LIV by WellNow review

What it is

LIV by WellNow is the virtual weight loss brand linked to WellNow Urgent Care. Both brands are owned by licensed physicians and supported by TAG Urgent Care Support Services, LLC in East Syracuse, New York; the subscription agreement is with R Biernbaum DO, NY WellNow PC. Its chief medical officer is Robert Biernbaum, DO, an emergency physician who joined WellNow in 2021, and its director of telemedicine is Kellen Kreger, PA-C. The service is available to virtual care patients in Illinois, Indiana, Michigan, New York and Pennsylvania. Eligibility follows the standard thresholds: adults 18 and older with a BMI of 30 or more, or 27 or more with a weight-related condition such as high cholesterol or high blood pressure. People who are pregnant or trying to conceive, or who have a personal or family history of pancreatitis, medullary thyroid cancer or MEN 2, aren't eligible. The site doesn't display a LegitScript seal.

How it works

You start with an online eligibility form (date of birth, height, weight and recent GLP-1 use, then more questions). If you'd like to talk first, you can schedule one free virtual visit before signing up. A provider reviews your form, and if they have concerns they reach out to discuss; otherwise video visits aren't required. Once you're approved and enrolled, Logos Pharmacy in Tampa, Florida ships your medication by FedEx in discreet packaging, usually within five to seven business days, and refills arrive monthly. From there you have unlimited access to board-certified online providers by video, text alerts and email for questions, side effects and dose changes. There's no maximum length of treatment; how long you stay on medication depends on your goals and your provider's advice. If you have diabetes, LIV suggests talking to your primary care doctor, since brand-name semaglutide may be covered by your insurance.

Pricing transparency

The membership includes medication, supplies and unlimited visits. Monthly, it's $195 at the average dose (1 mg a week) and $265 at higher doses (1.7 or 2.4 mg a week). Paying for three months at once costs $525 or $745, which works out to $175 or about $249 a month. Tax is included, except in Illinois, where 1% is added. Higher doses need provider approval. The subscription renews automatically each month or quarter until you cancel, and you can cancel any time from your online profile or by phone, as long as it's before 8 p.m. Eastern the day before your next payment. Subscription fees are non-refundable, with no credit for unused medication, though LIV may offer a credit at its discretion. It doesn't accept insurance, but you may be able to use HSA or FSA funds. One more thing in the subscription agreement: it also lists compounded tirzepatide at $295 and $365 a month, though the public pages advertise semaglutide only.

Branded vs compounded

Compounded semaglutide, injected once a week, is what the public pages offer. LIV says it contracts only with licensed 503A compounding pharmacies or FDA-registered 503B outsourcing facilities in the U.S., and its current pharmacy partner is Logos Pharmacy. Compounded semaglutide is not FDA-approved or evaluated for safety, effectiveness or quality, which LIV states on every page. The subscription agreement also prices compounded tirzepatide tiers, so ask whether that option is open to you. There are no brand-name drugs on the menu. A search of the FDA warning-letter database under the WellNow, TAG Urgent Care and Biernbaum names returned no letters.

Pros and watch-outs

The evidence behind what LIV by WellNow 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.

• 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 LIV by WellNow compares

A few alternatives worth a look, depending on what you’re optimizing for.

• Peter MD

  GLP-1 from a men's-health provider that also covers TRT and longevity

  See Peter MD →
• MadeMed

  GLP-1 paired with NAD⁺ and sermorelin under one account

  See MadeMed →
• Henry Meds

  Simple flat-fee compounded access without insurance

  See Henry Meds →

More GLP-1 telehealth reviews: Center for Medical Weight Loss (CMWL) · Better Med Spa · BeyondMD · BiltRx · Bliv · Blue Sky MD