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Budget vs premium

LIV Body vs Novi: Which Costs Less Over 12 Months? (2026)

Compare LIV Body and Novi on real cost over 12 months, medication type, price stability and support. Independent 2026 analysis, no first-month gimmicks.

Published · Pricing as published in our provider dataset, synced · Editorial scores 7.0 and 7.0 out of 10

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Both LIV Body and Novi will get a GLP-1 prescription to your door without an in-person visit. The question is what the year after that first shipment looks like.

On the number that matters after the first month, they are not close: Novi runs $133/mo against $249/mo at LIV Body — 87% more, every month, for the same drug class.

What follows is a like-for-like read of both programs: entry pricing, maintenance pricing, formulary, support model and the terms attached to each. Undisclosed pricing is treated as a finding, not rounded into an estimate.

The short answer

Lowest 12-month cost
Novi$1,596 against $2,988 at LIV Body, on each provider's own best published pricing.
Most predictable bill
LIV BodyFlat rate at every dose, so titration does not change what you are charged.
Tirzepatide access
NoviTirzepatide at $166/mo; the other side publishes semaglutide only.
Most support included
LIV Body24/7 unlimited messaging with physicians and nurses.

The short version: LIV Body vs Novi

Every figure below is the provider's own published number. The blank spaces are theirs, not ours.

 LIV BodyNovi
Advertised price$249/mo flat at every doseSemaglutide from $133/mo, tirzepatide from $166/mo
Rate after promotions$249/mo$133/mo
Pricing structureFlat rate at every dosePublished rate per medication
MedicationCompounded semaglutideCompounded semaglutide and compounded tirzepatide
State coverageNot publishedNot published
How fast you startOnline intakeOnline intake
Membership feeNoneNone
Payment optionsCard only, no financing publishedCard only, no financing published
Patient reviews125,00050,124
eRxDoctor score7.0/107.0/10

LIV Body vs Novi on total cost, not entry price

Trial data runs to 68 and 72 weeks; the pricing people compare runs to 30 days. The totals below are the honest version, built from the rates each provider publishes.

 LIV BodyNovi
First month$249$133
Months 2 onward$249/mo$133/mo
6-month total$1,494$798
12-month total$2,988$1,596
Best published planNo multi-month discount publishedNo multi-month discount published

The twelve-month spread is $1,392. That is the number to hold LIV Body against: it has to justify roughly $116 extra every month.

What the price difference actually buys

LIV Body charges $249/mo where Novi charges $133/mo. A premium is defensible only if it maps to something specific, so here is what LIV Body puts behind it: 24/7 unlimited messaging with physicians and nurses, and home delivery.

Novi counters with the narrowest gap here between semaglutide and tirzepatide pricing, at $133 and $166, and the thing it asks you to accept in return: the $133 rate depends on a $200-off promotion and there is no outcome guarantee.

The premium buys attention. If you expect to need it — first GLP-1, side effects you will want triaged quickly, a history of stalling around week ten — it is money well spent. If you do not, it is not.

LIV Body in detail

LIV Body is a flat-rate compounded semaglutide program at $249/month with 24/7 unlimited messaging, a weight loss guarantee, and 125,000+ members.

The process is online intake, then home delivery. On money, expect flat rate at every dose — published upfront.

Behind the prescription sits 24/7 unlimited messaging with physicians and nurses. Available medication: compounded semaglutide.

LIV Body pros

  • 24/7 unlimited messaging with physicians and nurses
  • Flat-rate pricing, the same price at every dose with no hidden fees
  • Weight loss guarantee backing the program

LIV Body cons

  • Uses compounded GLP-1 medications, not brand-name FDA-approved drugs
  • At $249/mo it is well above the cheapest compounded competitors

Read next to Novi, the weak point: $249 flat is well above the cheapest compounded competitors.

How Novi works

Novi positions itself on the narrowest gap here between semaglutide and tirzepatide pricing, at $133 and $166. $200 OFF - GLP-1 for $133 Today

Getting started means online intake, after which free 2-day shipping with every order. Pricing runs on a published rate per medication basis, published upfront.

On the clinical side, no long-term contract, cancel anytime, prescribing compounded semaglutide and compounded tirzepatide.

Novi pros

  • No insurance required and no long-term contract, cancel anytime
  • $200 off promotion brings GLP-1 to $133 today
  • Largest patient base on this list, 50,000+ patients, signaling operational maturity
  • Competitive pricing: semaglutide from $133/month and tirzepatide from $166/month

Novi cons

  • Tirzepatide ($166) costs more than the semaglutide entry rate
  • Compounded medication only, no branded Ozempic, Wegovy, or Zepbound
  • No published outcome or weight loss guarantee

The reservation worth holding, particularly next to LIV Body: the $133 rate depends on a $200-off promotion and there is no outcome guarantee.

Who should choose LIV Body, and who should choose Novi

Choose LIV Body if:

  • delivery works the way you want it to: home delivery
  • what it leads on is worth paying for in your case: a weight loss guarantee behind the program and unlimited access to physicians and nurses
  • you want the price you sign up at to survive titration
  • you want to start on their timeline: online intake

Choose Novi if:

  • you want to start on their timeline: online intake
  • the level of clinical contact suits you: no long-term contract, cancel anytime
  • delivery works the way you want it to: free 2-day shipping with every order
  • you want tirzepatide available without changing provider later

Honest trade-offs

On price. The monthly gap is 87% in Novi's favor. Whether that is a saving or a false economy turns on one thing: the $133 rate depends on a $200-off promotion and there is no outcome guarantee.

On commitment. Neither publishes a multi-month discount, so both are month-to-month decisions and neither asks you to prepay for a response you have not had yet. Neither publishes financing options, so plan for the full amount each month.

On predictability. The pricing structures differ (flat rate at every dose versus published rate per medication), and structure, not headline rate, determines the twelve-month bill.

On access. LIV Body advertises online intake and home delivery; Novi advertises online intake and free 2-day shipping with every order. Neither publishes its state coverage, so confirm you are eligible before paying for anything.

Evidence and regulatory status

The efficacy data people cite when comparing these platforms is not platform data. It comes from trials of the underlying medication, and it applies to both.

NIDDK frames medication as one component of obesity treatment rather than a replacement for the rest of it, per NIH, NIDDK.

The FDA approved tirzepatide for chronic weight management in November 2023, two years after semaglutide, per FDA.

Use it as the floor for the conversation with whichever prescriber you end up with, rather than as a reason to pick one platform over the other.

LIV Body vs Novi: common questions

Which is cheaper to start, LIV Body or Novi?

Novi, at $133 against $249. Note that the cheapest first month and the cheapest year are often different providers here — check the 12-month row of the cost table before deciding on the entry price.

Which costs less over a year, LIV Body or Novi?

Novi, at roughly $1,596 for twelve months against $2,988 at LIV Body, using each provider's own best published pricing. Those totals cover medication and program fees as published; they exclude anything a provider bills separately, and they assume you stay on the same plan for the full year.

Is Novi cheaper than LIV Body?

Yes, on the ongoing rate. Novi runs $133/mo once promotional pricing ends, against $249/mo at LIV Body — a difference of 87%. Compare the first-month offers separately, because both providers discount entry differently from the rate you will actually be paying by month three.

What happens if I stop taking the medication?

Neither LIV Body nor Novi penalizes you for stopping, but the medication does. The published follow-up data on withdrawal shows substantial regain, which is why the twelve-month totals above matter more than either provider's introductory offer.

How fast can I start with LIV Body compared with Novi?

LIV Body advertises online intake, with home delivery. Novi advertises online intake, with free 2-day shipping with every order. Both are subject to clinician review and to whether your state and health history clear, so treat the advertised timeline as a best case rather than a commitment.

Do LIV Body or Novi take insurance?

Both run on a direct-pay basis: you pay the platform and it does not bill your insurer. Neither publishes HSA/FSA acceptance, so budget the full amount as out-of-pocket spending.

Which has more patient reviews, LIV Body or Novi?

LIV Body, with 125,000 against 50,124. Ratings across this market cluster tightly, so volume is the more useful signal: it indicates how much operational load the platform has already absorbed, not how good the medication is.

The verdict

Novi is the cheaper year by $1,392, and for a straightforward course of treatment that settles it.

Where LIV Body justifies itself is a weight loss guarantee behind the program and unlimited access to physicians and nurses. Where it does not is anywhere the extra spend buys features you will never open.

Whichever you choose, diarise the month the introductory pricing ends and re-run the comparison then. Neither platform will remind you.

Keep comparing

See every provider in context on the weight loss rankings, or browse the full comparison index.

Disclaimers and methodology

Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.

Some links are affiliate links and may generate commission at no extra cost to you.

Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.

eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by LIV Body or Novi, and does not sell treatment. Read our ranking methodology.