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Idgie Health vs Livv

Idgie Health costs $1 less a month, and both sell semaglutide and tirzepatide.

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

Idgie Health

7.5
★★★★☆3.8/5

Best for: flat any-dose compounded semaglutide at $149 a month with no membership fee

Visit Idgie Health →
VS
Livv logo

Livv

7.7
★★★★☆3.9/5

Best for: compounded semaglutide at $135/month

Visit Livv →

If you are choosing between Idgie Health and Livv, the first difference is cost: Idgie Health is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Livv leads our six-part score, 7.7 to 7.5.

Idgie Health vs Livv price

Idgie Health is the cheaper way in: $134 a month against $135 a month at Livv. That is $1 less each month (1% lower), or about $12 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Idgie Health ($134 a month vs $135 a month); tirzepatide is cheaper at Idgie Health ($179 a month vs $249 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Neither Idgie Health nor Livv publishes the states it serves, so enter your state at the very start of each sign-up.

Pricing

Idgie Health

Weekly injection, month to monthCompounded
$149/mo
semaglutide

$149 a month at every dose, with the provider evaluation, medication, injection supplies and shipping included. A 3-month plan costs $387 upfront (about $129/mo) and a 6-month plan $687 upfront (about $114/mo); both renew at the same price until you cancel, and medication still ships monthly.

Weekly injection, month to monthCompounded
$229/mo
tirzepatide

$229 a month at every dose. A 3-month plan costs $557 upfront (about $185/mo) and a 6-month plan $1,029 upfront (about $171/mo), each renewing at the same price until you cancel.

Oral ODT (dissolving tablet) with ondansetron, month to monthCompounded
$287/mo
semaglutide

A needle-free dissolving tablet that combines semaglutide with ondansetron, a prescription anti-nausea medicine. $287 month to month, or $747 upfront for 3 months (about $249/mo). No 6-month option is listed.

Oral ODT (dissolving tablet) with ondansetron, month to monthCompounded
$287/mo
tirzepatide

A needle-free dissolving tablet that combines tirzepatide with ondansetron, a prescription anti-nausea medicine. $287 month to month, or $747 upfront for 3 months (about $249/mo). This product has its own page but is not linked from the site menu.

Microdose weekly injection (below the standard starting dose), month to monthCompounded
$134/mo
semaglutide

A low-dose semaglutide plan at $134 month to month, or $377 upfront for 3 months (about $125/mo). Idgie itself describes microdosing as an off-label approach.

Microdose weekly injection (below the standard starting dose), month to monthCompounded
$179/mo
tirzepatide

A low-dose tirzepatide plan at $179 month to month, or $497 upfront for 3 months (about $165/mo). Idgie itself describes microdosing as an off-label approach.

Livv

StartingCompounded
$249/mo
tirzepatide

Range up to $270/mo

StartingCompounded
$135/mo
semaglutide

Compounded semaglutide $135/mo (6-mo plan); same price at every dose

What each price covers

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

Idgie Health is silent on lab work and coaching.

Livv is silent on lab work and coaching.

Idgie 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

Livv

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

Where each one scores higher

Overall, Livv scores 7.7 and Idgie Health 7.5 out of 10.

Livv is stronger on value (7.2 vs 6.5).

Effectiveness, user experience, trust & safety, accessibility and support are within half a point.

How we score

Idgie Health

7.5/10

Overall

Livv

7.7/10

Value25%

6.5A
vs
B
7.2

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
6.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither Idgie Health nor Livv has an FDA warning letter on record with us.

Features & Coverage

FeatureIdgie HealthLivv
Starting Price✓$134/mo$135/mo
Features✓8 features3 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Idgie Health

Idgie Health, the brand name of Feel Better Health Group, LLC, sells compounded semaglutide and tirzepatide online, prescribed by a named Seattle physician group and filled by a named Houston compounding pharmacy. It charges the same price at every dose and also sells microdose injections and needle-free dissolving tablets that pair the drug with the anti-nausea medicine ondansetron. Month to month, semaglutide is $149 and tirzepatide $229; 3 and 6-month plans paid upfront bring semaglutide down to about $114 a month.

Read our full Idgie Health review →

About Livv

Livv is a telehealth weight loss seller running compounded tirzepatide programs.

Read our full Livv review →

Pros & Cons

Idgie Health

What we like

  • Semaglutide costs $149 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $229 a month, close to 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
  • We found no FDA warning letters issued to Idgie Health

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

Livv

What we like

  • Semaglutide costs $135 a month, 27% below the $184 median for compounded semaglutide 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
  • We found no FDA warning letters issued to Livv

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: Livv

Livv wins this one, 7.7 to 7.5, above all for compounded semaglutide at $135/month. Idgie Health undercuts it by $1 a month, so if the monthly bill is what decides it, Idgie Health is the pick. Idgie Health fits better if flat any-dose compounded semaglutide at $149 a month with no membership fee is your priority.

Choose Idgie Health if…

You want flat any-dose compounded semaglutide at $149 a month with no membership fee and an opening price near $134 a month.

Choose Livv if…

You want compounded semaglutide at $135/month and an opening price near $135 a month.

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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

8.6

Found

Tirzepatide at $169/month, 37% below the typical price

Idgie Health vs Livv: FAQ

Idgie Health. It starts at $134 a month; Livv starts at $135 a month, $1 more per month.
Yes, both sell semaglutide and tirzepatide.
Idgie Health does not publish where it ships; Livv does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
Idgie Health has none. Livv has none.
No. Neither Idgie Health nor Livv pays us anything.

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