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Ranked #106 · Grade C

Ivy Rx review

By Alyssa Selinger, EditorPricing checked

Ivy Rx in brief

Ivy Rx suits a price-first shopper who is comfortable with a questionnaire instead of a video visit and wants the same price at every dose. Compounded GLP-1 shots start from $77 a month, a microdose version from $69. The catch: the lowest figure depends on the plan length you pick at checkout, and every sale is final.

  • SemaglutideFrom $175/mo
  • TirzepatideFrom $275/mo
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Assume we may earn a commission, at no cost to you. Partners we work with carry a small, fixed edge in where they are listed; the scores themselves are not adjusted.

Semaglutide
From $175/mo (starting dose, compounded)
Tirzepatide
From $275/mo (starting dose, compounded)
Coverage
All 50 states
Brand-name
Compounded only

Ivy Rx pricing

As listed on Ivy Rx's own site, October 2026.

Ivy Rx plans and prices, October 2026
Compounded GLP-1 injection (semaglutide or tirzepatide)Price From $77/moBilling Plan lengths from 4 weeks to 12 months; per-plan prices shown only at checkoutIncludes Four weekly doses a month, physician review, portal messaging, free shipping
Microdose GLP-1 injectionPrice From $69/moBilling Same plan-length choice at checkoutIncludes Lower-strength compounded shots, physician review, free shipping
OzempicPrice $1,399Billing Listed price per order, cash onlyIncludes Brand semaglutide pen, physician review
MounjaroPrice $1,399Billing Listed price per order, cash onlyIncludes Brand tirzepatide pen, physician review
Anti-nausea tabletsPrice $19.99Billing Optional add-onIncludes Prescription nausea relief for the first weeks

Our take on Ivy Rx

Ivy Rx is a Miami-based telehealth storefront that sells weight-loss, anti-aging and peptide treatments side by side. For weight loss, the main product is a compounded GLP-1 injection, with tirzepatide and semaglutide both named on the product page, advertised from $77 for four doses a month. Next to it sits a microdose version from $69, and two brand-name pens, Ozempic and Mounjaro, each listed at $1,399. Compounded drugs are not FDA-approved, and Ivy prints that warning on its own pages.

The pricing headline needs a little decoding. Ivy says the price is the same at every dose, which is a real plus with tirzepatide, where many sellers charge more as you climb. But the product page only shows a "from" figure. The checkout asks you to choose among a 4-week, 12-week, 6-month, 9-month or 12-month plan, and Ivy does not publish what each length costs before you get there. Assume $77 is a long-plan rate until checkout tells you otherwise. Affirm, Klarna and Afterpay may appear as payment choices, and HSA or FSA cards work with an itemized receipt.

The medical side is light by design. You answer an online questionnaire, a physician reviews it within a day, and no lab work is required. There is no scheduled video visit; follow-up happens by messaging your provider in the patient portal. One detail worth noticing: Ivy's own eligibility calculator steers people with a BMI between 22 and 25 toward the microdose shot rather than turning them away, so a lower-weight buyer can get a prescription here more easily than at clinics that stick to the usual cutoffs.

Who it fits: someone who has already used a GLP-1, knows how injections feel, and mainly wants a low, flat monthly price shipped free. Who should skip it: anyone who wants labs, a face-to-face clinician, or the option to get money back if things go wrong.

Signing up, paying and canceling

What Ivy Rx's own site shows a new patient.

  • Signup runs questionnaire, then account creation, then shipping address, then a checkout where you pick the plan length; the doctor review happens after payment, within 24 hours.
  • Each month you must complete a provider check-in before Ivy bills and ships the next fill; skip it and the renewal cancels itself rather than charging you.
  • Ivy's refund policy is blunt: prescription products cannot be returned and all transactions are final, so a long prepaid plan is money you will not see again.
  • After approval, the partner pharmacy needs three to five business days to compound and ship, and Ivy warns that busy stretches can push this to seven to ten.
  • Ivy does not bill insurance at all, public or private; the help center says it serves patients in all 50 states.

The scorecard

Ivy Rx scored on our six published factors. See the methodology.

Real-world results75/100
Price honesty64/100
Prescriber access86/100
Formulary choice82/100
Cancellation fairness56/100
Member support74/100

What we like

  • Both semaglutide and tirzepatide available
  • Compounded GLP-1 access

The caveats

  • The site advertises compounded shots from $77/mo, but the plan length behind that price appears only at checkout
  • Every sale is final

Ivy Rx: common questions

How much does Ivy Rx cost per month?

Ivy Rx lists its compounded GLP-1 injection from $77 a month for four doses and the microdose version from $69, with the same price at every dose. The exact figure depends on whether you choose a 4-week, 12-week, 6-, 9- or 12-month plan at checkout. Brand Ozempic and Mounjaro are listed at $1,399.

Is Ivy Rx legit?

Ivy Rx is a real telehealth company with a Miami office, a phone line and US-licensed physicians who review each questionnaire. It says its site is LegitScript certified and that compounded drugs come from state-licensed pharmacies. Remember that compounded semaglutide and tirzepatide are not FDA-approved, and that Ivy does not offer refunds.

Does Ivy Rx take insurance?

No. Ivy Rx does not accept public or private insurance or any cost-sharing arrangement, and patients pay the full price themselves. You can use an HSA or FSA card, and Ivy sends an itemized receipt so you can file for reimbursement on your own.

Can you cancel Ivy Rx anytime?

Yes, Ivy says there are no long-term contracts or cancellation fees, and a renewal only goes through after your monthly check-in. What you cannot do is get money back: all sales of prescription products are final, so canceling a prepaid plan stops future charges but does not refund the remainder.

The verdict

Best for: Shoppers who want mainstream telehealth GLP-1 access. Telehealth provider offering tiered compounded semaglutide and tirzepatide programs.

Ranked #106 of 548 providers we have reviewed — for comparison, read our CoreAge Rx review, ranked #1. In the ranking it sits between Harper Meds at #105, 73/100 above and Kina at #107, 73/100 below, with the Layla write-up the next one down.

A grade C is a ranking, not an instruction to stop looking: the closest rivals to Ivy Rx are scored on the identical rubric, so the comparison is like for like. For the wider picture, every review we have published ranks the field on the same six factors. We have also compared it head to head: CoreAge Rx vs Ivy Rx goes to CoreAge Rx, 94/100 to 73/100.

Compare with other providers

The closest reviews to Ivy Rx by Verdict Score — the realistic shortlist if you are weighing this one up.

Pricing, states and verification reflect Ivy Rx's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Ivy Rx's site. Not medical advice; see our disclosure.

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