Head-to-head · WeighScore
Ivy Rx vs Open Water Rx
The verdict
Ivy Rx takes it — 66.5/100 to 58.8/100.
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.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Ivy Rx | Open Water Rx |
|---|---|---|
| WeighScore | 66.5/100 | 58.8/100 |
| Grade | C | C |
| Scorecard rank | #190 | #359 |
| Semaglutide | $175/mo (starting dose, compounded) | $249/mo (compounded) |
| Tirzepatide | $275/mo (starting dose, compounded) | $339/mo (compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #190 · C
Strengths
- Both semaglutide and tirzepatide available
- Compounded GLP-1 access
Where it loses points
- Limited public information on program details
Graded #359 · C
Strengths
- Combines weight-loss and longevity verticals in one brand
- Established brand domain
Where it loses points
- Limited public data — most details are gated behind signup or rendered only in JavaScript
- Pricing not disclosed
- GLP-1 options (semaglutide vs. tirzepatide, compounded vs. brand, injection vs. oral) not stated
- States-served list not disclosed
- Pharmacy partner not named
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.