Ivy Rx vs Lttl: Which longevity Clinic Is Better in 2026?
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Short answer
Ivy Rx wins overall, scoring 7.9/10 vs 7.4/10. Mainly on prescriber & follow-up and real monthly cost.
Ivy Rx
Names its medical advisory board, with credentials you can check. Three physicians, not a network.
from $175 with no billing period stated
Read ReviewLLttl
Prices every plan with the amount billed up front and names its four pharmacies, but the review rating on its pages does not match its Trustpilot record and its refund pages contradict each other.
from $99/mo on a 12-month supply, $1,188 billed up front
Visit →Ivy Rx vs Lttl, side by side
| Feature | Ivy Rx | Lttl |
|---|---|---|
| Our score | 7.9/10 | 7.4/10 |
| Starting price | $175 with no billing period stated | $99/mo on a 12-month supply, $1,188 billed up front |
| Medication types | nad-injection, nad-nasal-spray, sermorelin-injection, glutathione-injection, glutathione-nasal, peptides | nad-injection, nad-nasal-spray, nad-liposomal, sermorelin-injection, glutathione-injection, methylene-blue, mic-b12 |
| Best for | Best named clinical oversight | — |
| Overall ranking | #3 | #8 |
| Real monthly cost (25%) | 7.5 | 8.0 |
| Prescriber & follow-up (30%) | 8.0 | 6.5 |
| What they can prescribe (20%) | 8.5 | 8.5 |
| What they disclose (25%) | 7.5 | 7.0 |
Sources: Ivy Rx pricing verified on ivyrx.com, Lttl pricing verified on lttl.com
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)
Lttl
Pros
- + Every plan priced with the amount charged: NAD+ $149 a month month to month, $417 a quarter, $774 for 6 months or $1,188 for 12 months
- + Names its four partner pharmacies with addresses in its Terms, each with no FDA warning letter on file
- + Three NAD+ forms (injection, nasal spray, liposomal oral liquid) plus sermorelin, glutathione and methylene blue, at one price for every dose
Cons
- − Not available in 1 state
- − Weaker on Prescriber & follow-up (6.5/10)
- − Weaker on What they disclose (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 Lttl (7.4/10). 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 Lttl if you want this option. From $99/mo on a 12-month supply, $1,188 billed up front.
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.
Frequently asked questions
Which is better, Ivy Rx or Lttl?
How much does Ivy Rx cost vs Lttl?
What is the difference between Ivy Rx and Lttl?
Does Ivy Rx or Lttl take insurance?
Related comparisons
Top picks
from $161/mo on a 1-month plan, renewing monthlyPublished prices on every product
from $169/mo on a 6-month plan billed $1,014Best for clinical specificity
Ivy Rxfrom $175 with no billing period statedBest named clinical oversight
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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.