GLP Watchdog

Direct Meds vs Live Vital

Direct Meds has an open FDA warning letter dated September 9, 2025. Live Vital has none. No price lines up like for like. They share compounded semaglutide injection, but Live Vital's $130 is a prepaid rate.

To see where both sit among the other sellers, read our best weight-loss injection providers board.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

Direct Meds / Live Vital

Direct Meds logo

Direct Meds

7.1/10

Live Vital logo

Live Vital

8.2/10

FDA warning letters
None on record
Pharmacy
None named in our record
None named in our record
Lowest standing price
$249/moCompounded oral semaglutide
$130/moCompounded semaglutide injection, prepaid plan
States
48 states and DC
All 50 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit Direct Meds
Visit Live Vital

Both Direct Meds and Live Vital are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, Live Vital 8.2). How we are paid

What the record shows

  1. 01

    Direct Meds has an open FDA warning letter dated September 9, 2025. Live Vital has none.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    No price lines up like for like. They share compounded semaglutide injection, but Live Vital's $130 is a prepaid rate.

  4. 04

    Only Direct Meds lists a price for compounded oral semaglutide and compounded oral tirzepatide.

  5. 05

    Live Vital covers two states Direct Meds does not.

  6. 06

    Direct Meds holds you to a 90-day supply shipped at once, remaining months billed every 30 days; Live Vital states you can cancel at any time.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Direct Meds

Live Vital

Compounded semaglutide injection

$297/mo

$3,564 a year

$130/mo

prepaid plan; not compared

Compounded tirzepatide injection

$399/mo

$4,788 a year

$239/mo

prepaid plan; not compared

Compounded oral semaglutide

$249/mo

$2,988 a year

Not sold or not priced
Compounded oral tirzepatide

$299/mo

$3,588 a year

Not sold or not priced
Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
No
Yes, stated
Minimum term
90-day supply shipped at once, remaining months billed every 30 days
10-week protocol paid upfront
Refunds
No refunds for medication already received; $35 disposal fee on returns
Consult refunds at the practice's discretion; medication generally non-refundable once ordered or dispensed

Read off each seller’s own pages. Direct Meds: October 17, 2026. Live Vital: October 17, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Direct Meds

7.1/10
  • Sells compounded oral semaglutide and compounded oral tirzepatide, which Live Vital does not price
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel
Visit Direct Meds

The case for Live Vital

8.2/10
  • No FDA warning letter on record
  • States you can cancel at any time
  • Names no compounding pharmacy
  • Lowest price is a prepaid rate
Visit Live Vital

Scores

Direct Meds 7.1 · Live Vital 8.2 out of 10. Six weighted parts.

Value25%

4.2A
vs
B
6.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

4.5A
vs
B
8.5

Accessibility10%

9.7A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

Direct Meds vs Live Vital: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. Live Vital has none. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
No price lines up like for like. They share compounded semaglutide injection, but Live Vital's $130 is a prepaid rate. We only set two prices against each other when they are for the same product and both are standing month-to-month or 4-week rates.
Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days). Live Vital states you can cancel at any time; refunds: consult refunds at the practice's discretion; medication generally non-refundable once ordered or dispensed.
Both Direct Meds and Live Vital are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, Live Vital 8.2).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register