Ivy Rx vs Peter MD: Which longevity Clinic Is Better in 2026?
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Short answer
Ivy Rx wins overall, scoring 7.9/10 vs 6.4/10. Mainly on what they disclose and prescriber & follow-up.
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 Review
NAD+ as injection or capsule, plus sermorelin and metformin, priced by supply rather than by month.
from $369 for an 8 to 10 week supply (2 vials)
Read ReviewIvy Rx vs Peter MD, side by side
| Feature | Ivy Rx | Peter MD |
|---|---|---|
| Our score | 7.9/10 | 6.4/10 |
| Starting price | $175 with no billing period stated | $369 for an 8 to 10 week supply (2 vials) |
| Medication types | nad-injection, nad-nasal-spray, sermorelin-injection, glutathione-injection, glutathione-nasal, peptides | nad-injection, nad-capsule, sermorelin-injection, metformin, bloodwork |
| Best for | Best named clinical oversight | NAD+ in two forms, plus metformin |
| Overall ranking | #3 | #23 |
| Real monthly cost (25%) | 7.5 | 6.5 |
| Prescriber & follow-up (30%) | 8.0 | 6.5 |
| What they can prescribe (20%) | 8.5 | 8.0 |
| What they disclose (25%) | 7.5 | 5.0 |
Sources: Ivy Rx pricing verified on ivyrx.com, Peter MD pricing verified on getpetermd.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)
Peter MD
Pros
- + NAD+ as both injection and capsule, plus sermorelin and metformin
- + Publishes the states it cannot ship to, on the product page itself
- + Comprehensive bloodwork sold openly alongside treatment
Cons
- − Not available in 2 states
- − Weaker on What they disclose (5.0/10)
- − Weaker on Real monthly cost (6.5/10)
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 Peter MD (6.4/10). 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 Peter MD if you want nad+ in two forms, plus metformin. From $369 for an 8 to 10 week supply (2 vials).
Read Review →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
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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.