Alyve Review

What Alyve charges

• Tirzepatide$283/mo — from, per month on the product page; a banner on every page of the same site quotes $329 a month for the same productWeekly injectable, 5mL vial and homekit included
• Semaglutide$183/mo — from, per monthWeekly injectable, 5mL vial and homekit included
• Tirzepatide$249/mo — from, per monthNeedle-free daily drops
• Semaglutide$203/mo — from, per monthNeedle-free daily drops
• Sermorelin$129/mo — from, per monthWeekly injectable, 5mL vial and homekit included
• NAD+$129/mo — from, per monthWeekly injectable, 5mL vial and homekit included
• Glutathione$129/mo — from, per monthWeekly injectable, 5mL vial and homekit included

What Alyve publishes

• Not disclosedNames the pharmacy that fills it
• PublishedPublishes a price before intake
• Not disclosedShips to all 50 states
• Not disclosedIncludes lab work in the price
• Not disclosedNames the clinician who prescribes
• Not disclosedStates whether a membership fee applies

Cancellation, refunds and shipping

What Alyve states on its own site about leaving, getting money back, and what delivery costs. Read on September 2026.

• StatedCancellation: "Subscriptions renew automatically until cancelled. Cancel at any time through your account settings or by contacting [SUPPORT EMAIL] before your next billing" date. That bracket is verbatim: the live Terms of Service still carry an unfilled template placeholder where the support address belongs.
• StatedRefund: "All charges are generally non-refundable once an order has been processed. Exceptions may apply for product damage, loss in transit, or treatment unavailability." The unavailability case is prorated: if a treatment becomes unavailable through supply shortage or regulatory change, "you may be eligible for a prorated refund based on the unshipped portion of any prepaid plan. Approved refunds are processed within 30 days." The fourth seller found that prorates.
• Not statedShipping: The Terms render 19,116 characters with one occurrence of "shipping", stating neither a cost nor a delivery window; the site publishes no shipping policy.

Membership fees

Whether Alyve charges to belong, on top of what it charges for the medication. Read on September 2026.

• Not statedAlyve publishes nothing about a membership on any page we checked.

Who prescribes

Whether Alyve identifies the clinician or medical practice behind the prescription, or describes them only as a group. Read on September 2026.

• Not namedAlyve does not name a prescriber on any page we checked — its clinicians are described as a group rather than identified.

Two tirzepatide prices, and Alyve never picks one

A promotional header on every page quotes a monthly figure for compounded tirzepatide. The product page for that same compounded tirzepatide quotes a different, lower figure in its own hero.

They sit on the same screen, so this is not a stale cache or an old version of a page. The banner does not match the sublingual tirzepatide either, which carries a third figure.

Alyve has not reconciled any of it. Expect checkout to charge whatever number it applies, not the one that brought you in, and get the figure confirmed before you pay.

It prices the form, not just the molecule

Semaglutide and tirzepatide each appear twice: once as a weekly injectable and once as needle-free daily drops, each with its own figure.

The injectable listings say what the money buys. You get a vial of a stated size with a home kit included, rather than a bare number and a guess about whether supplies cost extra.

Sermorelin, NAD+ and glutathione are priced individually in the same injectable format, so five separate compounds each carry a figure of their own.

What Alyve says about itself

Its safety page reads: "Important: Compounded medications have not been reviewed or approved by the FDA for safety, effectiveness, or quality. They are not FDA-approved drug products." That is Alyve's own bold text on its own site.

It also describes itself as "a clinical infrastructure and managed services organization (MSO). We do not employ physicians, practice medicine, or provide clinical care." Read that twice before you assume who is responsible for your care.

It names no dispensing pharmacy, only a pharmacy network, and it makes no claim about which states it serves.

Three signs the site is not finished

Three sublingual products carry a price and the label coming soon. You cannot buy them, so treat those figures as advertising rather than prices. Marking them is still better than pricing them silently.

The terms of service still carry an unreplaced template placeholder in the date line, square brackets and all.

Put that next to the banner disagreement and you have a price sheet that changed and a site that only partly caught up.

Who Alyve suits

Strengths and trade-offs

How we verified this

• The banner and the product hero were read on the same page, on the same day, in September 2026.
• The banner figure, the compounded tirzepatide page figure and the sublingual figure are three different numbers.
• Alyve prices the injectable and sublingual forms of each molecule separately, on separate listings.
• Three sublingual products are labeled coming soon beside their figures.
• The terms page still carries a bracketed template placeholder in its date line.
• The brand was checked against the federal warning-letter database under three spellings in September 2026.