Ivy Rx vs Live Vital: Which longevity Clinic Is Better in 2026?
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Short answer
Ivy Rx wins overall, scoring 7.9/10 vs 6.8/10 — mainly on what they can prescribe and what they disclose. If price is your priority, Live Vital is cheaper at $149/mo.
Ivy Rx wins overall, scoring 7.9/10 vs 6.8/10. If price is your priority, Live Vital is cheaper at $149/mo.
Ivy Rx
Names its medical advisory board, with credentials you can check — three physicians, not a network.
from $175/mo
Visit Ivy RxLive Vital
Names the physician who reviews your intake, and shows the protocol total next to the monthly price.
from $149/mo
Visit Live VitalIvy Rx vs Live Vital, side by side
| Feature | Ivy Rx | Live Vital |
|---|---|---|
| Our score | 7.9/10 | 6.8/10 |
| Starting price | $175/mo | $149/mo |
| Medication types | nad-injection, nad-nasal-spray, sermorelin-injection, glutathione-injection, glutathione-nasal, peptides | nad-injection, glutathione-injection, peptides |
| Best for | Best named clinical oversight | Best for a named prescriber |
| Overall ranking | #3 | #13 |
| Real monthly cost (25%) | 7.5 | 7.5 |
| Prescriber & follow-up (30%) | 8.0 | 7.0 |
| What they can prescribe (20%) | 8.5 | 6.5 |
| What they disclose (25%) | 7.5 | 6.0 |
Sources: Ivy Rx pricing verified on ivyrx.com, Live Vital pricing verified on livevital.io
Pros & cons
Ivy Rx
Pros
- + Advisory board named publicly: Silvia Mosher MD (board-certified hematologist, 25 years), Rocio Reategui MD (board-certified oncologist, 17 years), Katy Ordonez MD (22 years, pediatric oncology)
- + Publishes the full commitment ladder with the upfront total next to the per-month rate, and states it is a one-time purchase rather than a subscription
- + Broadest longevity menu of the four: NAD+ and glutathione in injection and nasal form, sermorelin, BPC-157, methylene blue
Cons
- − Weaker on Real monthly cost (7.5/10)
- − Weaker on What they disclose (7.5/10)
- − Weaker on Prescriber & follow-up (8.0/10)
Live Vital
Pros
- + NAD+ at $149/mo and glutathione at $119/mo, each with the three-month total shown
- + Names its reviewing physician publicly rather than referring to a network
- + Prepared by a licensed US pharmacy, with unlimited messaging to the care team
Cons
- − Weaker on What they disclose (6.0/10)
- − Weaker on What they can prescribe (6.5/10)
- − Weaker on Prescriber & follow-up (7.0/10)
The bottom line
After scoring all 25 clinics on our 4-criterion rubric (real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose), Ivy Rx (7.9/10) comes out ahead of Live Vital (6.8/10) — but the right choice still depends on what matters most to you.
Choose Ivy Rx if you want best named clinical oversight — from $175/mo.
Visit Ivy Rx →Choose Live Vital if you want best for a named prescriber — from $149/mo.
Visit Live Vital →Editor's overall pick
Not sold on either? Our highest-rated clinic overall is HealthRX (8.5/10) from $161/mo — read the review →
Ready to start longevity care?
Our verdict for this matchup is Ivy Rx.
Frequently asked questions
Which is better, Ivy Rx or Live Vital?
How much does Ivy Rx cost vs Live Vital?
What is the difference between Ivy Rx and Live Vital?
Does Ivy Rx or Live Vital take insurance?
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