Fierce Health vs Ivy Rx
Fierce Health and Ivy Rx both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Fierce Health
Best for: starting below a standard dose, with microdose tiers
Visit Fierce Health →
Ivy Rx
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Ivy Rx →If you are choosing between Fierce Health and Ivy Rx, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Ivy Rx leads our six-part score, 7.3 to 6.7.
Fierce Health vs Ivy Rx price
Fierce Health and Ivy Rx start at the same figure, $197 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $197 a month; tirzepatide costs the same at both, $297 a month.
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Fierce Health lists 30 states, and Ivy Rx lists 50 states.
They overlap in 30 states. Ivy Rx alone covers 20 states, including Alaska, Alabama, Arkansas and California.
Pricing
Fierce Health
Also sold as 3-month and 6-month paid-in-full cadences. Free US shipping.
Also sold as 3-month and 6-month paid-in-full cadences.
Listed as "From $197.00"; one vial per month.
Listed as "From $297.00"; one vial per month.
Ivy Rx
Month-to-month price. Currently on sale at $177 per month; longer plans cost less per month.
Month-to-month price. Currently on sale at $277 per month; longer plans cost less per month.
What each price covers
Both prices cover shipping.
Ivy Rx's price also covers the clinician visit and the medication itself, which Fierce Health does not claim.
Fierce Health is silent on the clinician visit, the medication itself, lab work and coaching.
Ivy Rx is silent on lab work and coaching.
That matters most for the drug: unless Fierce Health confirms otherwise, budget for medication on top of its listed price.
Fierce Health
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Ivy Rx
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Ivy Rx scores 7.3 and Fierce Health 6.7 out of 10.
Fierce Health is stronger on value (4.5 vs 3.0).
Ivy Rx is stronger on trust & safety (7.5 vs 4.5), accessibility (10.0 vs 6.8) and support (7.0 vs 5.0).
Effectiveness and user experience are within half a point.
Fierce Health
6.7/10
Ivy Rx
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Fierce Health nor Ivy Rx has an FDA warning letter on record with us.
Features & Coverage
| Feature | Fierce Health | Ivy Rx |
|---|---|---|
| Starting Price | $197/mo | $197/mo |
| Features | ✓5 features | 3 features |
| States Available | 30 | ✓50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Fierce Health
Fierce Health prices its GLP-1 programs at $197-$497/mo. It sells compounded semaglutide and tirzepatide in both standard and microdose programs, a four-program ladder broader than peers selling only one or two SKUs, with the microdose tier among the lower entry points. A longevity catalog sits alongside it. Service is limited to 30 enumerated states, and the platform is LegitScript Certified.
Read our full Fierce Health review →About Ivy Rx
Ivy Rx is a telehealth seller running tiered compounded semaglutide and tirzepatide programs.
Read our full Ivy Rx review →Pros & Cons
Fierce Health
What we like
- Semaglutide costs $197 a month, close to the $185 median for compounded semaglutide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes shipping
- We found no FDA warning letters issued to Fierce Health
Watch-outs
- Tirzepatide costs $297 a month, 19% above the $250 median for compounded tirzepatide across the sellers we compare
- Serves only 30 states, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Ivy Rx
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- We found no FDA warning letters issued to Ivy Rx
Watch-outs
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Ivy Rx wins this one, 7.3 to 6.7, above all for coverage in all 50 states, which most sellers will not confirm. Fierce Health fits better if starting below a standard dose, with microdose tiers is your priority.
Choose Fierce Health if…
You want starting below a standard dose, with microdose tiers and an opening price near $197 a month.
Choose Ivy Rx if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $197 a month.
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bmiMD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →RxSpan MD
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $249/mo
Get started →Luvo Health
Moving between compounded and brand without changing seller
From $249/mo
Get started →Fierce Health vs Ivy Rx: FAQ
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