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Direct Meds vs IVY RX: Which Is Better?

Head-to-head comparison of Direct Meds 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

Direct Meds scores higher overall in our independent evaluation (74.5/100 vs 64/100), leading on trust & safety, value, experience, product range, reputation.

75

Cash-pay pharmacy and telehealth combo focused on transparent pricing and no-surprise billing.

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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

DimensionDirect MedsIVY RX
Overall Score74.5/100 ✓64/100
Trust & Safety30%72/100 ✓55/100
Value25%82/100 ✓68/100
Experience20%74/100 ✓70/100
Product Range15%72/100 ✓70/100
Reputation10%68/100 ✓60/100

At a Glance

Founded20212023
HeadquartersMiami, FLMiami, FL
Publicly tradedNoNo
Treatment categories62
Treatments listed910
Starting price$53/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.

CategoryDirect MedsIVY RX
Weight Loss / GLP-1$237–$249
Compounded Semaglutide (sublingual)
$90
Metformin
Longevity & Peptides$199–$299
NAD+ Injections
$175
Sermorelin Injection

Direct Meds

+Transparent cash-pay pricing with no hidden fees
+Integrated pharmacy for fast fulfillment
+Competitive GLP-1 pricing
−GLP-1 tiers carry a three-month billing commitment while the same pages display a Cancel Anytime badge
−Marketing site publishes only two of sixteen-plus prices, one of them only inside invisible schema markup; the real prices sit on a storefront the marketing pages never link to
−FDA warning letter (Sept 2025, ref 716822) — compounded semaglutide and tirzepatide cited as misbranded over claims that they contain the same active ingredient as the branded drugs
Read the full Direct Meds 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 →

Direct Meds vs IVY RX — FAQ

Is Direct Meds better than IVY RX?

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Direct Meds scores higher overall in our independent evaluation (74.5/100 vs 64/100), leading on trust & safety, value, experience, product range, reputation.

Is Direct Meds or IVY RX cheaper?

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Direct Meds has the lower starting price (from $53/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 Direct Meds and IVY RX both offer?

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Both platforms treat Weight Loss / GLP-1, Longevity & Peptides. Direct Meds covers 6 treatment categories total and IVY RX covers 2.

Still deciding?

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