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  1. Home
  2. Compare
  3. Ro vs Ivim Health
Eric GoldWritten by Eric GoldEditor-in-Chief
Updated onAugust 27, 2026
Ro telehealth platform
Ro
VS
Ivim Health telehealth platform
Ivim Health
Visit RoVisit Ivim Health

Ro vs Ivim Health

Complete 2026 Comparison for Weight Loss

Weight Loss

Our Verdict

Picking between Ro and Ivim Health for weight loss comes down to whether you want Wegovy with insurance navigation or flexible semaglutide and tirzepatide with unlimited virtual visits, because these two programs are built around pretty different ideas of what support looks like. Ro starts at $45 for your first month, while Ivim Health leans on dose adjustments and community extras like 20% off supplements. Both are available in all 50 states plus DC.

Pick Ro

You'd rather have someone sort out the insurance paperwork and get you actual Wegovy with coaching and check-ins built in.

Pick Ivim Health

If you want flexible dosing and no visit limits, Ivim Health fits: you get weekly tirzepatide or semaglutide adjustments, unlimited virtual visits, and a free 30-minute consult to start.

Choose Ro if you want Wegovy specifically and don't want to deal with insurance yourself. Choose Ivim Health if you'd rather have unlimited check-ins and the option to fine-tune your dose week to week without extra charges. Ro holds a 9.3 rating, putting it noticeably ahead of Ivim Health's 8.0. Fair trade either way.

Quick Answer

Best overallRo

Ro is our overall pick for weight loss, based on our rating and feature coverage.

Top Weight Loss Providers

Our Top Choice
1
TrimRx logo

GLP-1 Weight Loss From $179/mo - Free 2-Minute Assessment

  • Compounded GLP-1 (semaglutide) from $179/mo, GLP-1 + GIP (tirzepatide) from $259/mo
  • Brand-name Ozempic®, Mounjaro®, Zepbound® and Wegovy® also available
  • Free 2-minute qualification quiz and FREE doctor consultation - no cost, no obligation
  • Free tracked shipping straight to your door after approval
TrimRx displays LegitScript certificate 31417191, checked September 19, 2026Cert. 31417191September 19, 2026
9.4
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
See PricingRead full review
Most Popular
2
Medvi logo

First Month $179, Then $299/mo With No Membership Fee

  • Doctor-guided compounded GLP-1 care, 100% online. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
  • Free dietician visits and care coaching included with your plan
  • Doctor-formulated plans adjusted as your body responds
  • Fast, discreet shipping to your door
LegitScript lists Medvi as certified, checked on LegitScript's status page September 20, 2026CertifiedSeptember 20, 2026
9.2
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
See PricingRead full review
3
Fridays logo

Compounded Semaglutide From $150/mo on Prepaid Plans

  • Compounded semaglutide from $150/mo, tirzepatide from $240/mo on prepaid plans
  • Insurance concierge works to maximize your coverage
  • GLP-1 microdosing option and a custom plan in under 3 minutes
Fridays displays LegitScript certificate 18528873, checked September 19, 2026Cert. 18528873September 19, 2026
9.2
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
See PricingRead full review

Provider Overview

Ro logo
9.3

Our editorial rating 9.3/10Trustpilot: 4.0/5 from 6,401 reviews, checked Sep 11, 2026

Ro (formerly Roman) is a full-service telehealth platform offering treatments for ED, hair loss, weight loss, and more. Its weight loss program runs on FDA-approved GLP-1s from $149/month for the medication, with the membership billed as a separate charge (September 2026).

Rating9.3/10
Free ConsultationYes
Free ShippingYes
HSA/FSAYes
Founded2017
HQNew York, NY
Visit RoRead Full Review
Ivim Health logo
8.0

Our editorial rating 8.0/10Trustpilot: 4.9/5 from 39,429 reviews, checked Sep 11, 2026

Ivim Health offers personalized GLP-1 weight loss treatment starting at $199/month with weekly dose adjustments, plus women's HRT at $199/month. Known for unlimited virtual visits and detailed tracking.

Rating8/10
Free ConsultationYes
Free ShippingYes
HSA/FSAYes
Founded2023
HQUnited States
Visit Ivim HealthRead Full Review
VS

Feature Comparison

Feature comparison between Ro and Ivim Health
FeatureRoRoIvim HealthIvim Health
Rating9.3/108/10
Founded20172023
Free ConsultationYesYes
Free ShippingYesYes
Accepts InsuranceYesNo
HSA/FSA AcceptedYesYes
Mobile AppYesYes
Consultation TypeAsynchronous, Video, PhoneVideo, Asynchronous
Shipping Time2-5 business days3-5 business days

Pricing Comparison

Pricing comparison between Ro and Ivim Health across treatment categories
TreatmentRoIvim Health
Weight Loss$223/monthN/A

Prices shown are starting costs. Actual pricing varies by treatment plan and medication.

Pros and Cons

Ro

Pros

  • Accepts insurance for some treatments
  • FDA-approved GLP-1s for weight loss from $149/month for the medication
  • Multiple consultation options
  • Free 2-day shipping
  • Strong medical oversight

Cons

  • Weight loss bills you twice: the medication plus a membership
  • Subscription required for ongoing treatment
  • Insurance coverage varies by state
Ivim Health

Pros

  • Competitive $199/month starting price
  • Weekly dose adjustments for personalization
  • Unlimited virtual visits and coaching
  • Mobile app with progress tracking
  • Free 30-minute initial consultation
  • Women's HRT services available

Cons

  • Does not accept insurance
  • Newer company
  • Limited service categories
  • Price varies with dosage increases

Which Should You Choose?

RoChoose Ro if you:
  • You want insurance accepted
  • You want an FDA-approved GLP-1 rather than a compounded one
  • Men wanting full ED options
  • You prefer video consultations
Visit Ro
Ivim HealthChoose Ivim Health if you:
  • Patients wanting personalized dose adjustments
  • Women seeking both weight loss and HRT
  • Those preferring app-based tracking
  • Patients wanting unlimited virtual visits
Visit Ivim Health

Who This Is For

This is for
  • You want to compare medication options, monthly costs, and state availability across multiple telehealth providers.
  • You prefer reviewing licensed provider programs independently before committing to a subscription.
  • The FDA-approved labeling for Wegovy and Zepbound covers weight reduction in adults with a BMI of 30 or higher, and in adults with a BMI of 27 or higher who have at least one weight-related condition such as type 2 diabetes or high blood pressure. If you are near either number, ask a licensed provider where you fall before choosing a platform.
  • If you are pregnant or planning a pregnancy, the Wegovy label directs you to stop semaglutide once pregnancy is recognized and two months before a planned pregnancy, so raise it at intake.
  • If you are breastfeeding, ask the provider what the label for the specific medication says, because the labels differ.
  • If you have a history of disordered eating, tell the provider at intake, because it is part of what a prescriber weighs before starting a weight loss medication.
  • If you have had bariatric surgery or are considering it, tell the provider at intake, because it changes what a prescriber will consider.
  • A remote visit cannot include a physical exam or in-office testing. If that matters for your situation, raise it with a licensed provider before choosing a platform.
  • If this is an emergency, call 911 or go to the nearest emergency room. Telehealth is not for emergency care.

These notes are not a medical screening: a licensed provider decides after an intake review whether a treatment is appropriate for you.

About This Comparison

Our Editorial Standards

This ro vs ivim health provider comparison is independently researched by our editorial team. We compare telehealth services based on publicly available information including pricing, available treatments, and service areas. Our ratings are editorial judgments, not tallies of reviews.

Independent Research: We do not accept payment for rankings or favorable reviews
Affiliate Disclosure: We may earn commissions from qualifying purchases at no extra cost to you
Regular Updates: Content is reviewed and updated monthly for accuracy
Licensed Providers Only: All listed services employ US-licensed healthcare providers

Not Medical Advice: This comparison is for informational purposes only. We are not healthcare providers. Always consult with a licensed physician before starting any treatment. Read our full medical disclaimer and editorial policy.

Independent ResearchNo paid placements
Fact-Checked InformationVerified against official sources
Regularly UpdatedLast updated August 27, 2026
Licensed Providers OnlyAll listed services are US-licensed

Ivim Health vs Ro: Compounded Value or FDA-Approved Access?

Eric GoldWritten by Eric GoldEditor-in-Chief
9 min readUpdated August 27, 2026

Table of Contents

Choosing between Ivim Health and Ro for weight loss involves evaluating value-tier compounded medication access against mid-premium platform with FDA-approved brand-name options, lifestyle programming, and an established multi-specialty platform. Ivim Health launched in 2021 as value-tier platform offering exclusively compounded GLP-1s with both medication options plus basic coaching ($229-329/month) through 3 years in business focusing on affordable access. Ro launched in 2017 as telehealth platform across multiple specialties expanding to weight management, offering both FDA-approved brand-name GLP-1s (Wegovy, Zepbound) AND compounded alternatives with lifestyle programming ($349-449/month) through 6+ years of history. This comparison examines pricing differences ($1,440 annual gap), medication sourcing options (compounded-only vs FDA-approved access), lifestyle programming intensity (basic vs a full program), the age gap (3 years vs 6+ years), technology sophistication, and service tier positioning to help you determine whether value-tier compounded-only access at lowest cost or mid-premium platform with FDA-approved medication flexibility, behavioral support better aligns with your medication sourcing preferences, lifestyle programming needs, continuity priorities, budget considerations, insurance coverage opportunities, and whether moderate additional investment for brand-name access services or straightforward affordable compounded access better serves chronic weight management within regulatory preference and support intensity priorities.

Platform Overview

Ivim Health launched in 2021 as value-tier weight loss platform providing compounded GLP-1 medications at $229-329/month with basic health coaching and nutritional guidance. The platform targets cost-conscious patients seeking affordable GLP-1 access with moderate lifestyle support. Ivim Health operates with 3 years of history as established value-tier provider balancing affordability with reasonable service quality and dual medication formulary.
Ro launched in 2017 as telehealth platform offering services across multiple specialties including erectile dysfunction, hair loss, skincare, and weight management. The platform charges $349-449/month for FDA-approved GLP-1s (Wegovy/Zepbound) combining 6+ years of history with premium clinical staffing, lifestyle programming, medication flexibility including FDA-approved options, and established technology systems. Ro positions as mid-premium tier balancing full-service services with reasonable pricing.

Pricing Analysis

Ivim Health Value-Tier Pricing: Ivim Health charges $229-329/month ($2,748-3,948 annually) for compounded GLP-1s including both semaglutide and tirzepatide options with basic health coaching. The pricing reflects value-tier positioning providing medication flexibility and moderate lifestyle support at affordable rates.
Ro Mid-Premium Pricing: Ro charges $349-449/month ($4,188-5,388 annually) for weight loss treatment including FDA-approved medication options. The platform costs $120-120/month more ($1,440-1,440 annually) than Ivim Health - approximately 52-36% premium. This moderate additional cost reflects Ro's 6+ years of build-out, FDA-approved medication access, lifestyle programming, and mid-premium service tier.
Cost-Value Analysis: Ro $1,440 annual premium purchases mid-premium advantages: 6+ years of history versus Ivim Health's 3 years, FDA-approved Wegovy/Zepbound access versus compounded-only, lifestyle programming versus basic coaching, and an established technology platform. For patients prioritizing cost minimization and comfortable with compounded medications, Ivim Health delivers value-tier appropriate pricing. For patients wanting FDA-approved medication access and programming, Ro mid-premium tier provides meaningful service upgrades justifying the moderate additional investment.

Medication Options and FDA-Approved Access

Ro FDA-Approved and Compounded Options: Ro provides both FDA-approved brand-name GLP-1s (Wegovy semaglutide, Zepbound tirzepatide) AND compounded alternatives enabling medication selection based on regulatory preferences, insurance coverage, and cost considerations. The dual-source formulary provides maximum flexibility - patients can access FDA-approved medications if prioritized or switch to compounded versions for cost savings.
Ivim Health Compounded-Only Formulary: Ivim Health exclusively provides compounded semaglutide and tirzepatide without FDA-approved brand-name options. While compounded medications contain the active ingredients found in the brand-name drugs at substantially lower cost (compounded versions are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality), some patients prefer FDA-approved products for regulatory assurance, insurance coverage eligibility, or quality perception reasons.
FDA-Approved Access Advantage: For patients wanting FDA-approved Wegovy or Zepbound for regulatory assurance, insurance coverage opportunities (if applicable), or brand-name preference, Ro provides this access while Ivim Health cannot. For patients comfortable with compounded medications and their regulatory status (not FDA-approved, not reviewed by the FDA for safety, effectiveness, or quality) at far lower cost, Ivim Health compounded-only approach delivers appropriate value without FDA-approved premium. Medication source preference significantly influences comparative value.

Lifestyle Programming and Behavioral Support

Ro Full Lifestyle Programming: Ro provides behavioral support including health coaching, registered dietitian access, meal planning services, exercise programming, behavioral modification support, habit formation guidance, lifestyle resources addressing all obesity-contributing factors. The comprehensive programming enhances medication efficacy through extensive behavioral change support.
Ivim Health Basic Lifestyle Support: Ivim Health offers basic health coaching consultations, nutritional guidance resources, meal planning suggestions, and lifestyle modification support without intensive programming. The moderate support addresses behavioral factors at basic level providing reasonable guidance without services.
Programming Intensity Gap: Ro delivers substantially deeper lifestyle programming including registered dietitian access, coaching, behavioral support versus Ivim Health basic guidance. For patients needing intensive lifestyle modification, struggling with behavioral change, or wanting programming maximizing medication efficacy, Ro superior support provides meaningful advantages. For patients comfortable with self-directed lifestyle changes needing only basic guidance, Ivim Health moderate support suffices at lower cost.

A Live, Verified Listing Against a Last-Recorded One

Ro prices weight loss at $145/mo as of August 2026 and holds a 9.3 Outstanding rating, among the higher-rated weight loss brands we list.
Ivim Health's own record shows $149/mo (8.0 Good), just $4/mo higher on paper, but Ivim Health isn't currently shown in our weight-loss provider rankings, and that record was last verified in May 2026, so treat its pricing and features as last-recorded rather than live.
Ro's plan also includes a free insurance check and cites the SURMOUNT-1 trial result for tirzepatide (up to 20.9% body weight loss over 72 weeks, individual results vary) directly in its own listing - documentation Ivim Health's last-recorded listing lacks.

Technology Platform and User Experience

Ro's Six Years of Polish: Ro operates a technology platform refined over 6+ years with proven medication management systems, appointment scheduling, provider communication, prescription fulfillment, and clinical coordination. The established systems provide smooth user experience backed by extensive operational refinement.
Ivim Health Functional Platform Systems: Ivim Health provides functional technology platform enabling basic medication management, appointments, and provider communication. The 3-year history demonstrates working systems but with less refinement and testing than Ro's.
The Gap in Years: For patients prioritizing technology, a seamless user experience, and extensively tested systems, Ro's 6+ years of refinement show. For patients comfortable with functional systems adequate for basic medication management, Ivim Health platform suffices at lower cost without premium technology investment.

How We Compared Ro vs Ivim Health

Our Comparison Methodology

This comparison analyzes pricing structures, medication options (FDA-approved vs compounded), lifestyle programming, and service tier positioning from both Ivim Health and Ro.

Clinical Evidence: Weight loss treatment recommendations reference FDA Wegovy (semaglutide) and Zepbound (tirzepatide) labels.

Compounded Medications: Analysis incorporates FDA guidance on compounded drugs.

Pricing Analysis: Pricing reflects the rates last recorded in our provider database; providers change prices frequently, so confirm current pricing directly at checkout.

Independence: This comparison is our own editorial work (most providers listed here pay ManyTreatments a commission when you buy through a link on this page; none pays for a placement, a rating, or a listing, and we make no claim that commissions have never influenced anything, since that is our own conduct and we cannot evidence it) and provides evidence-based analysis helping patients understand trade-offs between value-tier compounded access and mid-premium service with FDA-approved options.

Final Verdict: Ro vs Ivim Health

Choose Ivim Health if: You prioritize cost minimization and want most affordable GLP-1 access ($229-329/month, $1,440 annually less than Ro). You are comfortable with compounded medications understanding they contain identical active ingredients at substantially lower cost without need for FDA-approved brand-name products. You need only basic lifestyle support (coaching, nutritional guidance) adequate for self-directed behavioral changes without requiring intensive programming. You want dual GLP-1 formulary with both semaglutide and tirzepatide compounded options providing medication flexibility. You can accept moderate uncertainty (3 years history versus Ro 6+ years) for chronic treatment. You prefer value-tier transparent pricing without mid-premium complexity. You don't need FDA-approved medication access for insurance purposes or regulatory preference. You value straightforward affordable approach providing medication access and basic behavioral support at lowest investment focusing on cost-effective weight management.

Choose Ro if: You want FDA-approved brand-name GLP-1 access (Wegovy, Zepbound) for regulatory assurance, potential insurance coverage opportunities, or brand-name preference unavailable through compounded-only platforms like Ivim Health. You need full lifestyle programming including registered dietitian access, health coaching, meal planning, exercise programming, and intensive behavioral support maximizing medication efficacy through lifestyle modification. You want the longer history (6+ years since 2017 versus Ivim Health's 3 years) for chronic treatment requiring multi-year medication access. You value platform technology Ro has refined over 6+ years: smooth medication management on well-tested systems. You want mid-premium service tier balancing services with reasonable pricing. You find $1,440 annual premium justified by FDA-approved medication access enabling regulatory assurance and potential insurance benefits, lifestyle programming (substantially richer than basic support), and a longer operating history. You appreciate medication source flexibility through both FDA-approved and compounded options enabling choice based on insurance coverage, cost considerations, and regulatory preferences.

Bottom line: Ivim Health and Ro represent different service tiers with meaningful differentiation around medication sourcing, lifestyle programming intensity, and track record - Ivim Health offers value-tier affordable access ($229-329/month) to compounded GLP-1s with basic lifestyle support and 3 years in business appropriate for cost-conscious patients comfortable with compounded medications and self-directed behavioral changes, while Ro provides mid-premium platform ($349-449/month) with FDA-approved brand-name GLP-1 access (Wegovy, Zepbound) plus compounded alternatives, lifestyle programming including registered dietitian access coaching, 6+ years proven history, and established technology justifying $1,440 annual premium. The medication sourcing difference is primary differentiator - Ro provides FDA-approved brand-name access enabling regulatory assurance and potential insurance coverage while Ivim Health exclusively offers compounded versions containing identical active ingredients at far lower cost. For patients prioritizing cost and comfortable with compounded quality from reputable pharmacies, Ivim Health delivers appropriate value-tier service at substantially lower investment. For patients wanting FDA-approved product access, needing lifestyle programming to maximize medication efficacy, prioritizing confidence through a longer track record, or valuing an established technology platform, Ro mid-premium tier provides meaningful service upgrades including medication sourcing flexibility and intensive behavioral support worth the moderate additional investment. Insurance coverage potential through FDA-approved access may partially offset Ro higher cost for some patients - check insurance benefits as coverage could reduce net cost differences. Choice hinges primarily on medication sourcing preferences (FDA-approved brand access vs compounded-only value), lifestyle programming intensity needs (support vs basic guidance), track-record priorities (6+ years vs 3 years), and budget considerations - patients comfortable with compounded medications seeking affordable basic access benefit from Ivim Health dramatic cost savings, while those wanting FDA-approved options and programming find Ro mid-premium advantages justify $1,440 annual investment for enhanced services and regulatory assurance.

Visit RoVisit Ivim Health

Sources & References

Our comparisons are informed by official sources and regulatory guidelines. We encourage you to verify information with authoritative sources.

    Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards

    Related Comparisons

    HimsVSRoHimsVSIvim HealthHersVSRoHersVSIvim HealthRoVSKeepsRoVSNurx

    Start With a Top Weight Loss Provider

    Our Top Choice
    1
    TrimRx logo

    GLP-1 Weight Loss From $179/mo - Free 2-Minute Assessment

    • Compounded GLP-1 (semaglutide) from $179/mo, GLP-1 + GIP (tirzepatide) from $259/mo
    • Brand-name Ozempic®, Mounjaro®, Zepbound® and Wegovy® also available
    • Free 2-minute qualification quiz and FREE doctor consultation - no cost, no obligation
    • Free tracked shipping straight to your door after approval
    TrimRx displays LegitScript certificate 31417191, checked September 19, 2026Cert. 31417191September 19, 2026
    9.4
    OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
    ★★★★★
    See PricingRead full review
    Most Popular
    2
    Medvi logo

    First Month $179, Then $299/mo With No Membership Fee

    • Doctor-guided compounded GLP-1 care, 100% online. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
    • Free dietician visits and care coaching included with your plan
    • Doctor-formulated plans adjusted as your body responds
    • Fast, discreet shipping to your door
    LegitScript lists Medvi as certified, checked on LegitScript's status page September 20, 2026CertifiedSeptember 20, 2026
    9.2
    OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
    ★★★★★
    See PricingRead full review
    3
    Fridays logo

    Compounded Semaglutide From $150/mo on Prepaid Plans

    • Compounded semaglutide from $150/mo, tirzepatide from $240/mo on prepaid plans
    • Insurance concierge works to maximize your coverage
    • GLP-1 microdosing option and a custom plan in under 3 minutes
    Fridays displays LegitScript certificate 18528873, checked September 19, 2026Cert. 18528873September 19, 2026
    9.2
    OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
    ★★★★★
    See PricingRead full review

    Related Resources

    Brand Review

    Ro Review

    Brand Review

    Ivim Health Review

    Brand Review

    Is Ro Legit?

    Brand Review

    Is Ivim Health Legit?

    Guide

    Ro Alternatives

    Guide

    Ivim Health Alternatives

    Eric Gold
    Eric GoldEditor-in-Chief

    Eric Gold is a writer and editor with a background in digital media and consumer research. He has spent the last several years covering the health and wellness industry, with a particular focus on telehealth services and direct-to-consumer healthcare. Eric believes that access to clear, unbiased information should not require a medical degree. When he is not reviewing telehealth platforms, he enjoys hiking, cooking, and following the stock market a little too closely.

    Medical Disclaimer: The information on this page is for educational purposes only and is not medical advice. Always consult with a licensed healthcare provider before starting any treatment. Read our full medical disclaimer.

    How we scoreOur 1 to 10 brand scores are our own editorial judgment. They are not aggregated from third-party review platforms and they are not the output of a scoring formula.

    What a starting price isA starting price is the lowest figure a company lists for a category, not a quote. What you pay follows a clinician's review of your intake, and where a required membership or care plan sits alongside the medication we publish the two charges combined.

    Reading a warning letterA close-out letter is FDA's record that it has evaluated a company's corrective actions, so the absence of one means the file is not closed on the public record, and nothing more than that.

    Regulatory noticeRegulatory note (verified August 22, 2026): Ivim Services LLC received FDA warning letter MARCS-CMS 721816 on February 20, 2026, after the agency reviewed ivimhealth.com in December 2025. This letter is narrower than most in the same enforcement round: it quotes no marketing claims at all. The one cited violation concerns labeling. Compounded semaglutide and tirzepatide products pictured on the site show the "Ivim" name, which the FDA said represents Ivim as the compounder when it is not, citing 21 CFR 201.1(h)(2) and the misbranding provisions at FD&C Act 502(a) and 502(bb). We checked FDA’s index for a close-out letter and found none; on the public record the matter remains open. Read the FDA letter

    Regulatory noticeRegulatory note (verified October 8, 2026): On February 20, 2026 the FDA issued MEDVi, LLC a warning letter (MARCS-CMS 721455) citing misbranding under sections 502(a) and 502(bb) of the FD&C Act. Reviewing medvi.io in December 2025, the FDA said labels bearing "MEDVi" implied MEDVi compounds the drugs when it does not, and that site copy presenting the compounded drug as having the same active ingredient as Wegovy and Ozempic, and as Mounjaro and Zepbound, implied an FDA approval compounded drugs do not have. The letter adds that introducing or delivering the products it identifies into interstate commerce is a prohibited act under section 301(a), that receiving them in interstate commerce and delivering or offering to deliver them also violates section 301(c), and that a compounded drug product must meet the conditions of section 503A or 503B of the FD&C Act to be exempt from certain requirements, including the new drug approval requirements. When we checked FDA's warning letter index for MEDVi, LLC on October 8, 2026 it showed no response letter and no close-out letter entered against it, so the letter is not closed out on the public record. MEDVi states medvi.io is affiliate-operated rather than company-operated; we could not verify that, and the letter is addressed to MEDVi, LLC. Read the FDA letter