Ivim Health vs RxSpan MD
In our scoring, RxSpan MD edges ahead overall (8.1 vs 7.7 out of 10).
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Key differences
- Price
- Ivim Health $65/mo on a 12-month prepaid plan; RxSpan MD $249/mo no prepay listed (compounded semaglutide · not like-for-like, so neither is marked cheaper)
- Coverage
- RxSpan MD 50 states (Ivim Health doesn't publish a state list)
- Included
- Ivim Health: not stated; RxSpan MD: medication, clinician visits, shipping, coaching
- Safety
- FDA warning letters on record: Ivim Health 1, RxSpan MD none
Ivim Health
Affiliate partnerBest for compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
semaglutide
$65
on a 12-month prepaid plan · + separate membership
Our score 7.7/10

RxSpan MD
Affiliate partnerBest for physician-led, pharmacy-transparent compounded GLP-1 with brand-name options
semaglutide
$249
Our score 8.1/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Ivim Health
RxSpan MD
Price
Semaglutide / month
$65/mo
on a 12-month prepaid plan · + separate membership
$249/mo
Semaglutide / year (modeled)
$780
excludes the membership
$2,988
Tirzepatide / month
$117/mo
on a 12-month prepaid plan · + separate membership
$329/mo
Tirzepatide / year (modeled)
$1,404
excludes the membership
$3,948
Oral semaglutide / month
Not listed
$249/mo
Oral tirzepatide / month
Not listed
$349/mo
Brand Wegovy / Ozempic / month
Not listed
$1,299/mo
Brand Zepbound / Mounjaro / month
Not listed
$1,069/mo
Separate membership required
Yes — not in the listed price
Not stated
Coverage
State availability
List not published
50 states
Oral option listed
Not listed
Yes
Brand-name access listed
Not listed
Wegovy / Ozempic, Zepbound / Mounjaro
Included in the price
Not disclosed
Medication, clinician visits, shipping, coaching
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Not disclosed
Yes
Minimum commitment
12-month plan for the listed price
None
Refunds
'All prescribed medications are non-refundable, regardless of usage, program duration, or cancellation of membership.' Terms Section 16 refunds unshipped medication less restocking fees.
Not disclosed
Early-cancellation fee
Yes
Better on this row: None
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
October 2026
August 2026
Every dose and plan: Ivim Health · RxSpan MD
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Ivim Health if…
- Membership includes unlimited same-day provider visits and functional health coaches
- Weekly app check-ins with provider dose adjustments
- Brand Zepbound and Wegovy available, with help checking insurance coverage
What to weigh up
- 1 FDA warning letter on record
- Its $65/mo compounded semaglutide price needs a 12-month prepaid plan

Choose RxSpan MD if…
- Its $249/mo compounded semaglutide price needs no prepay; Ivim Health's $65 needs a 12-month prepay
- Lists oral compounded semaglutide, oral compounded tirzepatide and brand-name Wegovy / Ozempic, which Ivim Health doesn't price
- Publishes its full state list (50 states)
What to weigh up
- Compounded pricing ($249 semaglutide / $329 tirzepatide) sits mid-to-high versus the cheapest telehealth options
- Brand-name GLP-1 is priced steeply (Wegovy $1,349, Ozempic $1,299, Zepbound $1,069)
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Ivim Health
7.7/10
RxSpan MD
8.1/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →Ivim Health vs RxSpan MD: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.