IVY RX review

What it is

IVY RX is an online telehealth platform for weight loss, anti-aging and sexual health. It says it connects patients with licensed clinicians in all 50 states [1]. Prescriptions go to its partner pharmacies, which ship to your home.

What it prescribes

Most of its weight-loss range is compounded: semaglutide and tirzepatide injections, a lower-dose “microdose” injection and dissolving oral melts. Its own disclaimer says compounded medications have not been FDA-regulated for safety, effectiveness or quality [2].

It also lists two brand-name drugs, Ozempic and Mounjaro, at $1,399 each [3] [4]. Both are FDA-approved to improve blood sugar in type 2 diabetes [5], and Lilly states that Mounjaro is not a weight loss drug [6]. IVY RX nonetheless markets Ozempic “for weight loss” in its help center [7]. If weight loss is your goal, the GLP-1s FDA has approved for it include Wegovy, Zepbound and Foundayo; see what each GLP-1 is approved for.

What it costs

Compounded GLP-1 injections are advertised from $77, described as 4 doses a month [8]. That is a starting figure; the product page does not list the price at each plan or dose. The page does promise the same price at every dose and says no insurance is needed [9]. IVY RX does not accept any public or private insurance, so the brand-name drugs above are cash prices too [10].

Signing up and cancelling

Approval is online and the product page says lab work is not needed [11]. Its terms describe two billing options, one month or three months prepaid, each renewing month to month afterward [12]. The help center says you may cancel at any time with no cancellation fee [13], and that you must check in with your provider each month before the next order is billed and shipped [14]. Refunds are another matter: all transactions are final [15].

Safety and regulatory record

We searched FDA’s warning letter database for IVY RX and found no letter. One thing on its own site stands out, though. A help-center article on its compounded semaglutide program still says the product has the same active ingredient as two brand-name drugs [16]. In its 2026 round of warning letters to telehealth firms, FDA said a main violation was claims implying sameness with FDA-approved products [17]. A compounded drug is not the same as, or a copy of, an approved brand.

Who it suits, and who should look elsewhere

IVY RX suits a cash buyer who has chosen a compounded GLP-1 and wants a low entry price with no lab step. Look elsewhere if you want an FDA-approved weight-loss drug at a lower cash price than $1,399, or if you need insurance to pay [3]. Our brand-name cash price guide lists cheaper direct-from-manufacturer options.