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altRx vs IVY RX: Which Is Better?

Head-to-head comparison of altRx and IVY RX based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

IVY RX scores higher overall in our independent evaluation (64/100 vs 47.6/100), leading on trust & safety, experience, product range, reputation. altRx comes out ahead on value. altRx has the lower entry price (from $89/mo vs $90/mo), so the better value depends on which treatment you need.

48
altRx
Below Average

altRx is a Miami-operated, GLP-1-only telehealth brand advertising compounded semaglutide from $89/mo and tirzepatide from $149/mo with no separate membership fee.

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64
IVY RX
Fair

IVY RX is a Miami-based cash-pay telehealth platform, founded by a pharmacist in 2023, selling compounded GLP-1 injections, microdoses and oral melts alongside NAD+, sermorelin, glutathione and B12 injections.

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Score Breakdown

DimensionaltRxIVY RX
Overall Score47.6/10064/100 ✓
Trust & Safety30%42/10055/100 ✓
Value25%70/100 ✓68/100
Experience20%35/10070/100 ✓
Product Range15%50/10070/100 ✓
Reputation10%30/10060/100 ✓

At a Glance

Founded—2023
HeadquartersMiami, FLMiami, FL
Publicly tradedNoNo
Treatment categories12
Treatments listed210
Starting price$89/mo$90/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryaltRxIVY RX
Weight Loss / GLP-1$89–$159
Compounded Semaglutide (injectable)
$90
Metformin

altRx

+Advertised compounded GLP-1 pricing ($89/mo semaglutide, $149/mo tirzepatide) is near the bottom of the market, with no separate membership fee
+Names its four fulfilling pharmacies (RedRock, Health Warehouse, Precision Medicine, Triad Rx) on its site
+Offers branded Wegovy, Zepbound and Ozempic prescriptions alongside compounded options
−Received an FDA warning letter (June 8, 2026) over labeling that misidentified the compounder and 'clinically proven' claims implying FDA approval
−Roughly 73-78% of Trustpilot reviews are one-star, citing undelivered refills, refused refunds, and unanswered phones and email
−Trustpilot has removed reviews on its profile for guideline breaches
Read the full altRx review →

IVY RX

+Large, positive Trustpilot base (4.7/5 across 7,300+ reviews) and replies to 91% of negative reviews
+Multiple GLP-1 formats (weekly injection, microdose, daily oral melts) plus branded Ozempic and Mounjaro
+Broad longevity menu (NAD+, sermorelin, glutathione, MIC-B12) with prices published before intake
−No lab work required before GLP-1 prescribing
−Markets '503B/USP <797>' sourcing, but a reviewer's order shipped from a 503A pharmacy
−BBB rating of C+ with 18 complaints over refill delays and billing after cancellation; refund policy is restrictive
Read the full IVY RX review →

altRx vs IVY RX — FAQ

Is altRx better than IVY RX?

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IVY RX scores higher overall in our independent evaluation (64/100 vs 47.6/100), leading on trust & safety, experience, product range, reputation. altRx comes out ahead on value. altRx has the lower entry price (from $89/mo vs $90/mo), so the better value depends on which treatment you need.

Is altRx or IVY RX cheaper?

▾

altRx has the lower starting price (from $89/mo vs $90/mo for IVY RX). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do altRx and IVY RX both offer?

▾

Both platforms treat Weight Loss / GLP-1. altRx covers 1 treatment category total and IVY RX covers 2.

Still deciding?

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