Head-to-head · Cost-Efficiency Index
Big Easy Weight Loss vs Ivy Rx
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
Big Easy Weight Loss
Cost-first shoppers who want live-physician (not NP/PA) oversight, if you don't mind paying by the 12-week package rather than a flat monthly rate.
Visit Big Easy Weight LossIvy Rx
Cost-first shoppers who want the lowest published entry price on a semaglutide microdose, for shoppers comfortable with unresolved pricing terms.
Visit Ivy RxThe verdict
Big Easy Weight Loss and Ivy Rx tie on the Cost-Efficiency Index at 69/100, so neither wins outright on the numbers. For most shoppers we'd start with Big Easy Weight Loss (ranked #95, a hair above #102) — Cost-first shoppers who want live-physician (not NP/PA) oversight, if you don't mind paying by the 12-week package rather than a flat monthly rate. But Ivy Rx is a genuine coin-flip alternative here.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Big Easy Weight Loss.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Big Easy Weight Loss | Ivy Rx |
|---|---|---|
| Cost-Efficiency Index | 69/100 | 69/100 |
| Semaglutide / mo | $165/mo (promotional rate, 3 month plan, compounded) | $97/mo (microdose tier, promotional rate, compounded) |
| Tirzepatide / mo | $200/mo (promotional rate, 3 month plan, compounded) | $199/mo (brand Mounjaro, compounded) |
| Semaglutide / yr (modeled) | $1,980 | $1,164 |
| Tirzepatide / yr (modeled) | $2,400 | $2,388 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Yes |
| Rank here | #95 | #102 |
Big Easy Weight Loss
69/100Where the value is
- Consultations are with a live physician, not an NP/PA — CMO Dr. Gabriel Lasala is named
- Six named compounding pharmacy partners with 2-3 day stated turnaround
- Serves all 50 states with free shipping in discreet packaging
The tradeoffs
- Priced as a 12-week package, not a simple monthly fee — the $133/$166-per-month figures widely quoted (including in this network's own prior data) are the ONE-TIME new-patient rate; the regular renewal-package rate works out to $165/mo semaglutide and $200/mo tirzepatide
- The pricing page never confirms whether the new-patient discount applies again on a second package, so the true ongoing cost after month 3 is unclear
Ivy Rx
69/100Where the value is
- Genuinely low entry price on the semaglutide microdose tier ($77/mo)
- HSA/FSA eligible with itemized receipts for reimbursement
- Legal entity is named (Ivy RX PLLC), which many competitors in this batch do not disclose
The tradeoffs
- The standard semaglutide price is shown as a struck-through discount ('$197 $97') with no label clarifying whether $97 is a standing rate or a temporary promo
- The advertised $199/mo tirzepatide rate requires a 12-month upfront lump-sum payment, not month-to-month billing, and a separate unexplained $1,399 vial price appears on the same page
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.