GLP Watchdog

Direct Meds vs Ivy Rx

Direct Meds has an open FDA warning letter dated September 9, 2025. Ivy Rx has none. On compounded tirzepatide injection, Ivy Rx costs $1,224 less a year at standing rates: $297 a month against $399 a month at Direct Meds. It is one of two products the two sell at comparable terms.

To see where both sit among the other sellers, read our best weight-loss injection providers board.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

Direct Meds / Ivy Rx

Featured pick (affiliate partner)

Direct Meds logo

Direct Meds

7.1/10

Ivy Rx logo

Ivy Rx

7.3/10

FDA warning letters
None on record
Pharmacy
None named in our record
None named in our record
Lowest standing price
$249/moCompounded oral semaglutide
$197/moCompounded semaglutide injection
States
48 states and DC
All 50 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit Direct Meds
Visit Ivy Rx

Direct Meds is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. Ivy Rx pays us nothing. The scores are computed the same way for both and are shown as computed (Direct Meds 7.1, Ivy Rx 7.3). How we are paid

What the record shows

  1. 01

    Direct Meds has an open FDA warning letter dated September 9, 2025. Ivy Rx has none.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    On compounded tirzepatide injection, Ivy Rx costs $1,224 less a year at standing rates: $297 a month against $399 a month at Direct Meds. It is one of two products the two sell at comparable terms.

  4. 04

    Only Direct Meds lists a price for compounded oral semaglutide and compounded oral tirzepatide.

  5. 05

    Ivy Rx covers two states Direct Meds does not.

  6. 06

    Direct Meds holds you to a 90-day supply shipped at once, remaining months billed every 30 days; Ivy Rx states you can cancel at any time.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Direct Meds

Ivy Rx

Compounded semaglutide injection

$297/mo

$3,564 a year

$197/moLower

$2,364 a year

Compounded tirzepatide injection

$399/mo

$4,788 a year

$297/moLower

$3,564 a year

Compounded oral semaglutide

$249/mo

$2,988 a year

Not sold or not priced
Compounded oral tirzepatide

$299/mo

$3,588 a year

Not sold or not priced
Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
No
Yes, stated
Minimum term
90-day supply shipped at once, remaining months billed every 30 days
None
Refunds
No refunds for medication already received; $35 disposal fee on returns
All transactions are final; no returns
Early-exit fee
Not stated
None stated

Read off each seller’s own pages. Direct Meds: October 17, 2026. Ivy Rx: July 10, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Direct Meds

7.1/10
Featured pick (affiliate partner)
  • Sells compounded oral semaglutide and compounded oral tirzepatide, which Ivy Rx does not price
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel
Visit Direct Meds

The case for Ivy Rx

7.3/10
  • No FDA warning letter on record
  • $1,200 a year less on compounded semaglutide injection
  • $1,224 a year less on compounded tirzepatide injection
  • States you can cancel at any time
  • Names no compounding pharmacy
Visit Ivy Rx

Scores

Direct Meds 7.1 · Ivy Rx 7.3 out of 10. Six weighted parts.

Value25%

4.2A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

4.5A
vs
B
7.5

Accessibility10%

9.7A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

Direct Meds vs Ivy Rx: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. Ivy Rx has none. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
Ivy Rx, by $1,200 a year at standing rates. Direct Meds: $297 a month, about $3,564 a year. Ivy Rx: $197 a month, about $2,364 a year.
Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days). Ivy Rx states you can cancel at any time; refunds: all transactions are final; no returns.
Direct Meds is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. Ivy Rx pays us nothing. The scores are computed the same way for both and are shown as computed (Direct Meds 7.1, Ivy Rx 7.3).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register