Genesis Health vs Ivy Rx
Genesis Health and Ivy Rx both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Genesis Health
Best for: coaching bundled into the price rather than sold separately
Visit Genesis Health →
Ivy Rx
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Ivy Rx →If you are choosing between Genesis 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 5.2. One of the two has an FDA warning letter on record, covered below.
Genesis Health vs Ivy Rx price
Genesis Health 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 Genesis Health ($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
Genesis Health does not publish where it ships, and Ivy Rx lists 50 states.
Pricing
Genesis Health
Compounded semaglutide injection. Monthly: $175/mo. Quarterly: $145/mo ($435 billed every 3 months). Bi-Annual: $120/mo ($720 every 6 months). Annual: $99/mo ($1,188/yr). Includes physician consult, medication, and free shipping.
Compounded tirzepatide injection. Monthly: $235/mo. Quarterly: $199/mo ($597 billed every 3 months). Bi-Annual: $175/mo ($1,050 every 6 months). Annual: $125/mo ($1,500/yr). Includes physician consult, medication, and free shipping.
Ivy Rx
Range up to $197/mo
Range up to $297/mo
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Genesis Health's price also covers coaching, which Ivy Rx does not claim.
Genesis Health is silent on lab work.
Ivy Rx is silent on lab work and coaching.
Genesis Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
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 Genesis Health 5.2 out of 10.
Genesis Health is stronger on support (8.5 vs 7.0).
Ivy Rx is stronger on user experience (8.0 vs 3.0), trust & safety (7.5 vs 1.0) and accessibility (10.0 vs 5.0).
Value and effectiveness are within half a point.
Genesis Health
5.2/10
Ivy Rx
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Genesis Health a warning letter dated February 20, 2026 (letter 721451), and it is still open.
Ivy Rx has no FDA warning letter on record with us.
Features & Coverage
| Feature | Genesis Health | Ivy Rx |
|---|---|---|
| Starting Price | $175/mo | $175/mo |
| Features | ✓8 features | 3 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | ✓ Yes | — |
| FDA Warning Letters | 1 letter | ✓None |
About Genesis Health
Take the annual route and semaglutide falls to $99/mo with tirzepatide at $125/mo; paying monthly instead means $175/mo and $235/mo. Compounded injections of both sit beside Zepbound, Ozempic and Wegovy under brand names. Shipping is expedited at no cost, and access to an active community, health coaching, dosing set for the individual and a physician consultation costing nothing come with every plan. US compounding pharmacies that have been audited supply the drug. LegitScript certifies the platform, and FSA/HSA funds apply.
Read our full Genesis 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
Genesis Health
What we like
- The monthly price includes the medication, clinician visits, shipping and coaching
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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
- The FDA has issued Genesis Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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 5.2, above all for coverage in all 50 states, which most sellers will not confirm. Genesis Health fits better if coaching bundled into the price rather than sold separately is your priority.
Choose Genesis Health if…
You want coaching bundled into the price rather than sold separately 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.
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Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →Breeze Meds
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $199/mo
Get started →HealthRX
Compounded semaglutide at $133/month
From $133/mo
Get started →Genesis Health vs Ivy Rx: FAQ
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