatide injection (all doses, flat)Compounded
$139/mo
tirzepatide

Price depends on plan length: $139/mo on a 12-month plan ($1,668.00 total), $149/mo for 6 months, $159/mo for 3 months, $179/mo on a 1-month plan. Same price at every dose.

Semaglutide Microdose (new product line)Compounded
$99/mo
semaglutide

Strike-through pricing shown: $151.20 -> $99/mo (12-mo) up to $199.80 -> $129/mo (monthly), labeled 'Limited time offer'. bmimd.com/glp-1-microdose/.

Tirzepatide Microdose (new product line)Compounded
$139/mo
tirzepatide

Strike-through pricing shown: $250.20 -> $139/mo (12-mo) up to $299.70 -> $179/mo (monthly), labeled 'Limited time offer'. bmimd.com/glp-1-gip-microdose/.

Livbetr

Weekly injection, standard short plan (renews every 21 days per the refund policy)Compounded
$99/mo
semaglutide

$99 per billing cycle on the checkout page, the same at any dose, with supplies and overnight shipping included. Under the refund policy this plan bills on a 21-day cycle, which allows as many as 18 payments in the first year. A 12-month package is listed at $1,280, shown at $780 after a new-patient discount, in one payment.

Weekly injection, standard short plan (renews every 21 days per the refund policy)Compounded
$129/mo
tirzepatide

$129 per billing cycle on the checkout page, the same at any dose, with supplies and overnight shipping included. Like the semaglutide plan, it renews every 21 days under the refund policy.

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Livbetr's price also covers coaching, which bmiMD does not claim.

bmiMD is silent on lab work and coaching.

Livbetr is silent on lab work.

bmiMD

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

Livbetr

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

In the price

Where each one scores higher

Overall, bmiMD scores 9.1 and Livbetr 8.5 out of 10.

bmiMD is stronger on trust & safety (8.5 vs 6.5) and accessibility (10.0 vs 5.0).

Livbetr is stronger on support (8.5 vs 7.0).

Value, effectiveness and user experience are within half a point.

How we score

bmiMD

9.1/10

Overall

Livbetr

8.5/10

Value25%

9.6A
vs
B
9.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

8.5A
vs
B
6.5

Accessibility10%

10.0A
vs
B
5.0

Support10%

7.0A
vs
B
8.5

FDA warning letters

Neither bmiMD nor Livbetr has an FDA warning letter on record with us.

Features & Coverage

FeaturebmiMDLivbetr
Starting Price$99/mo$99/mo
Features2 features✓7 features
States Available50Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted—✓ Yes
FDA Warning LettersNoneNone

About bmiMD

bmiMD is a medical weight loss clinic that prescribes GLP-1 medications through telehealth.

Read our full bmiMD review →

About Livbetr

Livbetr is a cash-pay GLP-1 program that sells compounded semaglutide and tirzepatide at one price for every dose, with clinicians from the OpenLoop network and a 1:1 care coach. Its checkout lists the standard plan at $99 for semaglutide and $129 for tirzepatide, while the homepage advertises a lower sale price that checkout does not show. The refund policy says the short plan renews every 21 days rather than monthly, which means up to 18 charges in a year.

Read our full Livbetr review →

Pros & Cons

bmiMD

What we like

  • Semaglutide costs $99 a month, 47% below the $188 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $139 a month, 44% below the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • Serves all 50 states
  • We found no FDA warning letters issued to bmiMD

Watch-outs

  • 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

Livbetr

What we like

  • Semaglutide costs $99 a month, 47% below the $188 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $129 a month, 48% below the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits, shipping and coaching
  • We found no FDA warning letters issued to Livbetr

Watch-outs

  • 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

Our Verdict

Winner: bmiMD

bmiMD wins this one, 9.1 to 8.5, above all for starting below a standard dose, with microdose tiers. Livbetr fits better if dose-flat compounded GLP-1 pricing with a coach, if you check the renewal cycle before paying is your priority.

Choose bmiMD if…

You want starting below a standard dose, with microdose tiers and an opening price near $99 a month.

Choose Livbetr if…

You want dose-flat compounded GLP-1 pricing with a coach, if you check the renewal cycle before paying and an opening price near $99 a month.

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8.5

Strut Health

Semaglutide at $99/month, 48% below the typical price

8.4

Enhance MD

Knowing which pharmacy fills the vial: it names Tru Meds Rx

6.1

DudeMeds

Compounded semaglutide at $175/month

bmiMD vs Livbetr: FAQ

Neither on the entry price: bmiMD and Livbetr both start at about $99 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
bmiMD lists 50 states; Livbetr does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping. Only Livbetr includes coaching.
bmiMD has none. Livbetr has none.
bmiMD pays us a commission on sign-ups through our links; Livbetr does not. Scores are computed the same way for both.

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