Last reviewed: September 14, 2026 Last updated: September 14, 2026

Written by: Jay Hastings, CEO of PlexusDx

Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

PlexusDx publishes this comparison and is one of the providers discussed. We use the same evidence rules for our own program and competing programs.

The short answer

IVIM Health advertises compounded semaglutide at $100 per month equivalent and compounded tirzepatide at $183.33 per month equivalent, but those figures represent prepaid medication bundles—$600 and $1,100 upfront, respectively, for six months of supply—and they exclude the separate $75 monthly membership fee. The membership is free in month one, then billed monthly thereafter. Over twelve months, IVIM's 6-month semaglutide bundle costs $168.75 per month effective ($2,025 total), and the 6-month tirzepatide bundle costs $252.08 per month effective ($3,025 total), both calculations including the amortized medication and eleven months of membership fees. PlexusDx charges $189 month-to-month for compounded semaglutide injection ($2,268 over twelve months) and $289 month-to-month for compounded tirzepatide injection ($3,468 over twelve months), with no membership fee, no upfront commitment, and the flexibility to pause or cancel at any time. IVIM's prepaid model delivers a lower effective monthly rate if you can afford the upfront cost and commit to the full bundle; PlexusDx offers simpler budgeting, no large payment, and the ability to stop without forfeiting prepaid medication.

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Compare month-to-month and multi-month pricing across compounded semaglutide and tirzepatide injection.

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At-a-glance comparison

Item IVIM Health PlexusDx
Semaglutide medication (per month equivalent) $100 (6-mo prepaid bundle)
$124.75 (4-mo prepaid bundle)
$189 month-to-month
$149 (6-mo prepaid commitment)
Tirzepatide medication (per month equivalent) $183.33 (6-mo prepaid bundle)
$225 (4-mo prepaid bundle)
$289 month-to-month
$249 (6-mo prepaid commitment)
Membership fee $75/month (month 1 free) $0
Upfront medication cost (6-month semaglutide) $600 $894 (6 × $149, prepaid commitment)
12-month total (semaglutide, 6-mo bundle) $2,025 (our calculation) $2,268 (month-to-month)
$1,788 (6-mo prepaid commitment)
12-month total (tirzepatide, 6-mo bundle) $3,025 (our calculation) $3,468 (month-to-month)
$2,988 (6-mo prepaid commitment)
Compounds FDA-approved? No No

All IVIM Health figures verified September 4, 2026, from ivimhealth.com/glp1-pricing/. PlexusDx figures verified September 14, 2026.

How IVIM Health bundles medication and membership

IVIM Health sells compounded GLP-1 medication in prepaid bundles—either four months or six months of supply purchased upfront—and charges a separate $75 monthly membership fee that covers provider access, support, and care coordination. The first membership month is free; billing begins in month two and continues monthly as long as you remain a member. Medication bundles require full payment at purchase, and IVIM does not offer a month-to-month medication option.

For compounded semaglutide injection, the 6-month medication bundle costs $600 upfront ($100 per month equivalent), and the 4-month bundle costs $499 upfront ($124.75 per month equivalent). For compounded tirzepatide injection, the 6-month bundle costs $1,100 upfront ($183.33 per month equivalent), and the 4-month bundle costs $900 upfront ($225 per month equivalent). These per-month figures reflect only the medication; the membership fee is billed separately.

IVIM also offers branded GLP-1 medications where eligible, though pricing for branded products was not documented in the September 4, 2026, verification pass. State and dose eligibility vary, and a licensed provider determines whether a prescription is appropriate after reviewing your intake.

True monthly cost: medication plus membership over twelve months

To calculate the effective monthly cost of IVIM Health, you must combine the amortized medication bundle and the recurring membership fee. The following 12-month totals assume you renew the 6-month bundle once (two purchases over the year) or the 4-month bundle three times, and that you remain a member for all twelve months.

Compounded semaglutide, 6-month bundle

  • Medication: 2 × $600 = $1,200
  • Membership: $0 (month 1) + 11 × $75 = $825
  • 12-month total: $2,025 (our calculation)
  • Effective monthly cost: $168.75 (our calculation)

Compounded semaglutide, 4-month bundle

  • Medication: 3 × $499 = $1,497
  • Membership: $0 (month 1) + 11 × $75 = $825
  • 12-month total: $2,322 (our calculation)
  • Effective monthly cost: $193.50 (our calculation)

Compounded tirzepatide, 6-month bundle

  • Medication: 2 × $1,100 = $2,200
  • Membership: $0 (month 1) + 11 × $75 = $825
  • 12-month total: $3,025 (our calculation)
  • Effective monthly cost: $252.08 (our calculation)

Compounded tirzepatide, 4-month bundle

  • Medication: 3 × $900 = $2,700
  • Membership: $0 (month 1) + 11 × $75 = $825
  • 12-month total: $3,525 (our calculation)
  • Effective monthly cost: $293.75 (our calculation)

The 6-month bundle delivers a lower effective monthly rate than the 4-month bundle for both semaglutide and tirzepatide, but it also requires a larger upfront payment.

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PlexusDx month-to-month and prepaid pricing

PlexusDx offers compounded semaglutide injection at $189 per month on a month-to-month basis, with no membership fee, no upfront bundle, and no commitment. Over twelve months, month-to-month semaglutide costs $2,268 total. Compounded tirzepatide injection is $289 per month month-to-month, totaling $3,468 over twelve months.

PlexusDx also offers multi-month prepaid commitments that lower the per-month rate: compounded semaglutide injection is $149 per month with a 6-month prepaid commitment ($1,788 over twelve months), and compounded tirzepatide injection is $249 per month with a 6-month prepaid commitment ($2,988 over twelve months). These prepaid rates require payment in full at the start of each commitment period, but they carry no separate membership fee.

Every PlexusDx subscription includes the provider visit, prescription, compounded medication, and shipping in one price. You can pause or cancel month-to-month subscriptions at any time without forfeiting unused medication; prepaid commitments lock in the lower rate for the duration of the commitment period.

Like-for-like 12-month cost comparison

Scenario IVIM Health PlexusDx
Semaglutide, month-to-month Not offered $2,268 (12 × $189)
Semaglutide, 6-month prepaid $2,025 (medication + membership, our calculation) $1,788 (12 × $149, prepaid commitment)
Tirzepatide, month-to-month Not offered $3,468 (12 × $289)
Tirzepatide, 6-month prepaid $3,025 (medication + membership, our calculation) $2,988 (12 × $249, prepaid commitment)

When comparing 6-month prepaid models over twelve months, PlexusDx costs $237 less for semaglutide ($1,788 vs. $2,025) and $37 less for tirzepatide ($2,988 vs. $3,025), with no separate membership fee to track. IVIM Health does not offer a month-to-month medication option, so readers who prefer no upfront commitment and the ability to cancel without forfeiting prepaid medication will find that flexibility only at PlexusDx and similar month-to-month providers.

Decision factors: prepaid savings vs. budget flexibility

Upfront cost and commitment

IVIM Health's 6-month semaglutide bundle requires $600 upfront for medication, plus the first month's membership is free but subsequent months bill at $75 each. Over six months, you will pay $600 for medication and $375 for membership ($975 total). The 6-month tirzepatide bundle requires $1,100 upfront for medication, plus $375 in membership fees over the same period ($1,475 total). If you discontinue treatment before the bundle is exhausted, you have prepaid for medication you will not use.

PlexusDx month-to-month billing charges $189 (semaglutide) or $289 (tirzepatide) each month with no upfront payment and no risk of forfeiting unused medication if you stop. The 6-month prepaid commitment at PlexusDx requires $894 upfront for semaglutide or $1,494 for tirzepatide, both lower per-month rates than month-to-month but still a significant payment at the start of each six-month period.

Membership structure

IVIM Health's $75 monthly membership fee is billed separately from medication and covers provider access, messaging, and care coordination. The first month is free, so over twelve months you pay eleven membership fees totaling $825. This recurring charge continues as long as you remain a member, whether or not you renew a medication bundle.

PlexusDx has no membership fee. The single monthly price includes the provider visit, prescription, medication, and shipping, so there is no separate recurring charge to track.

Flexibility and pausing

Month-to-month subscriptions at PlexusDx can be paused or canceled at any time without penalty. If you need to pause for a medical reason, travel, or budget constraint, you stop paying and resume when ready. Prepaid bundles—whether at IVIM Health or PlexusDx—lock in a lower rate but also lock in the commitment; stopping early means forfeiting the prepaid portion or negotiating a refund policy with the provider.

Total cost over twelve months

For semaglutide, IVIM Health's 6-month bundle totals $2,025 over twelve months (our calculation, including membership). PlexusDx month-to-month totals $2,268, and the PlexusDx 6-month prepaid commitment totals $1,788. For tirzepatide, IVIM Health's 6-month bundle totals $3,025 (our calculation), PlexusDx month-to-month totals $3,468, and the PlexusDx 6-month prepaid commitment totals $2,988.

IVIM Health's 6-month prepaid model costs less than PlexusDx month-to-month but more than PlexusDx's own 6-month prepaid option, and it carries the added complexity of a separate membership fee.

Choose IVIM Health if…

  • You prefer a care model that separates medication bundles from membership services and you value dedicated care coordination.
  • You can afford the $600 (semaglutide) or $1,100 (tirzepatide) upfront medication cost plus the recurring $75 monthly membership fee.
  • You are confident you will complete the full bundle and want the lower medication rate that the 6-month prepaid structure offers.
  • You may want access to branded GLP-1 medications in addition to compounded options (confirm availability and pricing for your state and dose with IVIM directly).

Choose PlexusDx if…

  • You prefer month-to-month billing with no upfront medication bundle, no membership fee, and the flexibility to pause or cancel without forfeiting prepaid medication.
  • You want a single all-inclusive monthly price that covers the provider visit, prescription, compounded medication, and shipping.
  • You are willing to commit to a 6-month prepaid plan to secure a lower per-month rate ($149 for semaglutide, $249 for tirzepatide) that beats IVIM Health's effective cost even after including their membership fees.
  • You value transparent, simple billing with no separate recurring charges to track.

Methodology and freshness

All IVIM Health pricing, bundle structures, and membership terms were verified September 4, 2026, from the company's public pricing page at ivimhealth.com/glp1-pricing/. PlexusDx pricing was verified September 14, 2026, from internal product data. Twelve-month cost totals and effective monthly rates are our calculations, derived by multiplying the documented per-month or per-bundle prices by the number of billing cycles in a twelve-month period and adding the documented membership fees where applicable. We assume the 6-month bundle is renewed once (two purchases) and the 4-month bundle is renewed three times over twelve months. We assume continuous membership at IVIM Health for all twelve months, with the first month free and eleven months billed at $75 each. No promotional codes, referral discounts, or limited-time offers are included in these calculations. State and dose eligibility, formulary changes, and refund policies should be confirmed directly with each provider at the time of enrollment.

Frequently Asked Questions

Does IVIM Health offer month-to-month medication billing?

No. IVIM Health sells compounded GLP-1 medication only in prepaid bundles—either four months or six months of supply purchased upfront. The membership fee is billed monthly (first month free, then $75 per month), but medication itself requires a lump-sum payment at the start of each bundle period.

Is the first month of IVIM Health truly free?

The first month of membership is free, meaning you pay $0 for the membership fee in month one. However, you still pay the upfront cost of your chosen medication bundle (e.g., $600 for a 6-month semaglutide supply) at enrollment. From month two onward, the $75 monthly membership fee is billed separately each month.

Which provider has the lowest 12-month cost for semaglutide?

PlexusDx's 6-month prepaid commitment for compounded semaglutide injection costs $1,788 over twelve months, which is $237 less than IVIM Health's 6-month bundle including membership fees ($2,025 total, our calculation) and $480 less than PlexusDx's own month-to-month rate ($2,268). All figures assume continuous treatment for twelve months.

What happens if I stop treatment before my IVIM Health bundle runs out?

Because IVIM Health requires upfront payment for multi-month medication bundles, stopping treatment early means you have prepaid for medication you will not use. You should confirm IVIM Health's refund or credit policy for unused medication directly with the company before enrolling. The membership fee is billed monthly, so you can cancel membership at any time to stop future membership charges.

Does PlexusDx charge a membership fee like IVIM Health?

No. PlexusDx has no membership fee. The single monthly subscription price (e.g., $189 for month-to-month compounded semaglutide injection) includes the provider visit, prescription, medication, and shipping. There are no separate recurring charges for care coordination or provider access.

Sources

  • IVIM Health GLP-1 Pricing (ivimhealth.com/glp1-pricing/), accessed September 4, 2026
  • PlexusDx Product Data (internal), verified September 14, 2026

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Compounded medication disclosure: Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. PlexusDx works with licensed 503A compounding pharmacies. A licensed clinician determines whether a prescription is appropriate for an individual patient.

Medical and Editorial Standards

Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.

Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.

Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.

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