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Ivy Rx vs LifeMD

LifeMD costs $26 less a month, and both sell semaglutide and tirzepatide.

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

LifeMD

7.9
★★★★☆4/5

Best for: bloodwork inside the monthly price rather than billed on top

Visit LifeMD →

If you are choosing between Ivy Rx and LifeMD, the first difference is cost: LifeMD is $26 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. LifeMD leads our six-part score, 7.9 to 7.3.

Ivy Rx vs LifeMD price

LifeMD is the cheaper way in: $149 a month against $175 a month at Ivy Rx. That is $26 less each month (15% lower), or about $312 over a year of treatment.

Drug by drug: Semaglutide is cheaper at LifeMD ($149 a month vs $175 a month); tirzepatide is cheaper at Ivy Rx ($275 a month vs $349 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, Ivy Rx prices compounded injections, while LifeMD prices brand-name pens.

If you want the FDA-approved brand rather than a compounded version, LifeMD is the only one of the two with a brand-name price.

Where each one treats patients

Ivy Rx lists 50 states, and LifeMD lists 50 states.

They overlap in 50 states.

Pricing

Ivy Rx

StartingCompounded
$175/mo
semaglutide

Range up to $197/mo

StartingCompounded
$275/mo
tirzepatide

Range up to $297/mo

LifeMD

Program & provider feemonthly subscription
$149$75/mo
Save 50% right now
program-fee

First month $75, then $149/mo. Brand medication billed separately, or $0-$25/mo copay with commercial insurance.

Wegovy pill (oral semaglutide)Brand-name
$149/mo
wegovy

Medication only; plus the $149/mo program fee.

Wegovy penBrand-name
$199/mo
wegovy

Medication only (starting); plus the program fee. As low as $0-$25/mo with insurance.

Zepbound vialBrand-name
$349/mo
zepbound

Medication only; plus the $149/mo program fee.

What each price covers

Both prices cover the clinician visit.

Ivy Rx's price also covers the medication itself and shipping, which LifeMD does not claim.

LifeMD's price also covers lab work and coaching, which Ivy Rx does not claim.

Ivy Rx is silent on lab work and coaching.

LifeMD is silent on shipping.

That matters most for the drug: unless LifeMD confirms otherwise, budget for medication on top of its listed 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

LifeMD

Covered by the monthly price

Medication

Charged on top

Clinician visits

In the price

Shipping

Not stated

Lab work

In the price

Coaching

In the price

Where each one scores higher

Overall, LifeMD scores 7.9 and Ivy Rx 7.3 out of 10.

Ivy Rx is stronger on user experience (8.0 vs 3.0), trust & safety (7.5 vs 6.0) and support (7.0 vs 5.5).

LifeMD is stronger on value (10.0 vs 3.0).

Effectiveness and accessibility are within half a point.

How we score

Ivy Rx

7.3/10

Overall

LifeMD

7.9/10

Value25%

3.0A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

7.5A
vs
B
6.0

Accessibility10%

10.0A
vs
B
10.0

Support10%

7.0A
vs
B
5.5

FDA warning letters

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

Features & Coverage

FeatureIvy RxLifeMD
Starting Price$175/mo✓$149/mo
Features✓3 features0 features
States Available5050
Compounded✓ Yes—
Brand Name—✓ Yes
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Ivy Rx

Ivy Rx is a telehealth seller running tiered compounded semaglutide and tirzepatide programs.

Read our full Ivy Rx review →

About LifeMD

LifeMD is a publicly traded telehealth seller. It carries brand-name GLP-1 medications only.

Read our full LifeMD review →

Pros & Cons

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

LifeMD

What we like

  • Semaglutide costs $149 a month, 85% below the $990 median for brand-name semaglutide across the sellers we compare
  • Tirzepatide costs $349 a month, 72% below the $1249 median for brand-name tirzepatide across the sellers we compare
  • The monthly price includes clinician visits, lab work and coaching
  • Serves all 50 states
  • We found no FDA warning letters issued to LifeMD

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: medication
  • Ask which pharmacy fills the prescription before you pay, so you can check its license

Our Verdict

Winner: LifeMD

LifeMD wins this one, 7.9 to 7.3, above all for bloodwork inside the monthly price rather than billed on top. It also costs $26 less each month than Ivy Rx. Ivy Rx fits better if coverage in all 50 states, which most sellers will not confirm is your priority.

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.

Choose LifeMD if…

You want bloodwork inside the monthly price rather than billed on top and an opening price near $149 a month.

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5.9

Wellorithm

Compounded semaglutide at $247/month

6.6

Willow

Seeing what it charges before you answer any medical questions

6.5

Sesame Care

Oral orforglipron alongside the injectables

Ivy Rx vs LifeMD: FAQ

LifeMD. It starts at $149 a month; Ivy Rx starts at $175 a month, $26 more per month.
Yes, both sell semaglutide and tirzepatide.
Both list 50 states and share 50.
Both include the clinician visit. Only Ivy Rx includes the medication itself and shipping. Only LifeMD includes lab work and coaching.
Ivy Rx has none. LifeMD has none.
No. Neither Ivy Rx nor LifeMD pays us anything.

Or see the full category ranking.

Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.