LMy Longevity Picks

Ivy Rx vs Live Vital: Which longevity Clinic Is Better in 2026?

31 clinics scoredPrices checked weekly0 paid rankings

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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.

Our pick: Ivy Rx

Ivy Rx wins overall, scoring 7.9/10 vs 6.8/10.

Winner
#3 of 31

Ivy RxIvy Rx

7.9

Names its medical advisory board, with credentials you can check. Three physicians, not a network.

from $175 with no billing period stated

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#17 of 31

Live Vital

6.8

Names the physician who reviews your intake, and shows the protocol total next to the monthly price.

from $149/mo on a 3-month protocol ($447 total)

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Ivy Rx vs Live Vital, side by side

FeatureIvy RxLive Vital
Our score7.9/106.8/10
Starting price$175 with no billing period stated$149/mo on a 3-month protocol ($447 total)
Medication typesnad-injection, nad-nasal-spray, sermorelin-injection, glutathione-injection, glutathione-nasal, peptidesnad-injection, glutathione-injection, peptides
Best forBest named clinical oversightBest for a named prescriber
Overall ranking#3#17
Real monthly cost (25%)7.57.5
Prescriber & follow-up (30%)8.07.0
What they can prescribe (20%)8.56.5
What they disclose (25%)7.56.0

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
  • + NAD+, sermorelin, glutathione and B12 injections on one menu, each priced on its own page

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 $99/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 31 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 with no billing period stated.

Read Review →

Choose Live Vital if you want best for a named prescriber. From $149/mo on a 3-month protocol ($447 total).

Visit →

Editor's overall pick

Not sold on either? Our highest-rated clinic overall is HealthRX (8.5/10) from $161/mo on a 1-month plan, renewing monthly. Read the review →

Ready to start longevity care?

Our verdict for this matchup is Ivy Rx.

Live Vital · from $149/mo on a 3-month protocol ($447 total)Visit →
See full rankings

Frequently asked questions

Which is better, Ivy Rx or Live Vital?
Ivy Rx scores higher overall (7.9/10 vs 6.8/10) and is our recommended pick for most people.
How much does Ivy Rx cost vs Live Vital?
Ivy Rx is from $175 with no billing period stated and Live Vital is from $149/mo on a 3-month protocol ($447 total). Both are typically cash-pay; HSA/FSA funds are often eligible. We run an automated check against each clinic's own live pricing page every week; a price left unconfirmed for 45 days shows as unverified rather than staying marked as current.
What is the difference between Ivy Rx and Live Vital?
Ivy Rx (7.9/10, #3 of 31) and Live Vital (6.8/10, #17 of 31) are scored independently across our 4 criteria: real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does Ivy Rx or Live Vital take insurance?
Neither Ivy Rx nor Live Vital typically accepts insurance for longevity treatment. Both operate on a cash-pay model, though HSA and FSA funds are often eligible. Confirm at checkout.

Related comparisons

HealthRX vs Ivy Rx→HealthRX vs Live Vital→MadeMed vs Ivy Rx→MadeMed vs Live Vital→Ivy Rx vs Precision Telemed→Ivy Rx vs MyDrHank→
Ranked by score

Top picks

HealthRXfrom $161/mo on a 1-month plan, renewing monthly

Published prices on every product

Paid link · ranks 1 of 31 on our methodology either way
Visit →Read review
MadeMedfrom $169/mo on a 6-month plan billed $1,014

Best for clinical specificity

Ranks 2 of 31 · no commercial relationship
Read the MadeMed review
Ivy RxIvy Rxfrom $175 with no billing period stated

Best named clinical oversight

Ranks 3 of 31 · no commercial relationship
Read the Ivy Rx review

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How we score: every clinic is rated on five weighted criteria from documented evidence. Prices checked weekly. See each review for that clinic's own verification status. Scores are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.