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Head-to-head · WeighScore

Ivy Rx vs Lean Rx

Ivy Rx
Graded #189

Higher grade

vs+5.899999999999999
Lean Rx
Graded #319

Lower grade

The verdict

Ivy Rx takes it — 66.5/100 to 60.6/100.

Ivy Rx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Telehealth provider offering tiered compounded semaglutide and tirzepatide programs.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueIvy Rx +21
61
40
Dose & formulationLean Rx +11
64
75
Clinical oversightIvy Rx +1
82
81
Labs & monitoringIvy Rx +1
53
52
FulfillmentIvy Rx +21
81
60
Contract termsEven
55
55
Ivy Rx · left barLean Rx · right bar

The numbers

MetricIvy RxLean Rx
WeighScore66.5/10060.6/100
GradeCC
Scorecard rank#189#319
Semaglutide$175/mo (starting dose, compounded)$266/mo (starting dose, compounded)
Tirzepatide$275/mo (starting dose, compounded)$399/mo (starting dose, compounded)
CoverageAll 50 statesCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
Ivy Rx

Graded #189 · C

Strengths

  • Both semaglutide and tirzepatide available
  • Compounded GLP-1 access

Where it loses points

  • Limited public information on program details
Lean Rx

Graded #319 · C

Strengths

  • Both semaglutide and tirzepatide offered
  • Three formulations: injectable, sublingual, and tablet
  • Upfront pricing with no hidden fees advertised
  • Semaglutide starts at a low $266/month
  • Telehealth call with a licensed provider before prescribing

Where it loses points

  • Compounded-only; no FDA-approved branded options
  • No published state availability list
  • Platform is technology only, not a healthcare provider itself
  • Provider credentials not detailed on site

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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