Alternatives
Alternatives to Ivy Rx
Ivy Rx scores 76/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Ivy Rx at a glance
- Semaglutide
- $77/moFrom (standard shared GLP-1 injection headline, compounded; confirm selected plan)
- Tirzepatide
- Not separately disclosed (shared compounded GLP-1 headline from $77/mo)
- Coverage
- Not published; confirm eligibility
- Brand-name GLP-1s
- Yes
- Oral option
- No
- Pricing verified
- October 2026
0 of the 8 programs below list semaglutide for less than Ivy Rx's $77 a month.
Ivy Rx offers compounded semaglutide and tirzepatide through one GLP-1 injection listing, with a shared $77 starting headline and the final drug-specific quote confirmed during the online visit.
Best for: Patients comparing a low advertised compounded starting price who will check the exact molecule, plan total and renewal terms.
What Ivy Rx does well
- Publishes a $77 standard injection headline and separate $69 microdose option
- Says the injection price stays the same at every dose
- Includes same-day physician review and free delivery
- Also lists separate brand-name Ozempic and Mounjaro products
- Provides HSA/FSA receipts
Why readers look for an alternative
- The shared starting headline does not establish a separate public tirzepatide price
- No full state list or individual dispensing pharmacy is published
- Terms describe one- or three-month initial plans followed by monthly automatic renewal
- Refund policy and the terms differ; the 15-day request window does not guarantee approval
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Ivy Rx: $22/mo more for semaglutide · compounded only, no brand-name GLP-1s
- 02C74/ 100Index
SkinnyRx
PartnerSkinnyRx charges $99 for the first month of compounded semaglutide or tirzepatide, then $249 or $299 a month; prepaid plans bring semaglutide down to $199 a month.
- Sema
- $249/moMonth to month after a $99 first month ($199/mo on a 12-month plan)
- Tirz
- $299/moMonth to month after a $99 first month ($225/mo on a 12-month plan)
- Coverage
- Most states
- Brand
- Compounded
Compared with Ivy Rx: $172/mo more for semaglutide · compounded only, no brand-name GLP-1s · offers an oral option
Regulatory note: the FDA issued a warning letter to Lean Rx, Inc. dba SkinnyRx in February 2026. We still list and link to SkinnyRx; you should know the letter is on the public record before you decide.
- 03C77/ 100Index
Coivas
Coivas is a telehealth platform whose clinical provider is Beluga Health, selling compounded semaglutide from $119 a month and tirzepatide from $199 a month in all 50 states, with no membership fee.
- Sema
- $119/moStarting price during a fall sale, compounded
- Tirz
- $199/moStarting price, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Ivy Rx: $42/mo more for semaglutide · compounded only, no brand-name GLP-1s
- 04C77/ 100Index
Knownwell
Knownwell is a weight-inclusive metabolic and primary-care company co-founded by obesity-medicine specialist Dr. Angela Fitch (Chief Medical Officer) and Brooke Boyarsky Pratt.
- Sema
- $149/moBrand Wegovy pill, 1.5 mg starting dose, visits billed separately; Wegovy pen $349/mo, new patients $199/mo for the first 2 months
- Tirz
- $299/moBrand Zepbound vial or KwikPen, 2.5 mg starting dose, visits billed separately
- Coverage
- All 50 states
- Brand
- Yes
Compared with Ivy Rx: $72/mo more for semaglutide · offers an oral option
- 05C77/ 100Index
NuBloom
NuBloom is a women's metabolic-health telehealth practice founded and medically led by Dr. Marianne Pinkston Mueller.
- Sema
- $149/moMonthly plan, compounded
- Tirz
- $279/moMonthly plan, compounded; a 2.5 mg microdose plan is $249/mo
- Coverage
- 49 states
- Brand
- Compounded
Compared with Ivy Rx: $72/mo more for semaglutide · compounded only, no brand-name GLP-1s
- 06C77/ 100Index
Ascend Vitality
Ascend Vitality (Ascend Vitality LLC, Sheridan WY) is a cash-pay compounded GLP-1 telehealth platform selling semaglutide injections or tablets from $199 a month and tirzepatide injections from $249 a month, with no membership fee.
- Sema
- $199/mo1-month plan, compounded
- Tirz
- $249/mo1-month plan, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Ivy Rx: $122/mo more for semaglutide · compounded only, no brand-name GLP-1s · offers an oral option
- 07C77/ 100Index
Happy Care Meds
Happy Care Meds offers dose-priced compounded injections in 28-day supplies, with higher-dose maintenance quotes of $139 semaglutide and $209 tirzepatide.
- Sema
- $139 per 4 weeksPublished higher-dose maintenance tiers, 1.5–2.5 mg weekly; lower-dose tiers $119–$129
- Tirz
- $209 per 4 weeksPublished 15 mg weekly maintenance tier; lower-dose tiers $139–$199
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Ivy Rx: $62/mo more for semaglutide · compounded only, no brand-name GLP-1s
- 08C77/ 100Index
TrimRx
TrimRx's terms price compounded semaglutide at $199 for the first month and $299 a month after, and tirzepatide at $349 then $399, while its homepage advertises both from $179 and $259.
- Sema
- $299/moMonth-to-month refill price; first month $199, compounded
- Tirz
- $399/moMonth-to-month refill price; first month $349, compounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with Ivy Rx: $222/mo more for semaglutide
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.