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Alternatives

Alternatives to Rivas Medical Weight Loss

Rivas Medical Weight Loss scores 61/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the Rivas Medical Weight Loss review →CoreAge Rx vs Rivas Medical Weight Loss →

Rivas Medical Weight Loss at a glance

Semaglutide
$399/moMonthly telehealth plan, compounded; the first month is $195 including the initial visit
Tirzepatide
$599/moMonthly telehealth plan, compounded; the first month is $195 including the initial visit
Coverage
3 states
Brand-name GLP-1s
Yes
Oral option
No
Pricing verified
October 2026

8 of the 8 programs below list semaglutide for less than Rivas Medical Weight Loss's $399 a month. 7 of the 8 list tirzepatide for less than its $599 a month.

Rivas Medical Weight Loss is primarily a 15-location in-person clinic chain in Maryland, Virginia, and Florida run by Dr. Paul Rivas, with a newer telehealth option for compounded semaglutide and tirzepatide.

Best for: Patients already near a physical Rivas clinic in MD, VA, or FL who want the option of in-person injections.

What Rivas Medical Weight Loss does well

  • Long-tenured, named physician (Dr. Paul Rivas, 30+ years) rather than an anonymous provider pool
  • The $195 first visit includes your first month of compounded medication
  • Wegovy or Zepbound can be prescribed for a $100/mo visit fee, with the drug filled through LillyDirect, NovoCare or your local pharmacy
  • LegitScript certified; no contract, cancel anytime
  • 15 Maryland and Virginia clinics offer an in-person alternative, and prescribing decisions are made during a live visit

Why readers look for an alternative

  • Telehealth limited to 3 states (MD, VA, FL)
  • From month two the telehealth price is $399 or $599 a month
  • The site doesn't say whether the telehealth price changes with your dose
  • In-clinic care is priced by the week ($115/$165, injections given on site), so it can't be compared directly with the telehealth monthly rate
  • No compounding pharmacy is named, only licensed 503B and 503A pharmacies
  1. Partner
    01A

    CoreAge Rx

    CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Rivas Medical Weight Loss: $300/mo less for semaglutide · $450/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit CoreAge Rx CoreAge Rx vs Rivas Medical Weight Loss →
  2. 02C

    MEDVi

    MEDVi charges $179 for the first month of compounded semaglutide and $299 for every refill after, with the visit and medication in one price; brand Wegovy and Zepbound carry a $99 membership plus the drug's cost.

    Sema
    $299/moMonth-to-month refill price; first month $179, compounded
    Tirz
    Not disclosed
    Coverage
    Not published
    Brand
    Yes

    Compared with Rivas Medical Weight Loss: $100/mo less for semaglutide · offers an oral option

    Visit MEDVi MEDVi vs Rivas Medical Weight Loss →

    Regulatory note: the FDA issued a warning letter to MEDVi, LLC dba MEDVi in February 2026. We still list and link to MEDVi; you should know the letter is on the public record before you decide.

  3. 03C

    AZ Health

    AZ Health offers virtual compounded semaglutide and tirzepatide care. Its tirzepatide card advertises $199 monthly while its FAQ says $249, so confirm the actual charge before enrolling.

    Sema
    $179/moStarting dose, compounded
    Tirz
    $199/moAdvertised; FAQ $249/mo (compounded injection, conflicting prices)
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Rivas Medical Weight Loss: $220/mo less for semaglutide · $400/mo less for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit AZ Health AZ Health vs Rivas Medical Weight Loss →
  4. 04C

    NuDay Rx

    NuDay Rx runs on the CareValidate/careGLP telehealth platform, offering compounded semaglutide ($249/mo) and tirzepatide ($329/mo injectable, $399/mo oral tablets).

    Sema
    $249/moCompounded
    Tirz
    $329/moCompounded
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Rivas Medical Weight Loss: $150/mo less for semaglutide · $270/mo less for tirzepatide · offers an oral option

    Visit NuDay Rx NuDay Rx vs Rivas Medical Weight Loss →
  5. 05C

    Tru2u

    Tru2u is a DTC wellness storefront (Functional Brands Inc.) listing compounded semaglutide ($225), tirzepatide ($345), and a proprietary combined 'GLP Squared' injection ($275) alongside hair, skincare, and supplement lines.

    Sema
    $225/moCompounded
    Tirz
    $345/moCompounded
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Rivas Medical Weight Loss: $174/mo less for semaglutide · $254/mo less for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit Tru2u Tru2u vs Rivas Medical Weight Loss →
  6. 06C

    Options Medical Weight Loss

    Options Medical Weight Loss combines clinic visits and telehealth with medication, nutrition guidance and coaching; its location list currently shows 11 clinics in four states.

    Sema
    $199/moStarting dose, 3-month minimum, compounded
    Tirz
    $399/moStarting dose, 3-month minimum, compounded
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Rivas Medical Weight Loss: $200/mo less for semaglutide · $200/mo less for tirzepatide

    Visit Options Medical Weight Loss Options Medical Weight Loss vs Rivas Medical Weight Loss →
  7. 07C

    Tuyo Health

    Tuyo Health offers compounded GLP-1 plans with provider visits, shipping, lab services and support, plus separate brand-name options.

    Sema
    $155/moStarting dose, compounded
    Tirz
    $235/moAdvertised starting rate, compounded; confirm higher-dose pricing
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Rivas Medical Weight Loss: $244/mo less for semaglutide · $364/mo less for tirzepatide

    Visit Tuyo Health Tuyo Health vs Rivas Medical Weight Loss →

    Regulatory note: the FDA issued a warning letter to Tuyo Health, Inc. dba Tuyo Health in September 2025. We still list and link to Tuyo Health; you should know the letter is on the public record before you decide.

  8. 08C

    Ivim Health

    Ivim Health is a Michigan-based telehealth weight-loss practice selling compounded semaglutide and tirzepatide in fixed-length programs, about $150 and $208 a month on six months with its $74.99 monthly program fee, plus a brand-name GLP-1 program with insurance help.

    Sema
    $149.99/mo6-month program, starting dose, medication and program fee, compounded
    Tirz
    $207.99/mo6-month program, starting dose, medication and program fee, compounded
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Rivas Medical Weight Loss: $249.01/mo less for semaglutide · $391.01/mo less for tirzepatide · offers an oral option

    Visit Ivim Health Ivim Health vs Rivas Medical Weight Loss →

    Regulatory note: the FDA issued a warning letter to Ivim Services LLC dba Ivim in February 2026. We still list and link to Ivim Health; you should know the letter is on the public record before you decide.

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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