Locked price vs escalating price
Refills vs IVIM Health: Which Price Survives Titration? (2026)
Refills costs $1,188 a year against $2,013 for IVIM Health. Full 2026 comparison of price, medication class and included support.
Published · Pricing as published in our provider dataset, synced · Editorial scores 7.7 and 7.2 out of 10
We may receive compensation when you click partner links. Rankings are based on research methodology, not sponsorship.
IVIM Health and Refills both promise a fast route to GLP-1 treatment without an office visit. What they promise afterward is where they separate.
GLP-1 dosing escalates over the first few months, and providers differ on whether the invoice escalates with it. Refills holds one rate at every dose; IVIM Health's price moves from $99 to $174.
The sections that follow price both programs across a full course of treatment rather than a first month, then set out which patient each one is actually built for. Anything a provider declines to disclose is marked undisclosed rather than filled in.
The short answer
- Lowest 12-month cost
- Refills — $1,188 against $2,013 at IVIM Health, on each provider's own best published pricing.
- Most predictable bill
- Refills — Flat rate at every dose, so titration does not change what you are charged.
- Tirzepatide access
- Refills — The only one of the two that publishes a dual GIP/GLP-1 option.
- Widest medication choice
- Refills — compounded semaglutide and GIP+GLP-1 dual agonist.
The short version: Refills vs IVIM Health
The table is built from each provider's published pricing and program detail; anything they decline to state is marked as such.
| Refills | IVIM Health | |
|---|---|---|
| Advertised price | GLP-1 from $99/mo, about $5 a day | $99 first month, then $174/mo |
| Rate after promotions | $99/mo | $174/mo |
| Pricing structure | Flat rate at every dose | Membership fee plus the cost of medication |
| Medication | Compounded semaglutide and GIP+GLP-1 dual agonist | Compounded semaglutide |
| How fast you start | 3-minute approval quiz | Free consult, then clinician review |
| State coverage | Availability varies by state | Not published |
| Payment options | Card only, no financing published | Card only, no financing published |
| Membership fee | None | Yes, billed separately |
| Patient reviews | 7,400 | 36,958 |
| eRxDoctor score | 7.7/10 | 7.2/10 |
What you will have spent by month twelve
GLP-1 treatment is not a one-month purchase, and neither of these prices it like one. What matters is the total at the point most people are still in treatment, so both programs are extended to six and twelve months below.
| Refills | IVIM Health | |
|---|---|---|
| First month | $99 | $99 |
| Months 2 onward | $99/mo | $174/mo |
| 6-month total | $594 | $969 |
| 12-month total | $1,188 | $2,013 |
| Best published plan | No multi-month discount published | No multi-month discount published |
Refills finishes the year $825 cheaper. For some patients the support IVIM Health bundles closes that gap; for a patient who only needs the prescription written, it does not.
Price escalation to plan for: IVIM Health moves from $99 to $174, a 76% increase. Set a calendar reminder for the month it changes.
What happens to the price as your dose goes up
Semaglutide and tirzepatide are titrated upward over the first months of treatment. Some providers price per milligram in all but name, so the invoice climbs alongside the dose; others hold one rate the whole way.
Refills is in the second group: $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing. IVIM Health is in the first — the GLP-1 ID protocol's 40% faster claim is the platform's own, not an independent finding — which means the number you compared at signup is not the number you will be paying at month four.
The fix is one question at intake: what do I pay at maintenance dose? Everything else about pricing follows from that answer.
Refills: what you are buying
Refills positions itself on $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing. Refills offers personalized compounded GLP-1 from $99/month (~$5/day) with flat pricing, the same price at every dosage, plus free discreet shipping, 24/7 health concierge support, and no membership or app fees.
Getting started means 3-minute approval quiz, after which free, fast and discreet shipping on every order. Pricing runs on a flat rate at every dose basis, published upfront.
Ongoing care is free 24/7 health concierge, and the medication list runs to compounded semaglutide and GIP+GLP-1 dual agonist.
Refills pros
- 40% off new patient special offers
- No monthly memberships or app fees
- Flat pricing, the same low price at every dosage, no titration upcharges
- Personalized GLP-1 from $99/mo (~$5/day); GIP+GLP-1 dual agonist available
Refills cons
- Availability varies by state
- Clinicians come from partner telehealth networks (Beluga, Bask, Wasef Health)
- Compounded medication, not an FDA-approved branded product
Where it gives ground to IVIM Health: clinicians come from partner networks and availability varies by state.
How IVIM Health works
Limited Offer: Free Month Membership – Use Code GIFT75
The process is free consult, then clinician review, then home delivery. On money, expect membership fee plus the cost of medication — published upfront.
Behind the prescription sits no-obligation free consultation valued at $75. Available medication: compounded semaglutide.
IVIM Health pros
- Proprietary GLP-1 ID protocol claiming up to 40% faster weight loss
- Free month membership with code GIFT75
- No-obligation free consultation ($75 value) for new patients
- 4.9-star rating on both Google and Trustpilot, rare dual third-party verification
IVIM Health cons
- Compounded medication only, no branded Ozempic or Wegovy
- The 40% faster claim is a proprietary protocol claim, not an independent clinical finding
- Price rises from $99 first month to $174/month ongoing
Read next to Refills, the weak point: the GLP-1 ID protocol's 40% faster claim is the platform's own, not an independent finding.
Picking between them
Choose Refills if:
- delivery works the way you want it to: free, fast and discreet shipping on every order
- you want the price you sign up at to survive titration
- the monthly rate is the constraint — $99/mo against $174/mo
- you want a single monthly charge rather than a membership plus medication
Choose IVIM Health if:
- you would rather use the platform with the longer public record (36,958 reviews)
- what it leads on is worth paying for in your case: 4.9 stars on both Google and Trustpilot, which is rare dual third-party verification
- the level of clinical contact suits you: no-obligation free consultation valued at $75
- you want to start on their timeline: free consult, then clinician review
Honest trade-offs
On price. The monthly gap is 76% in Refills's favor. Whether that is a saving or a false economy turns on one thing: clinicians come from partner networks and availability varies by state.
On commitment. Neither publishes a multi-month discount, so both are month-to-month decisions and neither asks you to prepay for a response you have not had yet. Neither publishes financing options, so plan for the full amount each month.
On access. Refills advertises 3-minute approval quiz and free, fast and discreet shipping on every order; IVIM Health advertises free consult, then clinician review and home delivery. Coverage differs too — availability varies by state against not published — which decides the question before price does if you are in a restricted state.
On predictability. The pricing structures differ (flat rate at every dose versus membership fee plus the cost of medication), and structure, not headline rate, determines the twelve-month bill.
What the evidence actually says
It is worth separating the program from the pharmacology. What follows is true of the medication regardless of which of these two writes the prescription.
Cardiovascular benefit has been demonstrated for semaglutide in a specific population: adults with overweight or obesity and existing cardiovascular disease but no diabetes, per NEJM, SELECT.
In SURMOUNT-4, stopping tirzepatide after a lead-in period produced significant weight regain, where staying on it did not, per JAMA, SURMOUNT-4.
Take the clinical questions to the prescribing clinician at whichever platform you choose; take the pricing questions to their support team before you pay.
Refills vs IVIM Health: common questions
Is Refills cheaper than IVIM Health?
Yes, on the ongoing rate. Refills runs $99/mo once promotional pricing ends, against $174/mo at IVIM Health — a difference of 76%. Compare the first-month offers separately, because both providers discount entry differently from the rate you will actually be paying by month three.
Which costs less over a year, Refills or IVIM Health?
Refills, at roughly $1,188 for twelve months against $2,013 at IVIM Health, using each provider's own best published pricing. Those totals cover medication and program fees as published; they exclude anything a provider bills separately, and they assume you stay on the same plan for the full year.
Do Refills and IVIM Health prescribe the same medication?
Both dispense compounded GLP-1 preparations. Refills lists compounded semaglutide and GIP+GLP-1 dual agonist and IVIM Health lists compounded semaglutide, so the molecules overlap even where the formulary does not match exactly.
Does Refills or IVIM Health offer tirzepatide?
Refills does. IVIM Health publishes compounded semaglutide only, so moving to tirzepatide would mean moving provider — a new intake, a new price, and the loss of any rate you had locked in.
Can I switch from Refills to IVIM Health later?
Nothing stops you. The friction is administrative rather than clinical: a new intake, a new prescriber, and a delivery gap if you time it badly. Move while you still have two weeks of medication in the fridge.
The verdict
Refills is the cheaper year by $825, and for a straightforward course of treatment that settles it.
The case for IVIM Health is 4.9 stars on both Google and Trustpilot, which is rare dual third-party verification. That is worth $69 a month to some patients and nothing at all to others — be honest about which you are.
Whichever way you go, the medication is the same class of drug and the clinical questions belong to a clinician. What you are choosing here is a billing model and a support structure.
Keep comparing
- Refills vs TMatesBudget vs premium
- Refills vs Elevate HealthHead to head
- Shed vs IVIM HealthPublished price vs quote-only
- Hers vs IVIM HealthBrand-name vs compounded
- Mochi Health vs MaximusLocked price vs escalating price
- TMates vs He & She MDLocked price vs escalating price
See every provider in context on the weight loss rankings, or browse the full comparison index.
Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by Refills or IVIM Health, and does not sell treatment. Read our ranking methodology.