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IVY RX vs Winona

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

IVY RX vs Winona: Overview

Choosing between IVY RX and Winona for GLP-1 weight loss medication? Both are highly-rated providers, but they differ in pricing, medication options, and service features.

IVY RX offers both semaglutide and tirzepatide at $97/month with a rating of 8/10. Winona also provides both semaglutide and tirzepatide at $89/month with a 8.4/10 rating.

With only a $8/month price difference, your choice will likely come down to features, support quality, and medication options.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$8/mo

Rating Difference

0.4

Winner

Winona

Best For

Budget

IVY RX

View full IVY RX review →

Rating

8/10

Monthly Price

$97

Medications

semaglutidetirzepatide

Pros

✓The lowest advertised GLP-1 pricing we have found: $97 for the standard GLP-1 injection and $77 for the microdose plan (checked July 27, 2026)
✓The on-site rating is real and verifiable - 4.7 from 6,549 Trustpilot reviews, matching what the site claims
✓Publishes a phone line, a support email and a physical address, with support advertised seven days a week
✓Every product carries its own 'Important safety information' section rather than one generic sitewide disclaimer
✓Brand-name Ozempic and Mounjaro are offered alongside compounded options
✓Needle-free GLP-1 oral melts and a microdose plan give lower-intensity entry points
✓Anti-nausea tablets are sold alongside the GLP-1s, which is a practical acknowledgement of the most common side effect
✓The compounded disclosure sits next to the products themselves, not buried in a policy page

Cons

✗The refund policy gives you no defined entitlement. It states IVY RX is 'unable to accept returns' and then invites you to 'contact us so we can work together to find a solution' - there is no stated circumstance in which you are owed money back
✗The storefront labels its weight-loss products generically as 'GLP-1' and 'GLP-1 Microdose' rather than naming semaglutide or tirzepatide, so you cannot tell which molecule you are buying until later in the flow
✗No plan terms are published for the $97 rate - there is nothing on the page saying whether it requires a multi-month commitment
✗The catalogue includes BPC 157 and methylene blue under a 'Supplements' menu. BPC-157 is a peptide the FDA has flagged over compounding safety, and neither is an approved dietary ingredient, so their presence is a reason for caution about the wider range
✗Two different support addresses appear across the site - hello@ivyrx.com in the header and support@ivyrx.com in the refund policy
✗Ozempic and Mounjaro are FDA-approved for type 2 diabetes, so prescribing them for weight loss is off-label
✗No BBB profile or complaint record to set against the Trustpilot score
✗As with all compounded GLP-1s, the products are not FDA-approved and no efficacy data specific to IVY RX's patients is published

Winona

View full Winona review →

Rating

8.4/10Better

Monthly Price

$89Cheaper

Medications

bioidentical estradiolprogesteroneestriolDHEAsildenafilminoxidil

Pros

✓The full price list is published openly, with no intake required to see it: progesterone capsules from $39/mo, estrogen tablets from $54/mo, estrogen body cream (with progesterone) from $89/mo, vaginal estrogen cream from $89/mo and the estrogen patch from $149/mo (checked July 28, 2026)
✓Multiple delivery routes are offered - patch, body cream, vaginal cream, tablet and capsule - so treatment can be matched to preference rather than to whatever the company happens to stock
✓Winona owns its own 503A compounding pharmacies rather than outsourcing to a partner, which gives it direct control over formulation and consistency
✓Its pharmacy page explains the 503A/503B distinction correctly and states that 503A pharmacies are regulated by State Boards of Pharmacy, not the FDA - an accurate description that competitors routinely overstate
✓Roughly 8,000 Trustpilot reviews at 4.6, with 99% of negative reviews answered and a typical reply time under 24 hours
✓The rating advertised on site matches the rating on the public Trustpilot profile
✓The initial visit is free, so you can be assessed before paying for treatment
✓Editorial content carries numbered citations rather than unsourced assertions, and the site runs a public subreddit alongside a help centre and published phone number
✓HSA/FSA eligible, with a dedicated page explaining eligibility
✓Adjacent products are priced transparently too - DHEA from $27 per 3-month supply, sildenafil arousal cream at $79 per order, minoxidil hair serum at $150 per 3-month supply

Cons

✗Everything Winona dispenses is compounded in its own 503A pharmacies, which means it is not FDA-approved and has not been evaluated by the FDA for safety, efficacy or quality. The site explains 503A status clearly but does not foreground the 'not FDA-approved' consequence as plainly
✗Pharmaceutical products cannot be returned, per the terms - so once a prescription ships, you own it
✗The terms carry a mandatory arbitration clause on an individual basis with a class-action waiver, set out in capitals at the top of the document
✗Every headline price is a 'from' figure, so the actual monthly cost depends on the dose your clinician prescribes and is not knowable before the consultation
✗The hormone therapy explainer describes HRT as 'scientifically proven to be the safest, most effective treatment' for menopause symptoms. It is cited, but that is a strong framing for a therapy whose risk profile still depends heavily on age, time since menopause and personal history
✗Trustpilot notes Winona invites customers to review, which tends to lift scores relative to organic-only profiles, and that it may use AI-assisted replies
✗Systemic estrogen is not appropriate for everyone - women with a history of breast or endometrial cancer, unexplained vaginal bleeding, blood clots, stroke or liver disease should not start it without specialist input
✗Compounded hormone therapy in general lacks the long-term outcome data that exists for FDA-approved products, so the evidence cited for HRT as a class does not transfer automatically to these specific preparations

Feature-by-feature comparison

Feature	IVY RX	Winona
Monthly Price	$97	$89
Rating	8/10	8.4/10
Medications	semaglutide, tirzepatide	bioidentical estradiol, progesterone, estriol, DHEA, sildenafil, minoxidil
Insurance Accepted	No	No
Support Hours	Seven days a week (hours not published)	Help centre and chat available; hours not published
Live Chat	Available	Available
Free Shipping	Yes	Yes
Shipping Speed	Fast and free delivery claimed; timeframe not published	Shipped to your door after clinician review; free shipping included
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Not published	Ongoing clinician access through the patient portal; cadence not published
Money-back Guarantee	None - the policy states returns cannot be accepted and offers no defined refund entitlement	None published; pharmaceutical products cannot be returned. A separate cancellation and refund policy governs subscriptions
Cancellation Policy	Not published as a standalone policy; contact support to resolve issues	Subscriptions can be cancelled from your account; a separate cancellation policy governs when it takes effect

Which should you choose?

Choose IVY RX if you:

→Value: the lowest advertised glp-1 pricing we have found: $97 for the standard glp-1 injection and $77 for the microdose plan (checked july 27, 2026)

Get started with IVY RX

Choose Winona if you:

→Want to save $8/month with a more affordable option
→Prefer a higher-rated service (8.4/10 vs 8/10)
→Want more medication options to choose from
→Value: the full price list is published openly, with no intake required to see it: progesterone capsules from $39/mo, estrogen tablets from $54/mo, estrogen body cream (with progesterone) from $89/mo, vaginal estrogen cream from $89/mo and the estrogen patch from $149/mo (checked july 28, 2026)

Get started with Winona

Website previews

IVY RX

IVY RX website

Winona

Winona website

Our recommendation

Winona comes out ahead with a higher rating of 8.4/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Winona

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