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IVY RX vs Josie: Which Is Better?

Head-to-head comparison of IVY RX and Josie 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 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value.

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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58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

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Score Breakdown

DimensionIVY RXJosie
Overall Score64/100 ✓57.6/100
Trust & Safety30%55/100 ✓50/100
Value25%68/10070/100 ✓
Experience20%70/100 ✓58/100
Product Range15%70/100 ✓60/100
Reputation10%60/100 ✓45/100

At a Glance

Founded2023—
HeadquartersMiami, FL—
Publicly tradedNoNo
Treatment categories23
Treatments listed107
Starting price$90/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.

CategoryIVY RXJosie
Weight Loss / GLP-1$90
Metformin
$189
Microdose GLP-1 Maintenance (semaglutide or tirzepatide)

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 →

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

IVY RX vs Josie — FAQ

Is IVY RX better than Josie?

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IVY RX scores higher overall in our independent evaluation (64/100 vs 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value.

Is IVY RX or Josie cheaper?

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Their entry prices are similar — both start around $90/mo. Real cost depends on the specific treatment: compare the pricing tables on each review, since inclusions like consults, labs, and shipping differ.

What do IVY RX and Josie both offer?

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Both platforms treat Weight Loss / GLP-1. IVY RX covers 2 treatment categories total and Josie covers 3.

Still deciding?

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