Bliv review
No-call approval, plan-based pricing
An online-only GLP-1 service from Utah that approves compounded semaglutide and tirzepatide from a written intake, priced by plan length, with an FDA warning letter on record.
Our verdict
Bliv is built for speed: you answer a medical questionnaire, a licensed clinician reviews it, usually within a day, and nobody calls or video-chats with you unless something needs clarifying. For people who find live visits a hassle, that's the draw. The prices are harder to pin down. Compounded semaglutide is advertised from $116 a month and tirzepatide from $199, both with a note that the figure depends on plan structure, which points to the lowest rates applying to longer plans. A $58 headline appears next to a limited-time discount banner. Refunds are tight, at 72 hours and only before your prescription reaches the pharmacy. And in February 2026 the FDA sent Bliv a warning letter about how its site presented its compounded drugs.
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FDA warning letter on record — public record, does not change our verdict.
At a glance
- Category
- GLP-1 telehealth
- Access
- Compounded semaglutide from $116/mo, tirzepatide from $199/mo, depending on plan length; brand-name route is a $249 three-month membership plus the drug
- Medications
- Compounded semaglutide · Compounded tirzepatide · Branded
- Visit
- Quiz intake / Async intake
- Availability
- 49 states (not Wyoming)
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
Bliv is the trade name of Bliv Wellness LLC, based at 2411 Kiesel Avenue in Ogden, Utah. It's a telehealth platform for GLP-1 weight loss that also lists ED, hair loss and peptide treatments, and it says it has more than 30,000 customers. It sells compounded semaglutide and tirzepatide, and a separate brand-name route for Zepbound and Wegovy. Its terms list current licenses in 49 states, every state except Wyoming. Care comes from board-certified, U.S.-licensed clinicians, and the company offers phone and text support, unlimited nurse calls on its brand-name plans, and a free online community with dietitian-led nutrition guidance. It doesn't name the pharmacy that compounds its drugs or display a LegitScript seal. It accepts no insurance for its own fees.
How it works
You choose a treatment, then complete an online medical intake. A licensed clinician reviews it and, if the medication suits you, writes the prescription, usually within a day and with no phone or video visit. Compounded medication is filled by a U.S. pharmacy and shipped free in discreet packaging, typically within three to five days. On the brand-name route, you pick a membership and the prescription is filled through Amazon Pharmacy, with the drug bought from the manufacturer's cash program or billed to your insurance. Members get side-effect management, nurse calls and live support. Because the whole process is written, it's quick, but you won't build a relationship with one prescriber, so use the nurse line and messages if your dose or side effects need attention. Shipping is free, and brand-name orders are advertised as arriving in about three days.
Pricing transparency
On the compounded side, semaglutide is shown as low as $116 a month and tirzepatide as low as $199 a month, each marked as based on plan structure and eligibility; the site doesn't publish a one-month price or the dose schedule. The headline "as low as $58" sits beside a limited-time 50% discount banner. On the brand-name side, the membership costs $249 for three months, $449 for six or $849 for twelve, and the drug is extra: Zepbound from $299 a month, then $399 to $449, the Wegovy pen from $199, then $349, and the Wegovy pill from $149, then $199 to $299. The homepage promises no contracts, but the terms say the membership fee is paid in one sum and is non-refundable after 72 hours. Financing through CareCredit and Klarna is available. Because the plans are paid up front, trying it for a single month may cost more than the monthly figure suggests.
Branded vs compounded
Bliv's compounded semaglutide and tirzepatide are prepared and dispensed by licensed U.S. pharmacies under a prescription; it doesn't name them. These are not the FDA-approved Wegovy or Zepbound, and the weight-loss trial results belong to the brands. On February 20, 2026, the FDA issued warning letter #721479 to Bliv Wellness LLC after reviewing its website: product images showed "Bliv" on the label of compounded semaglutide and tirzepatide, which the FDA said falsely suggested Bliv compounds the drugs when it doesn't. A warning letter is a public record to weigh, not a ban, but ask which pharmacy will fill your order. The brand-name route uses the FDA-approved Zepbound, Wegovy pen and Wegovy pill, filled through Amazon Pharmacy.
FDA warning letter on record
The FDA issued a warning letter naming Bliv Wellness LLC dba Bliv, the company behind Bliv.
- Letter 721479, issued February 20, 2026 — read it on fda.gov
We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove Bliv from this site, and it does not change our verdict — read the letter and decide for yourself.
Pros and watch-outs
What we like
- Fast written approval with no live visit required
- Licensed in 49 states
- Brand-name route through Amazon Pharmacy and manufacturer pricing
- Free shipping, phone support and nurse calls
- Financing through CareCredit or Klarna
Watch-outs
- FDA warning letter #721479 issued February 2026
- Lowest prices depend on plan length; no one-month price shown
- Refunds only within 72 hours and before pharmacy processing
- Doesn't name its compounding pharmacy
- No LegitScript seal displayed
Best for
People who want an online-only GLP-1 approval with no video visit and are comfortable paying for a plan up front.
Who should look elsewhere
Buyers who want a stated month-to-month price, a named pharmacy, or flexible refunds.
The evidence behind what Bliv prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- What the semaglutide weight-loss trials actually showed
STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.
- Tirzepatide vs semaglutide for weight loss: what the trials actually support
Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.
- Compounded vs branded GLP-1: regulatory status, sourcing and the evidence
Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.
How Bliv compares
A few alternatives worth a look, depending on what you’re optimizing for.
SkinnyRxStraightforward compounded GLP-1 access with cancel-anytime flexibility
See SkinnyRx →
ShedA wide range of GLP-1 formats (injection, drops, lozenges, microdose)
See Shed →
Henry MedsSimple flat-fee compounded access without insurance
See Henry Meds →
More GLP-1 telehealth reviews: AlloyAlternate Health ClubAlyveRxAM RxAskRxAspire Health
Peptides & longevity
How we assessed this. This review reflects Aminoscope’s own read of Bliv’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does Bliv cost per month?
- Compounded semaglutide is advertised from $116 a month and tirzepatide from $199, depending on plan structure and eligibility. A one-month price isn't published. The brand-name route is a $249 three-month membership plus the drug.
- Does Bliv require a video visit?
- No. A licensed clinician reviews your written intake, usually within a day, with no phone or video visit. Nurse calls and phone support are available afterward.
- Has Bliv received an FDA warning letter?
- Yes. The FDA issued warning letter #721479 to Bliv Wellness LLC on February 20, 2026, because product images on its site showed the Bliv name on compounded drug labels, suggesting Bliv made the drugs when it doesn't.
- Can I get a refund from Bliv?
- Only if you cancel within 72 hours of purchase and before services are given or the prescription is sent to the pharmacy. After that, refunds are limited to cases where your provider says you can't take the medication.
- Which states does Bliv serve?
- Its terms list current licenses in 49 states, every state except Wyoming.
- How does Bliv's brand-name route work?
- You buy a Bliv membership ($249 for three months, $449 for six or $849 for twelve), a clinician approves you online, and the prescription is filled through Amazon Pharmacy, with Zepbound or Wegovy bought at the manufacturer's cash price or billed to insurance.
- Is Bliv legit?
- FDA has a warning letter on record against Bliv Wellness LLC dba Bliv, the company behind Bliv, issued February 20, 2026 as letter 721479; it is linked further down this page. A warning letter is a public record worth reading. It doesn't by itself mean you can't use this provider. Bliv is a GLP-1 telehealth service you reach through an online questionnaire and an online intake a clinician reviews. The medications it names are Compounded semaglutide, Compounded tirzepatide and branded medication. Its stated availability: 49 states (not Wyoming). What it publishes up front: Compounded semaglutide from $116/mo, tirzepatide from $199/mo, depending on plan length; brand-name route is a $249 three-month membership plus the drug. Before you pay, ask in writing about a single monthly price you can check before an intake and whether it bills insurance.