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Head-to-head · Cost-Efficiency Index

Ivologist 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.

Better valueGrade C · #101

Ivologist

Shoppers who want a named, LegitScript-certified multi-prescriber telehealth practice with all-50-state coverage.

Visit Ivologist
VS
Grade C · #102

Ivy Rx

Cost-first shoppers who want the lowest published entry price on a semaglutide microdose, for shoppers comfortable with unresolved pricing terms.

Visit Ivy Rx

The verdict

Too close to callGrade C vs C

Ivologist 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 Ivologist (ranked #101, a hair above #102) — Shoppers who want a named, LegitScript-certified multi-prescriber telehealth practice with all-50-state coverage. 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 Ivologist.

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

58
47

Price Transparency

78
78

Nationwide Access

86
86

Formulation Options

66
79

Clinical Oversight

84
82

Contract Flexibility

37
47

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecIvologistIvy Rx
Cost-Efficiency Index69/10069/100
Semaglutide / mo$149/mo (starting dose, compounded)$97/mo (microdose tier, promotional rate, compounded)
Tirzepatide / mo$249/mo (starting dose, compounded)$199/mo (brand Mounjaro, compounded)
Semaglutide / yr (modeled)$1,788$1,164
Tirzepatide / yr (modeled)$2,988$2,388
CoverageAll 50 statesAll 50 states
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#101#102

Ivologist

69/100

Where the value is

  • LegitScript certified with licensed 503A & 503B US pharmacies
  • Over a dozen named prescribers publicly listed rather than an anonymous provider pool
  • All 50 states served per the site's own banner copy

The tradeoffs

  • The discounted 'what you pay today' monthly price and the program total shown directly beneath it don't reconcile — the total appears calculated at the pre-discount rate, not the discounted one
  • 'Starter Program' pricing covers only the first 11-12 weeks; ongoing maintenance pricing is on a separate, unexplored 'Maintenance Programs' page
Visit Ivologist

Full Ivologist review →

Ivy Rx

69/100

Where 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
Visit Ivy Rx

Full Ivy Rx review →

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.

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