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Ivy Rx vs RNK Health

Ivy Rx and RNK Health 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 (not clinically reviewed). Not medical advice · 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
RNK Health logo

RNK Health

7.3
★★★★☆3.7/5

Best for: an oral route if you will not self-inject

Visit RNK Health →

If you are choosing between Ivy Rx and RNK Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. They tie at 7.3 on our six-part score.

Ivy Rx vs RNK Health price

Ivy Rx and RNK Health 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, Ivy Rx prices compounded injections, while RNK Health prices compounded injections and an oral option.

Where each one treats patients

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

Pricing

Ivy Rx

StartingCompounded
$197/mo
semaglutide

Month-to-month price. Currently on sale at $177 per month; longer plans cost less per month.

StartingCompounded
$297/mo
tirzepatide

Month-to-month price. Currently on sale at $277 per month; longer plans cost less per month.

RNK Health

Compounded Semaglutide injectable (starting)Compounded
$197/mo
semaglutide

From $197/month, all-inclusive: medication, physician consult, syringes and wipes, and shipping. Multi-month prices are not published; the site says 'Full pricing details are shown during checkout.'

Compounded Tirzepatide (starting)Compounded
$297/mo
tirzepatide

'From $297/month' on landing page; same all-inclusive framing. Multi-month pricing not published pre-quiz.

Compounded Semaglutide oral — DISCONTINUEDCompounded · oral
$198/mo
semaglutide

REMOVE from entry: no oral semaglutide anywhere on live site; /semaglutide/oral/v1 and variants render the 404 page ('Oops! We can't find that page.'). Homepage product grid lists injectable sema/tirz only.

What each price covers

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

RNK Health's price also covers coaching, which Ivy Rx does not claim.

Ivy Rx is silent on lab work and coaching.

RNK Health is silent on lab work.

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

RNK 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

Where each one scores higher

Overall they tie at 7.3 out of 10.

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

RNK Health is stronger on value (5.0 vs 3.0) and support (8.5 vs 7.0).

Effectiveness and user experience are within half a point.

How we score

Ivy Rx

7.3/10

Overall

RNK Health

7.3/10

Value25%

3.0A
vs
B
5.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

7.5A
vs
B
6.5

Accessibility10%

10.0A
vs
B
5.0

Support10%

7.0A
vs
B
8.5

FDA warning letters

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

Features & Coverage

FeatureIvy RxRNK Health
Starting Price$197/mo$197/mo
Features3 features✓6 features
States Available50Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
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 RNK Health

Des Moines, IA houses the medical operations of RNK Health, while pharmacy fulfillment happens in Springville, UT. The list pairs GLP-1s with longevity products: compounded tirzepatide, compounded semaglutide as injectable or oral, NAD+ in injectable, nasal, and liposomal form, a DNA Blueprint test panel, enclomiphene, and sermorelin.

Read our full RNK Health 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

RNK Health

What we like

  • Semaglutide costs $198 a month, close to the $199 median for oral 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 the medication, clinician visits, shipping and coaching
  • We found no FDA warning letters issued to RNK Health

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

Our Verdict

Winner: RNK Health

RNK Health is where we would start, above all for an oral route if you will not self-inject. 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 $197 a month.

Choose RNK Health if…

You want an oral route if you will not self-inject and an opening price near $197 a month.

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Ivy Rx vs RNK Health: FAQ

Neither on the entry price: Ivy Rx and RNK Health both start at about $197 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Ivy Rx lists 50 states; RNK Health does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping. Only RNK Health includes coaching.
Ivy Rx has none. RNK Health has none.
RNK Health pays us a commission on sign-ups through our links; Ivy Rx does not. Scores are computed the same way for both.

Or see the full category ranking.