Screenshot of the IVIM Health weight loss page with its GLP-1 program options

IVIM Health Review 2026: Real Cost, Membership Fee, FDA Letter and Refund Rules

IVIM Health (Ivím) advertises compounded semaglutide from $65 a month and tirzepatide from $117. On top of that you pay a $74.99 monthly membership, so the lowest real monthly cost for semaglutide is about $140. Patients rate IVIM very highly, the BBB gives it an A+ and LegitScript certifies it. It also got an FDA warning letter in February 2026, medication is non-refundable and the programs run for a fixed term. Here’s what that means for you.

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By Richard S. Tucker Founder · Editorial Lead
Updated
27 min read
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Our Verdict

IVIM Health has the strongest patient ratings of any provider we’ve reviewed: 4.9 on Trustpilot from more than 40,000 reviews, 4.9 on Google, A+ on the BBB. Patients mostly praise the providers and the care team, and the weekly check-ins with dose changes are more hands-on than most telehealth programs. The weak spots are money and paperwork. The $65 and $117 prices don’t include the $74.99 monthly membership, programs run for a fixed term, medication is non-refundable, unshipped medication expires at the end of the term and cancelling mid-plan costs $50 or $100 per unshipped portion. The FDA sent IVIM a warning letter in February 2026 because its product pictures made it look like the compounder, and it still doesn’t name its pharmacies. It’s a good fit if you want close provider contact and plan to stay the full term. If you might stop early, look at month-to-month alternatives.

3.6
out of 5 Our score
Legitimacy & safety (25%)
3.5/5

Certified by LegitScript and rated A+ by the BBB. The FDA sent IVIM a warning letter in February 2026 over misleading labels, and the pharmacies aren’t named.

Pricing transparency (25%)
2/5

From $65 (semaglutide) and $117 (tirzepatide), plus a required $74.99 monthly membership. Plan length and dose pricing aren’t shown before sign-up.

Patient reputation (25%)
4.9/5

4.9 on Trustpilot from 40,051 reviews, 4.9 on Google from 10,500, 4.67 from 381 BBB reviews and 4.7 on the App Store. IVIM invites customers to review on Trustpilot.

Access & convenience (15%)
4/5

Compounded injections, the Wegovy pill and Foundayo, and help with insurance for brand-name GLP-1s. IVIM doesn’t publish a state list.

Policies & support (10%)
4/5

Cancel online, and the refund policy is published. But medication is non-refundable, early cancellation costs $50 or $100 per unshipped portion, and unused program time expires.

Best for

  • ✓ People who want frequent provider check-ins and dose changes
  • ✓ Patients whose insurance may cover a brand-name GLP-1
  • ✓ Anyone who plans to finish a full 3- to 6-month program
  • ✓ People who use HSA or FSA funds

Not ideal for

  • – Anyone who wants to pay month to month and stop anytime
  • – Shoppers comparing headline prices without the membership
  • – People who want to know which pharmacy fills their order
  • – Anyone who may pause treatment mid-program

Our score combines five criteria, each rated 1 to 5 from facts you can check. Commissions never change it. How we score providers

IVIM Health at a Glance:

Operated byIvim Services LLC and Ivim Professional Corporation, Columbus, OH
SemaglutideFrom $65/mo (“starting at”) + membership
TirzepatideFrom $117/mo (“starting at”) + membership
Membership$74.99/mo required, billed separately from medication
ProgramFixed term (3 to 6 months); up to 56 days of medication per shipment
Brand-nameInsurance copays from $25/mo; cash from $149/mo (Wegovy pill, Foundayo)
InsuranceYes For brand-name GLP-1s; compounded is cash or HSA/FSA
StatesNot available in all states; no list published
PharmacyNot named “Partnered” pharmacies
SupportPhone (877) 581-2210, email, app messaging
Trustpilot4.9 · 40,051 reviews
BBBA+ Accredited; 16 complaints in 12 months
FDAWarning letter February 20, 2026
LegitScriptCertified

Checked on ivimhealth.com, fda.gov, LegitScript, Trustpilot, the BBB, Google, the App Store, Google Play and RealReviews on .

Who Runs IVIM Health

IVIM Health, written Ivím on its own site, is run by Ivim Services LLC and Ivim Professional Corporation from Columbus, Ohio. Its About page says two brothers started it about five years ago: Anthony Kantor, the CEO, and Dr. Taylor Kantor, a cardiac surgeon. Its chief medical officer is Dr. Jessica Duncan, who is board certified in obesity medicine. IVIM calls itself a physician-led virtual practice, and its providers prescribe through the company’s own medical group.

Weight loss is the main program. IVIM sells compounded semaglutide and tirzepatide injections, and brand-name Wegovy, the Wegovy pill, Ozempic, Zepbound and Foundayo, with insurance help for the brand-name drugs. The same $74.99 membership also covers its women’s and men’s hormone programs. IVIM has published two studies of its own patients in the journal Obesity Pillars. They were led by its chief medical officer and had no control group.

Note: Compounded semaglutide and tirzepatide from IVIM are not FDA-approved finished drug products. Licensed compounding pharmacies prepare them, and the FDA doesn’t review them for safety or effectiveness.

Company and Contact Details

CompanyIvim Services LLC (Ivím Health)
Address4200 Regent Street, Suite 200, Columbus, OH 43219
Phone(877) 581-2210
Emailsupport@ivimhealth.com
SupportCare team messaging in the IVIM app; phone and email for orders and billing
Medical groupIvim Professional Corporation

Contact details from ivimhealth.com and the BBB, checked .

Add $74.99 Before You Compare

Every IVIM price leaves out the membership. Do the full math first, then see how it stacks up against the providers below.

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Is IVIM Health Legit? LegitScript, the BBB and the FDA Letter

  • ✓ LegitScript: certified. LegitScript lists ivimhealth.com as Certified for pharmacy and telemedicine (checked Nov 8, 2026).
  • ✓ BBB A+ and accredited. The BBB has accredited IVIM since February 2023. It logged 100 complaints in three years, 16 of them in the last 12 months.
  • ! FDA warning letter, February 2026. The FDA said IVIM’s product pictures showed “Ivim” on the label, which suggested IVIM made the drugs when it doesn’t. IVIM still doesn’t name its pharmacies.
  • ! Compounded drugs are not FDA-approved. The FDA doesn’t review compounded semaglutide or tirzepatide for safety or effectiveness. What that means for you

IVIM is a real medical practice with a long record. LegitScript certifies it, the BBB rates it A+, its chief medical officer is board certified in obesity medicine and its providers check in with patients every week. On the medical side we found less to worry about than with most cheaper providers.

The FDA letter is the exception. In December 2025 the FDA reviewed ivimhealth.com, and on February 20, 2026 it sent IVIM a warning letter. The pictured labels on its compounded semaglutide and tirzepatide said “Ivim”. The FDA wrote that this suggested IVIM was the compounder “when in fact it is not”, and it called the products misbranded. It asked IVIM to identify the companies that actually make the drugs. As of November 2026 the site still says only “partnered pharmacies”. The letter is about labeling and advertising, not about the quality of the medication. Even so, before you pay, ask which pharmacy will fill your prescription.

IVIM Health Cost: Medication Prices Before the Membership

IVIM shows three prices on its weight loss page: compounded semaglutide “starting at $65/mo”, compounded tirzepatide “starting at $117/mo” and brand-name copays “as low as $25/mo”. Under all three it says “+ $75/mo Program Fee”. That’s the $74.99 membership, and its own FAQ says medication isn’t included in it. IVIM doesn’t show what dose or program length the starting prices assume. You see your real plan only after the questionnaire and provider visit.

MedicationWhat’s includedPrice
Compounded semaglutide“Starting at” price, fixed programMedication onlyFrom $65/mo
Compounded tirzepatide“Starting at” price, fixed programMedication onlyFrom $117/mo
Brand-name with insuranceCopay set by your planInsurance team, prior authorization helpFrom $25/mo copay
Wegovy pill or Foundayo, cashPrice changes with doseMedication only$149 to $299/mo
Membership (required)Monthly, auto-renewsProvider visits, care team, app, coaching$74.99/mo

Prices from ivimhealth.com, checked . Dose and program length behind the “starting at” prices aren’t published.

What the $74.99 Doesn’t Cover

  • Medication: the membership fee doesn’t cover it
  • A refund on any medication, shipped or not, except as the cancellation fees allow
  • A refund of the membership fee if your insurer denies a prior authorization

IVIM Against Our November Price Index

In our November 2026 GLP-1 Price Index, the median lowest advertised price for compounded semaglutide is $129 a month, and $179 for tirzepatide. IVIM’s $65 looks like one of the cheapest on the list, but most providers in the Index include care in their price. Add the required membership and IVIM’s lowest semaglutide cost is about $140 a month, a little above the median. Tirzepatide comes to about $192. For brand-name pills, IVIM charges the makers’ own self-pay prices ($149 to $299), and the membership comes on top.

Fixed Programs, 56-Day Shipments and a Membership That Renews

Compounded GLP-1s at IVIM come as a fixed program. The examples in its Terms describe programs of four or six months. The program clock starts on the day you buy and doesn’t stop. IVIM ships no more than 56 days of medication at a time, and each refill needs a check-in and provider approval first. The membership is billed separately at $74.99 a month and auto-renews until you cancel. IVIM says it “must run the length of your clinical program”.

Membership Plus Medication: IVIM’s Real Monthly Bill

IVIM’s headline prices are medication only. Its membership page says it plainly: “Membership: $75/month, auto-renews until you cancel. Medication is billed separately.” Here’s the lowest monthly cost for each option once you add the membership:

ItemSemaglutideTirzepatideNotes
Compounded semaglutideFrom $65+ $74.99 membershipFrom about $140/mo
Compounded tirzepatideFrom $117+ $74.99 membershipFrom about $192/mo
Wegovy pill, cash$149 to $299+ $74.99 membership$224 to $374/mo
Brand-name with insuranceFrom $25 copay+ $74.99 membershipFrom about $100/mo

Prices from ivimhealth.com and its Terms, checked .

Those are floors. The “starting at” prices may apply only to the lowest dose or the longest program, and IVIM doesn’t say which. Ask for the full program total, membership included, before you pay.

Four Clauses in IVIM’s Terms That Can Cost You

  • Medication is non-refundable “regardless of usage, program duration, or cancellation of membership.”
  • If you cancel, unshipped medication is refunded minus $100 for each unshipped three-month portion or $50 for each two-month portion. The fee is waived if a provider finds you can’t continue for medical reasons.
  • Medication you don’t request before the program ends, plus a 14-day grace period, expires with no credit. Missed check-ins don’t pause the clock.
  • Filing a chargeback doesn’t cancel your membership, and IVIM may end your care over one.

None of this is hidden. It’s in the Terms, and a short version sits in the FAQ on the weight loss page. But it changes the math. If you stop after two months of a six-month program, you get back only the unshipped medication, minus fees, and the membership charges you’ve paid stay paid. If you aren’t sure you’ll stay on treatment, pick the shortest program IVIM offers you, or a provider that bills month to month.

From Questionnaire to Weekly Check-Ins

IVIM puts a provider visit before the prescription, which many cheaper services skip. It doesn’t publish an approval or shipping time.

Step 1

Health questionnaire

Answer IVIM’s medical questions online so a provider can check whether you qualify.

Step 2

Provider visit

Meet an IVIM provider by video or chat to go over your history and goals and build a treatment plan.

Step 3

Choose a plan and pay

Pick your program. The provider sends the prescription to a partner pharmacy, which ships up to 56 days of medication.

Step 4

Weekly check-ins

Log weight and side effects in the app each week. Your provider adjusts the dose, and you need a check-in before every refill.

Five Things to Ask IVIM Before You Pay

  • 1 Add the membership. Every IVIM price is medication only. Add $74.99 a month.
  • 2 Ask for the program total. Get the dose, the program length and the full amount in writing before you pay.
  • 3 Pick the shortest term you’re sure about. Medication is non-refundable, and leaving early costs $50 or $100 per unshipped portion.
  • 4 Ask which pharmacy fills your prescription. IVIM doesn’t name it, and the FDA asked it to.
  • 5 Put refill dates in your calendar. Unrequested medication expires when the program ends.

Leaving IVIM Mid-Program: Fees, Refunds and Steps

You can cancel the membership online in your IVIM account. It ends at the end of the current billing period, and so do your prescriptions, because IVIM requires an active membership for medication. Cancelling doesn’t refund fees you’ve already paid and doesn’t pause your program:

  1. Cancel in your account and screenshot the confirmation. If anything goes wrong, email support@ivimhealth.com or call (877) 581-2210.
  2. In the same message, ask IVIM to refund any unshipped medication under Section 16 of its Terms, and ask what fee applies ($100 per three-month portion or $50 per two-month portion).
  3. If you’re stopping for a medical reason such as pregnancy, ask your provider to document it. Then the cancellation fee is waived.
  4. Check your card after the next billing date. If you see a wrong charge, contact IVIM in writing first, because its Terms say a chargeback doesn’t cancel your membership.

If IVIM doesn’t resolve it, you can file a complaint with the BBB, the Ohio Attorney General or the FTC. IVIM’s Terms require individual arbitration instead of a court case or class action, after a 30-day attempt to settle informally. Keep your plan screenshots, your cancellation and every message.

Weighing IVIM’s Fixed Programs?

The health questionnaire costs nothing. Ask for your dose, program length and full total, membership included, before paying.

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Compounded Shots, Brand-Name Drugs and GLP-1 Pills at IVIM

IVIM offers compounded semaglutide and tirzepatide as weekly injections, plus brand-name Wegovy, the Wegovy pill, Ozempic, Zepbound and Foundayo.

Semaglutide is the active ingredient in FDA-approved Ozempic (diabetes) and Wegovy (weight loss). IVIM offers it as:

  • A compounded weekly injection from $65 a month, plus the membership. IVIM says HSA and FSA cards work for it.
  • The Wegovy pill at Novo Nordisk’s self-pay prices: $149 for the starting dose, $199 for the next step, $299 for higher doses.
  • Brand-name Wegovy or Ozempic through insurance, with IVIM’s team handling the prior authorization.

Tirzepatide is a dual GIP/GLP-1 agonist and the active ingredient in Mounjaro and Zepbound. In clinical trials, people lost about 20% of their body weight on average. IVIM sells compounded tirzepatide as a weekly injection from $117 a month plus the membership. It also offers brand-name Zepbound through insurance and Lilly’s Foundayo pill from $149 a month.

Important: Compounded semaglutide and tirzepatide are not FDA-approved and aren’t the same as Wegovy or Zepbound. The FDA tightened the rules for compounding them after the shortages ended. In April 2026 it also proposed ending large-scale (503B) compounding of both drugs, and as of November 2026 no final rule had been published. IVIM’s Terms say that if compounded versions become unavailable, it will try to move members to another program, and that this alone doesn’t trigger a refund. Ask your provider which option fits you.

IVIM’s pages advertise 27% average weight loss on tirzepatide and 22% on semaglutide, and say its patients lose 46% more than people in a drug trial. Those figures come from two studies of IVIM’s own patients. Its chief medical officer led them, they had no control group and they counted only patients who stayed on treatment. IVIM’s footnotes admit they aren’t head-to-head comparisons. Treat the numbers as IVIM’s marketing, not as what you should expect. The “470K+ patients served” figure on the site has no source either.

If your insurance covers a brand-name GLP-1, IVIM is one of the few providers in our reviews that will run the prior authorization for you. Two catches: the membership is still $74.99 a month, and IVIM keeps that fee if the prior authorization is denied.

Where IVIM Is Strong and Where It Costs You

What We like

  • ✓ Top patient ratings: 4.9 on Trustpilot and Google
  • ✓ BBB A+ and certified by LegitScript
  • ✓ Weekly check-ins with dose changes
  • ✓ Insurance help for brand-name GLP-1s

What to Watch

  • – FDA warning letter in February 2026
  • – $74.99 membership on top of every price
  • – Medication non-refundable; early-exit fees
  • – Unshipped medication expires at program end

IVIM Health Reviews Across Seven Rating Sites

We checked every public review site that lists IVIM Health on November 8, 2026. Scores are shown as each site publishes them, with a link. We don’t copy those reviews or mix their scores into the patient reviews on this page.

Trustpilot

4.9 40,051 reviews

Trustpilot, checked Nov 8, 2026: 94% are 5-star and 2% are 1-star. The profile is claimed with a paid subscription, Trustpilot says IVIM invites customers to review, and IVIM replied to 95% of negative reviews.

See on Trustpilot
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BBB

A+ accredited

Accredited since February 2023. 100 complaints in three years, 16 in the last 12 months. BBB customer reviews average 4.67 from 381.

See on BBB
Google Maps logo

Google

4.9 10,500 reviews

Google reviews of IVIM’s Columbus, Ohio office. About 95% are 5-star and 164 are 1-star.

See on Google Maps
App Store logo

App Store

4.7 8.2K ratings

The IVIM Health app for check-ins, care team messages and progress tracking.

See on App Store
Google Play logo

Google Play

4.4 10 reviews

50K+ downloads. Too few reviews to read much into.

See on Google Play
RealReviews logo

RealReviews

4.3 158 reviews

86% recommend. Praise for providers and onboarding; complaints about billing disputes, cancellations and late or missing shipments.

See on RealReviews

Every platform tells roughly the same story, which is rare in this market. Trustpilot, Google, the BBB and the App Store are all at 4.67 or higher. The volume is large too: more than 40,000 reviews on Trustpilot and 10,500 on Google. IVIM does ask its customers for reviews, which can push scores up, but the BBB and RealReviews, where reviewers usually come on their own, are also high. The complaints that do show up are about money and logistics, not about the providers.

40,051 Trustpilot Ratings, Read With Care

Trustpilot showed 40,051 reviews on November 8, 2026, and 94% of them were 5-star. Trustpilot’s own summary of recent reviews says reviewers mostly describe the staff as knowledgeable and kind. Since IVIM invites customers to review, we read Trustpilot together with the BBB and RealReviews.

Themes in Patient Comments

Beyond the scores, these themes came up most often in the review-site summaries and the BBB file.

What Patients Like

Reviewers often name their provider or nurse practitioner and describe them as caring and easy to reach.

RealReviews summaries mention smooth onboarding and providers who explain the plan.

What Patients Complain About

Money comes first. RealReviews lists billing disputes and cancellations as the main complaints, and the BBB logged 16 complaints in the last year. Given IVIM’s rules, this makes sense: the membership is billed apart from the medication, medication can’t be refunded, and leaving a program early costs a fee.

Shipping comes next. Some reviewers report late or missing shipments. IVIM’s policy gives you only 72 hours after delivery to report a damaged, lost or missing package, so open every box right away and contact support the same day if something’s wrong.

Patient reviews of IVIM Health

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How IVIM Stacks Up Against Other Providers

See how IVIM Health compares with five other providers we’ve reviewed on price, brand-name access, insurance, BBB grades and FDA letters in the side-by-side comparison below.

See All Reviewed GLP-1 Providers With Full Scoring

Bottom Line

IVIM Health isn’t a scam. It’s a certified, A+ rated medical practice whose patients rate it higher than any provider we’ve reviewed, and its weekly check-ins go further than most. It scores 3.6, not higher, for three reasons. The FDA warning letter is recent. The pharmacies still aren’t named. And the prices look lower than they are: there’s a $74.99 membership on top, programs run for a fixed term, and medication is non-refundable and expires if you don’t use it in time.

If you want close provider contact and you’ll finish the program, IVIM is a reasonable choice. Get the full program total in writing, ask which pharmacy fills your prescription and track your refill dates. If you might stop early or want to pay month to month, compare the alternatives below.

Review Update History

  • Nov 8, 2026: First published. Checked ivimhealth.com (weight loss, compounded semaglutide and tirzepatide, membership, research, Wegovy pill and Foundayo pages, Refund and Returns Policy, Terms effective May 27, 2026), the FDA warning letter of Feb 20, 2026, LegitScript, Trustpilot, the BBB, Google, the App Store, Google Play and RealReviews.

All corrections and updates →

*Screenshots used for review and commentary purposes fall under the fair use doctrine of U.S. Copyright Law. Learn more about our Fair Use policy

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IVIM Health vs the Alternatives

Pick what matters most to you. The other providers re-rank.

IVIM Health compared with five other GLP-1 telehealth providers we reviewed. Facts checked in November 2026.
ProviderOur scoreStarting priceBrand-name GLP-1sInsuranceTrustpilotBBB ratingFDA warning letterReview
IVIM HealthThis review 3.6/ 5 $65 + $75 fee/mo ✓Pens and pills ✓Brand-name only 4.9 (40K) A+ Feb 2026 Visit IVIM Health
AgelessRx 4.3/ 5 $99/mo microdose ✓Wegovy, Zepbound ✕No 4.4 (2.6K) A+ None Visit AgelessRxRead review
Found 4.2/ 5 $169/mo cash ✓Pens and pills ✓Yes 4.2 (771) A+ None Visit FoundRead review
LifeMD 4.1/ 5 $149/mo + meds ✓Pens and pills ✓Yes 3.9 (4.3K) A None Visit LifeMDRead review
Wellmedr 4.1/ 5 $41/mo (sale) ✓From $1,399/mo ✕No 4.7 (3.2K) F None Visit WellmedrRead review
SkinnyRx 3.6/ 5 $99 first month ✕Not now ✕No 4.7 (5.5K) B- Feb 2026 Visit SkinnyRxRead review

Facts checked in Nov 2026 on each provider’s site, Trustpilot and the BBB. Scores come from our reviews. “Lowest price” ranks by the cash starting price. We may earn a commission if you sign up through a Visit button; it never changes our scores.

IVIM Health Review FAQ: Cost, Refunds and the FDA Letter

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Provider visit before any prescription · Insurance help for brand-name GLP-1s · Membership billed separately
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Sources & Research:

  1. IVIM Health official site: weight loss, compounded semaglutide, compounded tirzepatide, membership, our research, Wegovy pill and Foundayo pages, About Us, Refund and Returns Policy, Terms and Conditions (effective May 27, 2026) (accessed November 2026)
  2. U.S. FDA. Warning letter to Ivim Services LLC dba Ivim, MARCS-CMS 721816, February 20, 2026
  3. LegitScript certification lookup: ivimhealth.com (checked November 2026)
  4. Trustpilot reviews: Ivím Health (ivimhealth.com), 4.9 from 40,051 reviews (accessed November 2026)
  5. BBB profile and customer reviews: IVIM Services LLC (accessed November 2026)
  6. Google reviews, App Store, Google Play and RealReviews listings for IVIM Health (accessed November 2026)
  7. Gonzalez J et al. (2025). Individualized virtual integrative medicine (IVIM): A clinical model for enhanced GLP-1 therapeutic outcomes. Obesity Pillars.
  8. Gonzalez J et al. (2025). Tirzepatide real-world outcomes and treatment adherence using the individualized virtual integrative (IVIM) protocol. Obesity Pillars.
  9. GLP1Rating GLP-1 Price Index, November 2026 edition
  10. Wilding JPC et al. (2021). Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM.
  11. Jastreboff AM et al. (2022). Tirzepatide Once Weekly for the Treatment of Obesity. NEJM.

Affiliate Disclosure: GLP1Rating may earn a commission if you visit IVIM Health through links on this page. This does not affect our editorial rating or content.

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. GLP-1 medications require a prescription from a licensed healthcare provider. Compounded medications from IVIM Health are not FDA-approved finished products. Results vary. Always consult a licensed healthcare professional before starting any weight loss treatment.

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IVIM Health: 3.6/5 editorial score on GLP1Rating

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