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FitFlow vs Ivy Rx

FitFlow and Ivy Rx both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
FitFlow logo

FitFlow

7.2
★★★★☆3.6/5

Best for: compounded semaglutide at $175/month

Visit FitFlow →
VS
Ivy Rx logo

Ivy Rx

7.3
★★★★☆3.7/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit Ivy Rx →

If you are choosing between FitFlow 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 7.2.

FitFlow vs Ivy Rx price

FitFlow and Ivy Rx start at the same figure, $175 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, $175 a month; tirzepatide is cheaper at FitFlow ($235 a month vs $275 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

FitFlow does not publish where it ships, and Ivy Rx lists 50 states.

Pricing

FitFlow

MonthlyCompounded
$175/mo
semaglutide

Month-to-month; drops to $145/mo (quarterly), $120/mo (6-month), or $99/mo on annual prepay. Same active ingredient as Wegovy.

MonthlyCompounded
$235/mo
tirzepatide

Month-to-month; drops to $199/mo (quarterly), $175/mo (6-month), or $125/mo on annual prepay. Same active ingredient as Mounjaro.

Ivy Rx

StartingCompounded
$175/mo
semaglutide

Range up to $197/mo

StartingCompounded
$275/mo
tirzepatide

Range up to $297/mo

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

FitFlow is silent on lab work and coaching.

Ivy Rx is silent on lab work and coaching.

FitFlow

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

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 FitFlow 7.2 out of 10.

FitFlow is stronger on value (5.4 vs 3.0).

Ivy Rx is stronger on trust & safety (7.5 vs 6.5) and accessibility (10.0 vs 5.0).

Effectiveness, user experience and support are within half a point.

How we score

FitFlow

7.2/10

Overall

Ivy Rx

7.3/10

Value25%

5.4A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
7.5

Accessibility10%

5.0A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither FitFlow nor Ivy Rx has an FDA warning letter on record with us.

Features & Coverage

FeatureFitFlowIvy Rx
Starting Price$175/mo$175/mo
Features✓8 features3 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted✓ Yes—
FDA Warning LettersNoneNone

About FitFlow

Month to month costs $175/mo for semaglutide and $235/mo for tirzepatide; prepay a year and those fall as low as $99 and $125/mo. FitFlow Health writes the two GLP-1s as 'semaglutide (=Wegovy)' and 'tirzepatide (=Mounjaro)', an equivalence it asserts itself. The platform is 100% online: a 4-step process reaches a board-certified provider, then US-licensed compounding pharmacies fill the order. Nationwide delivery, messaging and dose adjustments are included, FSA/HSA works, financing exists. Compounded drugs hold no FDA approval. No pharmacy, no state list, no LegitScript seal.

Read our full FitFlow 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

FitFlow

What we like

  • Semaglutide costs $175 a month, close to the $184 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $235 a month, close to the $250 median for compounded tirzepatide 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 the medication, clinician visits and shipping
  • We found no FDA warning letters issued to FitFlow

Watch-outs

  • Confirm it serves your state before you start the intake
  • 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

Winner: Ivy Rx

Ivy Rx wins this one, 7.3 to 7.2, above all for coverage in all 50 states, which most sellers will not confirm. FitFlow fits better if compounded semaglutide at $175/month is your priority.

Choose FitFlow if…

You want compounded semaglutide at $175/month and an opening price near $175 a month.

Choose Ivy Rx if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $175 a month.

Ready to start? GLP-1 providers we have vetted

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7.3

RNK Health

An oral route if you will not self-inject

9.2

He & She MD

Starting below a standard dose, with microdose tiers

5.9

Wellorithm

Compounded semaglutide at $247/month

FitFlow vs Ivy Rx: FAQ

Neither on the entry price: FitFlow and Ivy Rx both start at about $175 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
FitFlow does not publish where it ships; Ivy Rx lists 50 states. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
FitFlow has none. Ivy Rx has none.
No. Neither FitFlow nor Ivy Rx pays us anything.

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