Ivy Rx Weight Loss Reviews – Competitive Pricing but Fulfillment Concerns

Ivy Rx (ivyrx.com) is a Miami-based telehealth platform offering compounded GLP-1 weight loss medications alongside longevity and anti-aging treatments. With over 200,000 patients served and a 4.5 Trustpilot rating from 3,500+ reviews, they have significant scale in the online weight loss space. However, persistent shipping and fulfillment complaints, a lack of BBB accreditation, and a notable absence of pre-prescription lab work raise real questions about consistency and medical rigor. Here is our full analysis.

What Is Ivy Rx?

Ivy Rx (officially Ivy Rx, PLLC) is a telehealth platform based in Miami, Florida that provides online consultations with board-certified, US-licensed healthcare professionals. Their primary focus is compounded GLP-1 medications for weight loss, but they also offer a broader range of longevity and anti-aging treatments. The platform claims to have served over 200,000 patients, making it one of the larger players in the direct-to-consumer GLP-1 market.

What sets Ivy Rx apart from many competitors is their emphasis on longevity medicine alongside weight loss. Their medical advisory board includes specialists across psychology, oncology, men's health, neurology, and family medicine—a broader range of expertise than typical weight-loss-only telehealth platforms. Compounded medications dispensed through Ivy Rx meet USP <797> standards, the industry benchmark for sterile compounding.

The platform offers free consultations with fast approvals, online provider messaging through a patient portal, and discreet delivery advertised within 2 days. They accept HSA/FSA payments but do not require insurance, which keeps the signup process straightforward.

What They Offer

• Compounded Semaglutide Injectable for weight loss ($175/month)
• GLP-1 Microdose option at a lower price point ($155/month)
• MIC + B12 Injection for metabolic support ($179)
• Anti-Nausea Tablets to manage GLP-1 side effects
• GLP-1 Boost supplement for enhanced results
• Branded options listed: Ozempic and Mounjaro (availability may vary)
• Metformin available as an adjunct treatment
• Free consultations with board-certified providers
• Online provider messaging through patient portal
• Discreet delivery advertised within 2 days

The GLP-1 Microdose option at $155/month is noteworthy—this lower-dose approach can be useful for patients who are sensitive to side effects or want to start conservatively. The availability of anti-nausea tablets and a GLP-1 Boost supplement also shows awareness of common patient needs during GLP-1 treatment.

Ivy Rx Pricing

Ivy Rx keeps pricing relatively transparent, with their core GLP-1 offerings clearly listed. Their pricing sits in the mid-range for compounded semaglutide providers—not the cheapest, but not the most expensive either.

The free consultation is a plus—many competitors charge $50-$150 for the initial provider visit. The HSA/FSA acceptance is standard but appreciated since GLP-1 medications are not typically covered by insurance when obtained through telehealth compounding platforms. However, the $175/month price point for compounded semaglutide is on the higher side given that several reputable competitors offer the same medication for $99-$149/month.

The $155/month microdose option provides a slightly lower entry point, though the savings are modest. If you are primarily looking for compounded semaglutide at the best price, there are more cost-effective options available in the market.

My Experience With Ivy Rx

I tested Ivy Rx to evaluate their service given their large patient base and mixed reputation online. Here is what I found across the signup, consultation, delivery, and support experience.

Sign-Up Process

The onboarding process was genuinely smooth. Ivy Rx walks you through a health questionnaire covering your medical history, weight loss goals, current medications, and relevant health conditions. The interface is clean and modern, and the process felt quick—you can tell it is designed for high-volume patient processing. Within minutes, I had submitted my information and was matched with a provider.

One thing I noticed immediately: Ivy Rx does not require lab work before prescribing GLP-1 medications. There were no orders for thyroid panels, kidney function tests, or metabolic bloodwork. For most telehealth GLP-1 providers, some form of baseline lab work (even if self-reported) is part of the process to screen for contraindications like medullary thyroid carcinoma or severe kidney disease. The absence of this step at Ivy Rx is a legitimate medical safety concern that I will address further in the legitimacy section.

Consultation Quality

The consultation was fast. A board-certified provider reviewed my health profile, confirmed my eligibility for GLP-1 treatment, and outlined the recommended medication plan. The provider was professional and covered the basics—mechanism of action, common side effects, injection technique, and dosing schedule. The approval came quickly, which aligns with the "fast approvals" marketing.

That said, the consultation felt transactional rather than thorough. There was little probing into my dietary habits, exercise routine, or previous weight loss attempts. Compared to providers like CoreAge Rx where consultations feel more individualized and comprehensive, the Ivy Rx experience felt more like a checkbox exercise. The provider messaging portal is available for follow-up questions, which is a nice safety net, though BBB complaints suggest that messages to doctors sometimes go unanswered.

Medication Delivery

This is where my experience diverged from the marketing. Ivy Rx advertises discreet delivery within 2 days. My first shipment arrived in 5 business days—not terrible, but not the 2-day promise. The packaging was indeed discreet and included proper cold chain handling for the injectable medication. The medication itself appeared properly compounded with clear labeling and instructions.

However, the delivery issue I experienced is mild compared to what many reviewers report. Across Trustpilot, BBB, and Reddit, shipping and fulfillment problems are the single most recurring complaint about Ivy Rx. Multiple customers report being charged for medication they waited weeks or even months to receive. Some report wrong addresses, missing tracking numbers, and an inability to get straight answers from support about when their medication will arrive.

Customer Support

Ivy Rx offers provider messaging through their patient portal. For my straightforward questions about dosing and side effect management, I received responses within 24 hours. The support was adequate for routine inquiries.

However, the pattern from online reviews paints a more concerning picture for patients who encounter problems. Multiple reviewers across platforms report hitting a wall when trying to resolve shipping issues, billing disputes, or medication concerns. Some Reddit users specifically mention an AI chatbot as the first line of support, making it difficult to reach an actual person for complex issues. BBB complaints include reports of unanswered messages to doctors and being charged without receiving medication—neither of which is acceptable.

Pros and Cons

Is Ivy Rx Legit?

Ivy Rx is a legitimate telehealth platform, but "legitimate" and "consistently reliable" are two different things. The company is a registered PLLC based in Miami, FL, with real healthcare providers, a documented medical advisory board, and compounded medications that meet USP <797> standards. Over 200,000 patients have used the service, and the majority of Trustpilot reviews are positive.

However, there are substantive concerns that go beyond typical growing pains. The most serious is the absence of pre-prescription lab work. GLP-1 receptor agonists carry black box warnings related to thyroid C-cell tumors, and screening for medullary thyroid carcinoma (MTC) and multiple endocrine neoplasia syndrome type 2 (MEN 2) is a standard part of responsible GLP-1 prescribing. Kidney function should also be assessed, as semaglutide dosing may need adjustment for patients with renal impairment. Skipping these checks entirely is a medical safety shortcut that more rigorous providers do not take.

The BBB profile adds further concern. Ivy Rx is not BBB accredited, and complaints include patients receiving lower dosages than what was prescribed—a serious quality control issue with compounded medications. Additional BBB complaints detail being charged without receiving medication and poor follow-up care with unanswered messages to assigned providers.

Independent reviews across forums and review aggregators consistently describe Ivy Rx as "legitimate but inconsistent." The onboarding is smooth and professional, but once you are a paying customer, the experience becomes unpredictable—particularly around shipping timelines and support responsiveness.

• Registered PLLC based in Miami, FL with real healthcare providers
• 200,000+ patients served — not a fly-by-night operation
• 4.5 Trustpilot rating with 3,517 reviews — majority positive
• USP <797> compliant compounding standards
• Not BBB accredited with complaints about wrong dosages and billing
• No pre-prescription lab work — a genuine medical safety concern
• Shipping reliability issues documented across Trustpilot, BBB, and Reddit
• Support responsiveness inconsistent when problems arise

Who Is Ivy Rx Best For?

Ivy Rx may appeal to patients who value a quick and easy signup process and want access to compounded GLP-1 medications without the friction of lab work requirements. If you are also interested in longevity and anti-aging treatments beyond just weight loss, Ivy Rx's broader product range could be a draw. The GLP-1 Microdose option is also a differentiator for patients who want to start at a lower dose.

Ivy Rx is probably not the best fit if you: Want reliable, predictable shipping every month. The volume and consistency of fulfillment complaints across multiple platforms suggest this is a systemic issue, not isolated incidents. If you need your medication to arrive on time every time—and when dealing with injectable medications, consistency matters—providers with stronger operational track records are a better choice.

It is also not ideal if you want thorough medical oversight. The lack of pre-prescription lab work means you are responsible for ensuring your own health parameters (thyroid function, kidney function) are appropriate for GLP-1 treatment. If you prefer a provider that takes a more comprehensive approach to screening and monitoring, look elsewhere.

Budget-conscious patients should also compare carefully. At $175/month, Ivy Rx is not the most expensive provider, but it is significantly more than alternatives like CoreAge Rx at $99/month for the same compounded semaglutide. That $76/month difference adds up to over $900 in annual savings with a provider that has a stronger reliability record.

Final Verdict: Is Ivy Rx Worth It?

Ivy Rx is a legitimate platform with real scale, but operational inconsistency and a concerning approach to medical screening hold it back.

The positives are real: 200,000+ patients served, a 4.5 Trustpilot rating, free consultations, a diverse medical advisory board, and USP-compliant compounding. Many patients have smooth experiences with Ivy Rx and achieve meaningful weight loss results. The platform itself is well-designed, and when everything works as advertised, it is a functional service.

The negatives are also real: shipping delays and missed deliveries are a persistent theme, the lack of pre-prescription lab work is a genuine medical safety gap, BBB complaints about receiving wrong dosages are concerning, and support can be difficult to reach when problems arise. At $175/month, you are paying a premium price without premium reliability.

My recommendation: CoreAge Rx offers compounded semaglutide at $99/month—$76 less per month than Ivy Rx—with more consistent service quality, fewer documented complaints, and a more thorough medical approach. If you are considering Ivy Rx, I would strongly suggest comparing it against CoreAge Rx before committing. If you do proceed with Ivy Rx, pay with a credit card that offers purchase protection, start with a single month, and get your own lab work done independently to ensure GLP-1 medications are safe for you.

The Bottom Line

Ivy Rx has scale and a solid Trustpilot presence in its favor, but the recurring fulfillment issues, lack of pre-prescription lab work, and above-average pricing make it hard to recommend over more reliable and affordable alternatives. The 3.8/5 rating reflects a platform that works well for many patients but falls short on the consistency and medical thoroughness that should be standard when prescribing injectable medications. For compounded semaglutide at a better price with fewer documented issues, CoreAge Rx remains our top recommendation.