Ivim Health Compounded Tirzepatide Review (2026): A Membership Fee on Top, a Video Visit You Can Skip, and a Cancellation That Asks Where You're Going
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Quick answer: Ivim Health took me from a Sunday evening signup to a filled prescription the next day, with no video visit required. I paid $300 for 1 month of compounded tirzepatide, and a $74.99 monthly membership starts billing after the first free month. The $133 a month on the homepage is the 6-month plan paid up front. I asked to keep my 5 mg dose, and my label steps me up to 6.5 mg. Canceling requires the name of the provider you're moving to.
This article is part of the GLP Winner provider review series. At the time of writing, the provider reviewed here, Ivim Health, is not a GLP Winner partner, and we have no commercial relationship with them. The review was written by a real patient who went through Ivim Health's full process, from intake through prescription, and who received their GLP-1 medication under a clinician's care.
Some details about the reviewer are not shared to protect their privacy. GLP Winner pays the reviewer for their time. Ivim Health did not pay for this review and did not see it before publication. We review both partner and non-partner providers because the point of the series is to help you make a better decision for your own situation, not to push you toward any one company.
Have questions or concerns? Reach out to the team here.
Who reviewed Ivim Health?
I'm a woman in my 60s, and I've been on compounded tirzepatide for about 6 months at a 5 mg dose. I found Ivim Health through a friend's recommendation.
I'm retired and on a fixed income, so I need a price I can plan around month to month. I also wanted to keep the dose I'm on, because it's working, and I like being able to call a real person when I have a question.
TL;DR
Ivim Health took me from a Sunday evening signup to a filled prescription the next day. My compounded tirzepatide shipped UPS 2nd Day Air from SBH Medical, part of OptioRx, in Columbus, Ohio, and arrived Thursday, October 1.
I paid $300 for 1 month of medication. The $74.99 monthly membership was free for the first month and is set to bill on October 27, 30 days after signup, so month two on the 1-month plan comes to about $375. The $133 a month on the homepage is the 6-month plan, paid up front at $798. That 6-month plan costs less up front than the 4-month plan at $900.
Ivim Health let me skip the video visit and check out for provider review, which I appreciated. The intake asked if I wanted to keep my dose and I said yes, but my prescription from Ivim starts at 5 mg and steps up 0.5 mg a week to 6.5 mg, so what they gave me would be an increase from my 5 mg a week.
The vials came in an insulated pouch with gel packs and were still cold. The vial is compounded tirzepatide with niacinamide, a form of vitamin B3, which I didn't see mentioned anywhere during signup and found out after my prescription was approved by the provider.
The portal has a call or text line, provider video visits, nutrition coaching and a community tab. When I reached out to support with questions, an AI assistant answered first, and when it couldn't help, it connected me to a person on the support team, who took a couple of hours to respond. Canceling asks for the name of the provider you're moving to and will not allow you to continue without filling it out.
What's in the box, all of it.
What is the Ivim Health intake like?
The Ivim Health homepage leads with price. It showed 6 months of compounded tirzepatide at $133 a month and 6 months of compounded semaglutide at $75 a month. They also offer the Wegovy pill, and there was a banner for a peptide therapy waitlist.
The $133 on the homepage. It took me a few screens to learn that's the 6-month plan paid up front.
The homepage. "Individualized dosing" is the pitch, and it matters later.
I signed up on a Sunday evening from my phone, and it took about 20 minutes from start to finish. The first questions asked where I was in my health journey and what my goals were. I picked continuing progress, since I'm already on a GLP-1. Then a screen said patients "lose nearly 50% more weight with Ivim Health, according to published studies," with a bar chart of 20 pounds "with them" and 30 pounds "with us." I tapped the footnote and it opened a 2025 paper in the journal Obesity Pillars on 1,131 Ivim patients taking semaglutide. The fine print later explained that the claim comes from two retrospective studies, one on semaglutide and one on tirzepatide, and that they are not randomized trials or head-to-head comparisons. I appreciated that they spelled it out, though I only found it in the portal footer after I'd paid.
The claim screen. I tapped the footnote; the fine print came later, in the portal footer.
Next was an offer for a free insurance check for FDA-approved medications like Ozempic and Wegovy. The fine print says an Ivim Health membership is required first and the insurance review may add time before you get medication. I pay cash for compounded medication, so I didn't need it, but it's a nice option for someone hoping to get a brand name covered.
The insurance check offer. I pay cash, so I said no.
Then I created my account with my name, date of birth, address and phone number, and entered a code they texted me. The medical history questions were the usual ones, covering heart and blood pressure, diabetes, cancer, pregnancy, allergies and past surgeries, followed by a medication safety acknowledgment.
When it asked about my current GLP-1, I said compounded tirzepatide. The dose question was a drop-down menu in half-milligram steps instead of a box to type into. I liked that. It's easier than typing a number and wondering if you wrote it the way they wanted. It asked when my last dose was and whether I wanted to keep my dose, and I said keep it.
The dose question. A wheel in half-milligram steps, which I liked better than typing.
The last health questions asked about my highest weight, other medications like metformin, and conditions like gastroparesis, gallbladder problems and thyroid cancer. Side effects like heartburn, nausea and constipation were rated on a 1 to 5 scale from never to often, which made that part quick.
Side effects on a 1 to 5 scale. Quick.
What parts of the Ivim Health intake stood out?
Even though I'd just told them I was on tirzepatide and wanted to keep my dose, Ivim Health recommended compounded semaglutide, so I had to tap "See more treatment options" to pick tirzepatide. After a screen explaining what a video visit offers, I could schedule one or choose "Build my program" and check out for provider review without the visit. I skipped it, and I liked having that choice. There were also add-on screens for B12, lipotropic, NAD+ and sermorelin, plus a Longevity and Wellness program, all marked optional.
I'd just said I was on tirzepatide and wanted to keep my dose. The recommendation was semaglutide.
The video visit pitch. I could keep building my program instead.
"Skip the visit." I did, and I liked having the choice.
My prescription was filled the next day, September 28. I got a message in the portal letting me know it was approved, with lots of detail about dosing, side effects and risks.
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How much does Ivim Health cost?
After I confirmed compounded tirzepatide, Ivim Health showed four package options. These prices don't include the $74.99 monthly membership, which is free the first month.
- 1 month: $300 due today
- 2 months: $550 due today, or $275 a month
- 4 months: $900 due today, or $225 a month (an earlier screen had listed it at $897)
- 6 months: $798 due today, or $133 a month, after a $1,002 promotion discount
The 6-month plan is the default, and the only one with a discount.
Four months costs more up front than six.
The plan I picked: $300 today, and the fine print that medication is billed in full.
The 6-month plan is the default, and it's the only one with a promotion discount, so it costs less up front than the 4-month plan. The $1,002 savings is measured against paying $300 a month for 6 months. The fine print says all medications are paid up front.
I chose the 1-month plan. I'm not ready to put $798 on a card for a provider I haven't tried, even if the monthly math is better. My cart showed "Compounded Tirzepatide - 1 Month, Max" for $300, plus the membership at "$74.99 / month with 1 month free trial," a membership welcome kit, and free shipping. I didn't see "Max" explained anywhere.
My cart. "Max" is never explained, and the $74.99 recurs.
Order received at 5:35 PM, about 20 minutes after I opened the homepage.
What add-ons does Ivim Health offer?
Before checkout there were three pages of add-ons, and I could skip all of them:
- B12 or lipotropic injections at $99 for 1 month or $150 for 2 months
- NAD+ at $129 for 1 month or $149 for 2 months
- Sermorelin at $129 for 1 month or $199 for 2 months
- NMN, a copper peptide skin cream and a scalp spray, from $67.20 to $84 a month
- A GLP-1 support bundle with protein powder, fiber gummies and a multivitamin at a $100 member price
NAD+ at $129 a month. Selecting lipotropic quietly removed B12, with a note explaining why.
NAD+ at $129 a month. Selecting lipotropic quietly removed B12, with a note explaining why.
Page two of add-ons: NMN, a copper peptide cream and a scalp spray. All skippable.
Page three: a $100 supplement bundle. I skipped it.
How fast does Ivim Health ship?
I ordered on Sunday, September 27, and my prescription was filled Monday, September 28. It shipped UPS 2nd Day Air from SBH Medical in Columbus, Ohio, and arrived October 1, 4 days after signup. The tracking was in the portal.
The outer box was a white UPS Express box with a bright green "Refrigerate upon arrival" sticker. Inside was an insulated pouch marked "Medication inside, do not discard" and "Perishable," with gel packs inside. Everything was still cold when it arrived. The vials were in an amber pharmacy bottle, inside a green Ivim Health zip pouch printed "Individualized care, tailored to you."
UPS 2nd Day Air, 3 pounds, in a medium UPS box.
Inside the box. The pouch expands to fill it.
The insulated pouch inside the box, with two stickers you cannot miss.
Two gel packs between the layers. Still cold when I opened it.
The branded pouch the pharmacy bottle came in. The only Ivim branding in the box, apart from the card.
What is in the Ivim Health vial?
My prescription was filled by SBH Medical, which is part of OptioRx, at 7654 Crosswoods Drive in Columbus, Ohio. The pharmacy card in the box shows ACHC and PCAB accreditation and lists pharmacist hours of 8:30 AM to 5:00 PM Eastern on weekdays, with a pharmacist on call after hours.
The label reads Niacinamide/Tirzepatide 2 mg/12.5 mg per mL, in two 1 mL multi-dose vials. Niacinamide is a form of vitamin B3. I didn't see it mentioned anywhere during signup, but it was in the follow-up message once the script was approved. The checkout only said compounded tirzepatide. GLP Winner has an explainer on additives if you want to know what it's there for.
Two 1 mL vials, each with a BUD of December 16, 2026 on a yellow flag.
The front of the label: SBH Medical, "OptioRx - 290," and "NO REFILLS."
The directions say to inject 40 units (5 mg) once a week, increase by 4 units (0.5 mg) a week if tolerated, and not go past 52 units (6.5 mg) by week 4. The beyond-use date is 12/16/26, and an orange sticker says to keep it refrigerated, not freeze it, and discard any unused portion 28 days after opening. If units and milligrams don't line up for you yet, GLP Winner has a helpful article on how to do that math.
The directions. Start at 5 mg, go up 0.5 mg a week, stop at 6.5 mg. I had asked to stay at 5.
The orange sticker: refrigerate, don't freeze, discard 28 days after opening.
What came in the Ivim Health box?
- 2 vials of compounded tirzepatide with niacinamide, 1 mL each, in a pharmacy bottle
- A green Ivim Health zip pouch for the vials
- 10 insulin syringes
- Alcohol prep pads
- An Ivim Health injection card with a QR code to their dosing page
- A pharmacy card about compounded medication
- An insulated pouch and gel packs
What's in the box, all of it.
The pharmacy card. Pharmacist hours, an after-hours line, and the accreditation seals.
The Ivim Health injection card walks through 9 steps with simple drawings and says, in bold, not to inject more than prescribed and to call 877-581-2210 with dosing questions. I don't need the steps anymore, but if I were just starting, that card is the one I'd keep on the fridge.
Why did Ivim Health step up a dose I asked to keep?
I'd answered "keep your dose" in the intake, so the step-up surprised me. Ivim Health calls its approach individualized dosing. My label starts where I am, at 5 mg, and raises it by 0.5 mg a week to 6.5 mg by week 4. The approval message in the portal had plenty of detail about dosing, but it came after the prescription was written, not before. If staying on your current dose matters to you, confirm it with a provider before your order ships, because the intake question on its own didn't do it for me.
What are Ivim Health support and the portal like?
The Ivim Health portal opens with a "Welcome back" screen, a Manage Care button for refills, appointments, support and new programs, and a note that I was all caught up with no tasks. There's also a refer-a-friend offer, give $75 and get $75.
The menu is a plain list: Order History, Subscriptions, Appointments, Account Details, Dosing, My Rewards, Community and Supplement Subscriptions. Under it is "If you have questions please text or call us at (877) 581-2210."
The portal menu. Plain list, nothing hidden.
I reached out to Ivim Health support with a few questions via chat. An AI assistant answered first. When it couldn't answer, it connected me with the support team, and a person got back to me in a couple of hours.
What is it like to cancel Ivim Health?
You can cancel from the Subscriptions tab in the portal. The membership card shows $74.99 a month, a next payment date of October 27, and a Cancel button next to Payment Method. It also lists what the membership includes: video access to the medical team, nutrition coaching, customized diet plans through their mobile app, and prescription refill requests.
The membership card. Next payment October 27, and Cancel is right there. The screens after it are where it gets harder.
The first screen says canceling "will immediately discharge you from the care of your Ivim medical provider." It also says that before they can end your medical services, they need to collect information "to ensure your medical care is being transferred appropriately."
The start of the cancellation flow.
Then it asks why you're leaving and where you're going. To keep going, I had to give the name of the provider or telehealth I was moving to. There was no way to skip that question. If you haven't picked your next provider yet, that step will stop you.
Next was a screen asking, "Are you sure you don't want to get our best pricing?" It had a "Lowest Prices on Personalized GLP-1 Plans" offer and two buttons, Decline Offer and Accept Offer. The offer doesn't show a price. To see the better pricing, you have to schedule a video consultation: "To secure our lowest prices, schedule a video consultation with your Ivim Health Provider." I declined the offer and completed the cancellation.
My take on Ivim Health
Ivim Health felt organized and thorough. The intake was well built, I got to choose whether to see a provider, the add-ons were easy to skip, and my medication was filled the next day. On a fixed income, the part I had to read twice was the pricing. The $133 on the homepage is the 6-month plan paid up front, the membership adds $74.99 a month after the first free month, and my label had me stepping up from the dose I asked to keep. None of that is hidden. It's just spread across several screens and the box. Canceling was the one part that felt like work, since you have to name your next provider before you can finish.
Who is Ivim Health good for?
Ivim Health would be a good fit if you want a structured program with more than a prescription, like nutrition coaching, provider video visits, a dosing page and a community, and if you're ready to commit to 6 months, since that's where the price drops the most. It would also suit someone new to GLP-1s who wants the option of talking to a provider without being required to, or someone who'd like help checking insurance for an FDA-approved medication.
Who is Ivim Health a bad fit for?
Ivim Health may not be the best fit if you want the lowest month-to-month price, since the 1-month plan plus membership comes to about $375 from month two. It may also not suit you if you want to stay on exactly the dose you're on now, unless you confirm that with a provider before your order ships. And it's a harder fit if you want to cancel without saying where you're going next, since Ivim Health asks for that before you can finish.
Final Takeaway
Ivim Health did the parts I expected a good provider to do: a clean intake, a provider visit I could take or leave, a next-day fill, and a cold box four days after I signed up. What it asked of me in return was more than the $300 on the first screen. The membership adds $74.99 a month after the free month, the $133 price needs $798 up front, and the dose I asked to keep came back as a step-up I'd have to question before my first shot. Read the pricing screens twice, check the label against what you asked for, and know your next provider's name before you try to leave. If you want the coaching and the visits, that fee buys something. If you only want the vial, do the month-two math first.
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Frequently asked questions
Is Ivim Health legit?
In my experience, yes. My prescription was filled the next day by an accredited pharmacy, SBH Medical, part of OptioRx in Columbus, Ohio, and it arrived 4 days after I signed up. As of October 23, 2026, Ivim Health has a 4.9 on Trustpilot across 39,824 reviews, with 94% five-star and 2% one-star. Ratings move, so check before you decide.
How much does Ivim Health cost?
Compounded tirzepatide was $300 for 1 month, $550 for 2 months, $900 for 4 months, or $798 for 6 months, which is the $133 a month on the homepage. Compounded semaglutide was advertised at $75 a month on the 6-month plan. A $74.99 monthly membership is added on top, with the first month free. I paid $300 on September 27, 2026.
Does Ivim Health charge a membership fee?
Yes. The Ivim Health membership is $74.99 a month and the first month is free. Mine is set to start billing on October 27, 30 days after signup. It covers video access to the medical team, nutrition coaching, diet plans in their app, and refill requests.
Which Ivim Health plan is the cheapest?
The 6-month plan has the lowest monthly price at $133, and at $798 up front it also costs less than the 4-month plan at $900. Medication is paid up front on every plan, so the 6-month plan means paying $798 the day you sign up.
Does Ivim Health require a video visit?
No. I could schedule a video visit or choose "Build my program" and check out for provider review without one. I skipped it. Video visits are available later through the portal.
How fast was Ivim Health signup?
About 20 minutes from the homepage to my order confirmation. My prescription was filled the next day.
How fast does Ivim Health ship?
My order shipped UPS 2nd Day Air from Columbus, Ohio, and arrived October 1, 4 days after I signed up on September 27. Shipping was free.
Which pharmacy does Ivim Health use?
My order was filled by SBH Medical, part of OptioRx, in Columbus, Ohio. Ivim Health's site says medications are prepared by independent, licensed compounding pharmacies. I didn't see the pharmacy named before checkout.
What is in the Ivim Health vial?
My label reads Niacinamide/Tirzepatide 2 mg/12.5 mg per mL, in two 1 mL multi-dose vials. The directions start at 40 units (5 mg) a week and increase by 4 units (0.5 mg) a week if tolerated, up to 52 units (6.5 mg) by week 4. The beyond-use date is 12/16/26, and the vial should be discarded 28 days after opening.
Does Ivim Health require lab work?
Labs weren't part of my signup.
Does Ivim Health accept insurance?
Ivim Health offers a free insurance check for FDA-approved medications like Ozempic and Wegovy. It requires a membership first, and the insurance review may add time before you get medication. I paid cash for my compounded medication.
How do you cancel Ivim Health?
Open Subscriptions in the portal, select the membership and choose Cancel. Ivim Health then explains that canceling discharges you from your provider's care, asks why you're leaving, and requires the name of the provider or telehealth you're moving to before you can continue. It also offers its lowest pricing, but you have to schedule a video consultation to find out what that price is.
How does Ivim Health support work?
You can call or text (877) 581-2210, or reach out through the portal. When I asked questions, an AI assistant answered first. When it couldn't answer, it connected me with the support team, and a person responded in a couple of hours.
Is the Ivim Health portal easy to navigate?
Yes. The menu is a plain list, and the Manage Care button gathers refills, appointments, provider visits, coaching and support in one place. The call or text number is printed right under the menu.
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Provider ReviewsProvider reviews are real patients who are paid for their time by GLP Winner. They purchase medications as a patient and write about their experience from start to finish, and share their perspective of their buying experience. Your own experience may vary from theirs, and providers reviewed are never given the opportunity to review the article prior to posting. Providers do not pay for the review or the opportunity to be reviewed.