Head-to-head comparison
Livv vs Vaylen
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Livv is a longevity-first telehealth storefront selling compounded semaglutide from $159/month and compounded tirzepatide from $239/month month-to-month, flat at every dose, with consultation, shipping and unlimited messaging included.
$159/mo sema · $239/mo tirz · Verified August 2026
Marked down on: The category page advertises "Starting at $135/month" and "Starting at $199/month" without saying those are the six-month rungs; month-to-month is $159 and $239
Desk Score
The strongest all-rounder among the newer entrants — low pricing, brand access, oral routes, and all 50 states on one account.
$179/mo sema · $239/mo tirz
Marked down on: Newer operator with a shorter track record
Vaylen takes this head-to-head with the higher Desk Score, 90/100 (A−) against 72/100 (C) for Livv. Livv still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Livv
72/100
C
Vaylen
90/100
A−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Livv | Vaylen |
|---|---|---|
| Semaglutide | $159/mo$159/mo month-to-month (compounded); $145/mo on the 3-month plan, $135/mo on the 6-month plan | $179/mo$179/mo |
| Tirzepatide | $239/mo$239/mo month-to-month (compounded); $219/mo on the 3-month plan, $199/mo on the 6-month plan | $239/mo$239/mo |
| Coverage | 44 states plus Puerto Rico | All 50 states |
| Brand-name | Compounded only | Yes |
| Oral option | Injectable only | Yes |
| Best for | People who want a GLP-1 alongside a wider longevity, hormone and wellness menu from one portal — and who will read the product page's plan selector rather than the category page's headline. | People who want maximum optionality — brand or compounded, oral or injectable — without giving up nationwide reach. |
| Desk Score | 72/100C | 90/100A− |
The verdict
Desk pick — VaylenVaylen takes this head-to-head with the higher Desk Score, 90/100 (A−) against 72/100 (C) for Livv. Livv still holds its ground where its strengths line up with yours.
Choose Livv if…
People who want a GLP-1 alongside a wider longevity, hormone and wellness menu from one portal — and who will read the product page's plan selector rather than the category page's headline.
$159/mo sema · $239/mo tirz · 44 states plus Puerto Rico
Choose Vaylen if…
People who want maximum optionality — brand or compounded, oral or injectable — without giving up nationwide reach.
$179/mo sema · $239/mo tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Livv · Vaylen.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- CoreAge Rx vs Livv
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- Ondra Health vs Vaylen
- Livv vs Trimi
- Sesame Care vs Vaylen
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.