Budget vs premium
Refills vs LIV Body: Which Costs Less Over 12 Months? (2026)
Refills or LIV Body? Side-by-side 2026 pricing, medication and service comparison, extended to six and twelve-month totals.
Published · Pricing as published in our provider dataset, synced · Editorial scores 7.7 and 7.0 out of 10
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Put Refills and LIV Body side by side and the marketing reads almost identically. The programs underneath do not.
LIV Body costs 2.5x more per month than Refills once promotional pricing is out of the picture ($249/mo against $99/mo). Over a year that gap compounds into real money, and the question is what it buys.
The comparison below starts from published pricing, converts it into annual cost, and then asks what the more expensive side is delivering for the difference. Where a provider quotes only after intake, that is recorded as the answer rather than replaced with a guess.
The short answer
- Lowest 12-month cost
- Refills — $1,188 against $2,988 at LIV Body, on each provider's own best published pricing.
- Most predictable bill
- Refills — Flat rate at every dose, so titration does not change what you are charged.
- Tirzepatide access
- Refills — The only one of the two that publishes a dual GIP/GLP-1 option.
- Easiest to pay for
- Refills — Neither publishes financing; both expect the full amount monthly.
Side-by-side comparison
The rows below are the ones that differ enough between these two to be worth your attention.
| Refills | LIV Body | |
|---|---|---|
| Advertised price | GLP-1 from $99/mo, about $5 a day | $249/mo flat at every dose |
| Rate after promotions | $99/mo | $249/mo |
| Pricing structure | Flat rate at every dose | Flat rate at every dose |
| Medication | Compounded semaglutide and GIP+GLP-1 dual agonist | Compounded semaglutide |
| Support model | No coaching program stated | Clinician messaging included |
| Shipping | Free, fast and discreet shipping on every order | Home delivery |
| Payment options | Card only, no financing published | Card only, no financing published |
| Membership fee | None | None |
| Patient reviews | 7,400 | 125,000 |
| eRxDoctor score | 7.7/10 | 7.0/10 |
The real cost: six months and twelve
Comparing entry prices across these two would be actively misleading, because they escalate differently. Below, both are carried out to six and twelve months so the comparison holds at the point it matters.
| Refills | LIV Body | |
|---|---|---|
| First month | $99 | $249 |
| Months 2 onward | $99/mo | $249/mo |
| 6-month total | $594 | $1,494 |
| 12-month total | $1,188 | $2,988 |
| Best published plan | No multi-month discount published | No multi-month discount published |
Over a year that is a $1,800 difference, in Refills's favor. Whether it is the right call depends on whether LIV Body gives you $150 a month of something you will use.
Is LIV Body worth the premium?
LIV Body charges $249/mo where Refills charges $99/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.
On the other side, Refills leads with $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing — with one qualification: clinicians come from partner networks and availability varies by state.
For a patient who has taken a GLP-1 before, knows how they titrate and needs a reliable monthly refill, the cheaper program is usually the correct one and the premium is a donation. For a first prescription, the calculus changes.
How Refills works
Refills offers personalized compounded GLP-1 from $99/month (~$5/day) with flat pricing, the same price at every dosage, plus free discreet shipping, 24/7 health concierge support, and no membership or app fees. What it is really selling here is $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing.
You start with 3-minute approval quiz; medication arrives via free, fast and discreet shipping on every order. The price behaves as flat rate at every dose.
On the clinical side, free 24/7 health concierge, prescribing compounded semaglutide and GIP+GLP-1 dual agonist.
Refills pros
- Free, fast, and discreet shipping on every order
- Free 24/7 Health Concierge support
- LegitScript-certified U.S. compounding pharmacies with third-party USP testing
- No insurance required, 3-minute approval quiz
Refills cons
- Clinicians come from partner telehealth networks (Beluga, Bask, Wasef Health)
- Compounded medication, not an FDA-approved branded product
- Availability varies by state
Where it gives ground to LIV Body: clinicians come from partner networks and availability varies by state.
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. In this pairing, its distinguishing feature is a weight loss guarantee behind the program and unlimited access to physicians and nurses.
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
Set beside Refills, the thing to weigh: $249 flat is well above the cheapest compounded competitors.
Who each program is actually built for
Choose Refills if:
- the twelve-month total is what you are optimizing ($1,188 against $2,988)
- you want tirzepatide available without changing provider later
- you want the price you sign up at to survive titration
- the monthly rate is the constraint — $99/mo against $249/mo
Choose LIV Body if:
- you want the price you sign up at to survive titration
- you would rather use the platform with the longer public record (125,000 reviews)
- the feature you would actually use: a weight loss guarantee behind the program and unlimited access to physicians and nurses
- the level of clinical contact suits you: 24/7 unlimited messaging with physicians and nurses
Honest trade-offs
On price. Refills is the cheaper program at $99/mo against $249/mo. What Refills gives up for that is clinicians come from partner networks and availability varies by state; what LIV Body charges for is a weight loss guarantee behind the program and unlimited access to physicians and nurses.
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 clinical contact. Free 24/7 health concierge at Refills; 24/7 unlimited messaging with physicians and nurses at LIV Body. Neither is a substitute for in-person care if you have complicating conditions, and both bill you directly rather than your insurer.
On medication. Refills covers compounded semaglutide and GIP+GLP-1 dual agonist; LIV Body covers compounded semaglutide. Only Refills publishes a tirzepatide route, which matters if semaglutide underdelivers.
The medication, not the platform
It is worth separating the program from the pharmacology. What follows is true of the medication regardless of which of these two writes the prescription.
Cardiovascular benefit has been demonstrated for semaglutide in a specific population: adults with overweight or obesity and existing cardiovascular disease but no diabetes, per NEJM, SELECT.
In SURMOUNT-4, stopping tirzepatide after a lead-in period produced significant weight regain, where staying on it did not, per JAMA, SURMOUNT-4.
Read alongside the pricing above, that is the case for treating the medication decision as clinical and the provider decision as commercial. They are not the same choice.
Refills vs LIV Body: common questions
Is Refills cheaper than LIV Body?
Yes, on the ongoing rate. Refills runs $99/mo once promotional pricing ends, against $249/mo at LIV Body — a difference of 2.5x. 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 Refills nor LIV Body 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.
Are Refills and LIV Body legitimate?
Both are licensed telehealth platforms that route a prescription through a clinician review before anything is dispensed; neither sells medication without one. Refills operates on flat rate at every dose with pricing published upfront, LIV Body on flat rate at every dose, published upfront. The meaningful due diligence is on the medication category and the terms, not on whether the platforms are real.
Can I switch from Refills to LIV Body later?
You can, and people do — usually when an introductory price expires. Budget for a repeat intake and a short overlap in supply, and confirm what happens to any unused portion of a multi-month plan before you cancel it.
Is Refills or LIV Body better for a first GLP-1 prescription?
First-timers usually get more from clinical access than from a lower rate, because the first two months are where most people stop. On that basis LIV Body has the stronger case; after month three, cost should take over.
Do Refills and LIV Body prescribe the same medication?
Both dispense compounded GLP-1 preparations. Refills lists compounded semaglutide and GIP+GLP-1 dual agonist and LIV Body lists compounded semaglutide, so the molecules overlap even where the formulary does not match exactly.
Does Refills or LIV Body offer tirzepatide?
Refills does. LIV Body publishes compounded semaglutide only, so moving to tirzepatide would mean moving provider — a new intake, a new price, and the loss of any rate you had locked in.
The verdict
On the numbers, Refills wins the year: $1,188 against $2,988. That is the default answer, and it is the right one for anyone who mainly needs a reliable prescription and a shipment that arrives.
The case for LIV Body is a weight loss guarantee behind the program and unlimited access to physicians and nurses. That is worth $150 a month to some patients and nothing at all to others — be honest about which you are.
Neither choice is irreversible. Start with the program whose weaknesses you can tolerate, and reassess at month three when you know how you respond to the medication.
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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 Refills or LIV Body, and does not sell treatment. Read our ranking methodology.