Ivim Health vs RxPepsDirect
RxPepsDirect costs $11 less a month, and both sell semaglutide and tirzepatide.
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Ivim Health
Best for: coaching bundled into the price rather than sold separately
Visit Ivim Health →
RxPepsDirect
Best for: a published list of the 28 states it serves, when most sellers publish none
Visit RxPepsDirect →If you are choosing between Ivim Health and RxPepsDirect, the first difference is cost: RxPepsDirect is $11 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Ivim Health leads our six-part score, 6.2 to 5.8. One of the two has an FDA warning letter on record, covered below.
Ivim Health vs RxPepsDirect price
RxPepsDirect is the cheaper way in: $64 a month against $75 a month at Ivim Health. That is $11 less each month (15% lower), or about $132 over a year of treatment.
Drug by drug: Semaglutide is cheaper at RxPepsDirect ($64 a month vs $75 a month); tirzepatide is cheaper at RxPepsDirect ($84 a month vs $149 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Ivim Health does not publish where it ships, and RxPepsDirect lists 28 states.
Pricing
Ivim Health
RxPepsDirect
From $25 per 1.2mg vial of semaglutide/B12, sold per vial rather than as a plan. At the 0.25mg/week starter dose (~1mg/month), one vial lasts about 5 weeks. First order: $25 vial + $39 visit fee = $64; each refill is another $39 visit plus the vial. $15 flat FedEx overnight shipping is extra. Higher doses need more vials a month. No labs or coaching included.
From $45 per 12mg vial of tirzepatide/B12, sold per vial rather than as a plan. At the 2.5mg/week starter dose (10mg/month), one vial lasts about 5 weeks. First order: $45 vial + $39 visit fee = $84; each refill is another $39 visit plus the vial. $15 flat FedEx overnight shipping is extra. No labs or coaching included.
What each price covers
Both prices cover the clinician visit and the medication itself.
Ivim Health's price also covers coaching, which RxPepsDirect does not claim.
RxPepsDirect's price also covers shipping, which Ivim Health does not claim.
Ivim Health is silent on shipping and lab work.
Ivim Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
Not stated
Coaching
In the price
RxPepsDirect
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Charged on top
Coaching
Charged on top
Where each one scores higher
Overall, Ivim Health scores 6.2 and RxPepsDirect 5.8 out of 10.
Ivim Health is stronger on user experience (8.0 vs 3.0).
RxPepsDirect is stronger on trust & safety (5.0 vs 3.5) and accessibility (6.5 vs 5.0).
Value, effectiveness and support are within half a point.
Ivim Health
6.2/10
RxPepsDirect
5.8/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Ivim Health a warning letter dated February 20, 2026 (letter 721816), and it is still open.
RxPepsDirect has no FDA warning letter on record with us.
Features & Coverage
| Feature | Ivim Health | RxPepsDirect |
|---|---|---|
| Starting Price | $75/mo | ✓$64/mo |
| Features | 3 features | ✓8 features |
| States Available | Not disclosed | 28 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About Ivim Health
Ivim Health is a telehealth weight loss program. Entry-tier semaglutide pricing is low, and tirzepatide carries a separate program fee.
Read our full Ivim Health review →About RxPepsDirect
Pricing is per vial: semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, after a $39 asynchronous online medical visit, with no subscription required. Optimal Balance Pharmacy, a 503A in Texas, dispenses. Licensed NP/PA prescribers supervised by Medical Director Dr. Jonathan Snipes, MD issue patient-specific compounded prescriptions under the 503A pathway. FedEx overnight delivery, syringes and a travel case are included. Peptide RX LLC operates in 28 states and DC.
Read our full RxPepsDirect review →Pros & Cons
Ivim Health
What we like
- 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 coaching
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
- The FDA has issued Ivim 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
RxPepsDirect
What we like
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to RxPepsDirect
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Not included in the monthly price: lab work, coaching
- Serves only 28 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
Our Verdict
Ivim Health wins this one, 6.2 to 5.8, above all for coaching bundled into the price rather than sold separately. RxPepsDirect undercuts it by $11 a month, so if the monthly bill is what decides it, RxPepsDirect is the pick. RxPepsDirect fits better if a published list of the 28 states it serves, when most sellers publish none is your priority.
Choose Ivim Health if…
You want coaching bundled into the price rather than sold separately and an opening price near $75 a month.
Choose RxPepsDirect if…
You want a published list of the 28 states it serves, when most sellers publish none and an opening price near $64 a month.
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