Ivy Rx Review: Price, Pros & Cons

Ivy Rx sells compounded semaglutide and tirzepatide under one product, "GLP-1 Injections," with a single $77 starting headline for a month of four weekly doses. Ivy Rx says the price is the same at every dose. A separate $69 microdose version, also four doses a month, is aimed at people who want a lower dose rather than the full weight-loss program. Your exact price depends on which drug and which plan you're prescribed, and you see it in the online visit before you pay.

Brand-name Ozempic and Mounjaro are also listed, at a much higher monthly price than the compounded injections. Ivy Rx doesn't take insurance, but it says GLP-1 therapy is HSA and FSA eligible and it sends an itemized receipt you can submit for reimbursement.

Ivy Rx's terms describe two plan types: one month prepaid, or three months prepaid. Both roll into month-to-month renewals once the first term ends. You're charged at the start of each period. The terms let you cancel by contacting support or through your patient portal; confirm whether any fee applies to your selected plan. If you don't cancel before the period ends, the next month is billed.

You start with an online questionnaire about your health, lifestyle and weight goal. Ivy Rx says a physician reviews it the same day and emails you the decision. No lab work is needed to start. If you're approved, the medication ships free in temperature-controlled packaging, usually arriving in three to five business days. After that you message your providers through the patient portal or the mobile app.

Ivy Rx says its compounded medications come from pharmacies that meet 503B and USP 797 standards, and that batches are tested by outside labs for potency and sterility. It doesn't name the pharmacy or the physicians who prescribe. The company behind it is Ivy RX PLLC, based in Miami.

The two places Ivy Rx talks about refunds don't quite match. Its refund policy says it can't accept returns because of the nature of the products, and asks you to contact support to work something out. Its terms of service say you can request a refund within 15 days of an order, in writing, and that after 15 days every sale is final. If something goes wrong, email support well inside that 15-day window.

• Ivy Rx doesn't publish a list of the states it serves. Confirm yours before you start the visit.
• The "from" price may not be the price for your drug. Check the figure in the online visit, especially for tirzepatide.
• Plans renew monthly on their own, so note your renewal date.

Compounded semaglutide and tirzepatide are not FDA-approved.