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Ivy Rx vs PlushCare

PlushCare 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
PlushCare logo

PlushCare

6.4
★★★☆☆3.2/5

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

Visit PlushCare →

If you are choosing between Ivy Rx and PlushCare, the first difference is cost: PlushCare 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. Ivy Rx leads our six-part score, 7.3 to 6.4.

Ivy Rx vs PlushCare price

PlushCare 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 PlushCare ($149 a month vs $175 a month); tirzepatide is cheaper at Ivy Rx ($275 a month vs $399 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Ivy Rx lists 50 states, and PlushCare 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

PlushCare

StartingCompounded
$149/mo
semaglutide

Range up to $299/mo

StartingCompounded
$399/mo
tirzepatide

Range up to $599/mo

What each price covers

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

Ivy Rx is silent on lab work and coaching.

PlushCare is silent on shipping and coaching.

That matters most for the drug: unless PlushCare 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

PlushCare

Covered by the monthly price

Medication

Charged on top

Clinician visits

Charged on top

Shipping

Not stated

Lab work

Charged on top

Coaching

Not stated

Where each one scores higher

Overall, Ivy Rx scores 7.3 and PlushCare 6.4 out of 10.

Ivy Rx is stronger on user experience (8.0 vs 7.0) and support (7.0 vs 0.0).

Value, effectiveness, trust & safety and accessibility are within half a point.

How we score

Ivy Rx

7.3/10

Overall

PlushCare

6.4/10

Value25%

3.0A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

7.5A
vs
B
7.5

Accessibility10%

10.0A
vs
B
10.0

Support10%

7.0A
vs
B
0.0

FDA warning letters

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

Features & Coverage

FeatureIvy RxPlushCare
Starting Price$175/mo✓$149/mo
Features3 features✓8 features
States Available5050
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 PlushCare

PlushCare is an established virtual primary-care telehealth platform and a subsidiary of Transcarent, Inc., a Delaware corporation that also owns Accolade, 2nd.MD, and 98point6 by Transcarent. Virtual visits with US board-certified physicians cost $30 per appointment insured and $129 self-pay. GLP-1 prescribing is a clinician-discretionary option within the broader primary-care relationship.

Read our full PlushCare 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

PlushCare

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • Serves all 50 states
  • We found no FDA warning letters issued to PlushCare
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
  • Baseline bloodwork is required before a prescription

Watch-outs

  • Not included in the monthly price: medication, clinician visits, lab work
  • 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 6.4, above all for coverage in all 50 states, which most sellers will not confirm. PlushCare undercuts it by $26 a month, so if the monthly bill is what decides it, PlushCare is the pick. PlushCare 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 PlushCare if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $149 a month.

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9.2

He & She MD

Starting below a standard dose, with microdose tiers

5.9

Wellorithm

Compounded semaglutide at $247/month

6.6

Willow

Seeing what it charges before you answer any medical questions

Ivy Rx vs PlushCare: FAQ

PlushCare. 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.
Only Ivy Rx includes the clinician visit, the medication itself and shipping.
Ivy Rx has none. PlushCare has none.
No. Neither Ivy Rx nor PlushCare pays us anything.

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