Comparing TelosRX and Ivy Rx for GLP-1 weight loss comes down to pricing structure and medication breadth. TelosRX starts at $49 a month with needle-free options; Ivy Rx offers a broad catalog at a flat per-shipment price. Both are LegitScript-certified and require approval by a licensed provider.
For the lowest monthly cost and needle-free delivery options, TelosRX is the easier starting point. Ivy Rx is worth considering if you want a broad wellness catalog — NAD+, peptides, and more — under one roof alongside GLP-1s.
Start your intake →Quick comparison: TelosRX vs Ivy Rx
Compounded medications are not FDA-approved. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed.
What is TelosRX?
TelosRX is an online-first, LegitScript-certified telehealth pharmacy focused on GLP-1 weight management. It offers compounded tirzepatide and semaglutide, plus unique needle-free formats: oral tirzepatide and microdosed tirzepatide.
The service is fully asynchronous. You complete a short online intake — no appointment needed — and a US-licensed provider reviews it, typically within hours. If approved, your medication ships free with 48-hour delivery. You can message your care team anytime, and quarterly labs are included to keep your progress on track.
Pricing is published upfront, HSA and FSA are accepted, and you can cancel anytime. Explore the tirzepatide and semaglutide program pages for full details.
What is Ivy Rx?
Ivy Rx is an online telehealth pharmacy that serves more than 200,000 patients. Its core model is asynchronous: you complete an online questionnaire, a licensed medical provider reviews your information and recommends a treatment, and medication ships from an FDA-registered pharmacy.
Beyond GLP-1 weight loss, Ivy Rx offers an unusually broad catalog: NAD+ injections and nasal spray, glutathione, sermorelin, BPC-157, MIC+B12, metformin, and anti-nausea support. Pricing is listed publicly by product. It is also LegitScript-certified and accepts HSA and FSA.
Ivy Rx also lists brand-name Ozempic and Mounjaro — though brand-name drugs depend on insurance or cash-pay pricing outside the compounded offering.
Medications: what each program offers
Both programs are built around the same drug class. Semaglutide is a GLP-1 receptor agonist. Tirzepatide is a dual GLP-1 and GIP agonist. These are the active ingredients in FDA-approved brands like Wegovy and Zepbound. The compounded versions offered by TelosRX and Ivy Rx are not FDA-approved and are prepared under federal compounding regulations.
TelosRX offers compounded tirzepatide in multiple formats: standard injectable, oral, and microdosed. The needle-free oral and microdosed options set it apart for patients who prefer to avoid injections. Ivy Rx offers compounded GLP-1 injections and microdose injections, plus GLP-1 oral melts, and also lists brand-name options like Ozempic and Mounjaro for appropriate candidates.
For authoritative background on prescription weight-loss medications, see the NIH NIDDK overview and the FDA announcement on tirzepatide for chronic weight management.
Key takeaway: Both services are LegitScript-certified and use compounded GLP-1s prepared under federal compounding regulations. TelosRX starts lower — at $49 a month — and adds needle-free formats. Ivy Rx offers a wider wellness catalog and oral melt options alongside compounded and brand-name GLP-1s.
Pricing and transparency
Both companies publish pricing before you sign up, which is a genuine plus for either choice. The main difference is pricing structure.
TelosRX lists every plan upfront:
- From $49 a month — microdosed tirzepatide, 12-month plan
- $99 your first month — standard tirzepatide, 12-month plan
- $145, $199, or $399 first month — 6-month, 3-month, or single-month plans
Ivy Rx lists per-product pricing publicly:
- GLP-1 injections: $175 per shipment
- GLP-1 microdose: $155 per shipment
- GLP-1 oral melts also available (pricing on site)
Both accept FSA and HSA, and neither requires insurance. Start your TelosRX intake to see your plan options in minutes.
How the process works
TelosRX: Complete a short online intake — no appointment needed. A US-licensed provider reviews your submission, often within hours. If approved, medication ships free with 48-hour delivery. You can message your care team at any point.
Ivy Rx: Answer an online questionnaire about your health history and symptoms. A board-certified provider reviews your information the same day and recommends a treatment. If prescribed, medication ships from an FDA-registered pharmacy and arrives in approximately two days.
Neither service prescribes automatically. Any medication is subject to medical approval by a licensed provider, and approval is not guaranteed.
Coaching and ongoing support
TelosRX includes ongoing care touchpoints: unlimited messaging with your care team, dose adjustments as your program progresses, and quarterly labs to keep your health picture current. This structured follow-up can help catch early side effects and keep your plan calibrated.
Ivy Rx offers secure messaging through a patient portal with board-certified providers. The platform emphasizes accessibility — quick messages to your care team without scheduling a separate visit. It does not publicly list a structured lab or dose-adjustment protocol, though provider follow-up is available through the portal.
For people who want more clinical touchpoints built in, TelosRX's quarterly labs and dose-adjustment cadence offer a meaningful edge. For people who prefer a lighter-touch, message-when-needed model, Ivy Rx's portal works well.
Safety and medical oversight
Both programs gate medication behind a licensed provider review. No prescription is issued automatically.
GLP-1 medications are not appropriate for everyone. Providers screen for contraindications including personal or family history of medullary thyroid cancer, pancreatitis, and active pregnancy. Common early side effects include nausea and digestive changes, which typically ease over time.
TelosRX includes quarterly labs and an always-available care team, so changes in your health are easier to flag and address. Share a full and accurate health history during intake — approval is subject to medical review by a licensed provider.
Which service is right for you?
Best for the lowest monthly entry price, needle-free and microdosed formats, quarterly labs, and structured ongoing support from a LegitScript-certified telehealth pharmacy.
Best if you want a broad wellness catalog alongside GLP-1s — including NAD+, peptides, MIC+B12, and oral melt formats — with a proven 200,000+ patient track record.
For most people focused on GLP-1 weight management who want flexibility and hands-on clinical follow-up, TelosRX is the more straightforward choice. If a wide wellness menu alongside your GLP-1 plan matters to you, Ivy Rx is worth exploring.
Frequently Asked Questions
Is TelosRX legitimate?
Yes. TelosRX is a LegitScript-certified telehealth pharmacy. Medications are compounded by licensed US pharmacies and prepared under federal compounding regulations. Every prescription is subject to medical approval by a licensed provider, and approval is not guaranteed.
Are the compounded GLP-1 medications FDA-approved?
No. The compounded tirzepatide and semaglutide offered by TelosRX and Ivy Rx are not FDA-approved. They are prepared under federal compounding regulations. Brand-name versions like Wegovy and Zepbound are FDA-approved but are separate products not offered by TelosRX.
How does TelosRX pricing compare to Ivy Rx?
TelosRX publishes multi-month plans starting from $49 a month for microdosed tirzepatide on a 12-month plan, with standard tirzepatide from $99 your first month. Ivy Rx lists pricing by product: GLP-1 injections at $175 and microdose at $155 per shipment, with no publicly listed multi-month plan discounts.
Does Ivy Rx offer oral GLP-1 options?
Yes. Ivy Rx offers GLP-1 oral melts alongside its injectable and microdose options — a genuine differentiator. TelosRX offers needle-free oral tirzepatide and microdosed tirzepatide for patients who prefer to avoid traditional injections.
How fast is provider review and shipping?
TelosRX typically completes provider review within hours of intake, with free 48-hour shipping if approved. Ivy Rx states that a provider reviews your information the same day, with medication delivered in approximately two days. Both timelines are comparable for most patients.
Can I use HSA or FSA funds with either service?
Yes. Both TelosRX and Ivy Rx accept HSA and FSA payments. Neither service requires insurance. TelosRX accepts HSA and FSA directly; Ivy Rx notes that itemized receipts are available for FSA and HSA reimbursement where applicable.
TelosRX is LegitScript-certified. Compounded medications are not FDA-approved and are prepared under federal compounding regulations. Approval is subject to evaluation by a licensed provider; approval is not guaranteed. Individual results vary. TelosRX operates as an online-first, asynchronous telehealth service.
Start your private evaluation at TelosRX.