Alternatives
Alternatives to Rivo Health
Rivo Health scores 71/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Rivo Health at a glance
- Semaglutide
- $149/moStarting dose, annual plan, compounded injection or oral
- Tirzepatide
- $199/moStarting dose, annual plan, compounded injection or oral
- Coverage
- All 50 states
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
4 of the 8 programs below list semaglutide for less than Rivo Health's $149 a month. 5 of the 8 list tirzepatide for less than its $199 a month.
Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.
Best for: Patients willing to commit to a 12-month prepay plan to reach the advertised $149-199/mo rate, who also want dietitian and coaching support bundled in.
What Rivo Health does well
- Bundles a membership (unlimited provider visits, dietitian, coaching) into the plan at no separately-billed cost
- Large, established program with a stated 115,000+ member base and 4.7 Trustpilot rating
- Both injectable and oral compounded options for semaglutide and tirzepatide
- 'If you don't qualify, you don't pay' risk-free framing on the initial assessment
Why readers look for an alternative
- The headline $149/$199 prices require a 12-month annual-plan commitment — the genuine month-to-month rate, shown crossed out on the same page, is $279/mo and $389/mo, 87-95% higher
- The site doesn't name its compounding pharmacy partner
- No LegitScript certification shown on the site
- It doesn't list the states it serves, so check yours before you start
- Partner01A94/ 100Index
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 Rivo Health: $50/mo less for semaglutide · $50/mo less for tirzepatide · no oral option
- 02C72/ 100Index
Blis MD
Blis MD sells compounded semaglutide and tirzepatide by vial strength, starting at $109 and $159 for a one-month supply. Higher doses cost more; oral semaglutide and prepaid starter kits are also listed.
- Sema
- $109/mo0.25 mg weekly starting dose, compounded; higher doses $129–$189
- Tirz
- $159/mo2.5 mg weekly starting dose, compounded; higher doses $199–$270
- Coverage
- 29 states
- Brand
- Compounded
Compared with Rivo Health: $40/mo less for semaglutide · $40/mo less for tirzepatide
- 03C72/ 100Index
Medro
Medro is a telehealth brand launched in 2026 that sells compounded semaglutide at $199 a month and tirzepatide at $299 a month, with $99 off the first plan and no membership fee.
- Sema
- $199/moMonthly plan, compounded; first month $99
- Tirz
- $299/moMonthly plan, compounded; first month $199
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Rivo Health: $50/mo more for semaglutide · $100/mo more for tirzepatide · no oral option
- 04C72/ 100Index
Näky
Näky offers compounded semaglutide and tirzepatide with monthly or prepaid plans, plus brand-name Wegovy and Foundayo pills with a separate care membership.
- Sema
- $185/moMonth to month, any dose, compounded
- Tirz
- $295/moMonth to month, any dose, compounded
- Coverage
- Multi-state
- Brand
- Yes
Compared with Rivo Health: $36/mo more for semaglutide · $96/mo more for tirzepatide · also lists brand-name GLP-1s
- 05C72/ 100Index
WeightCare
WeightCare sells compounded semaglutide and tirzepatide by telehealth in 46 states, month to month at $399 and $499 or for less per month on 3-, 6- and 12-month plans.
- Sema
- $399/moAll doses, monthly plan, compounded; $249/mo on a 3-month plan, $215/mo on 6 months, $139/mo on 12 months
- Tirz
- $499/moAll doses, monthly plan, compounded; $216/mo on a 12-month plan at any dose; the 3- and 6-month plans, $299/mo and $275/mo, stop at 7.5 mg
- Coverage
- 46 states
- Brand
- Compounded
Compared with Rivo Health: $250/mo more for semaglutide · $300/mo more for tirzepatide · no oral option
Regulatory note: the FDA issued a warning letter to Weightless Medical LLC dba WeightCare in February 2026. We still list and link to WeightCare; you should know the letter is on the public record before you decide.
- 06C72/ 100Index
LVNG RX
LVNG RX is a telehealth GLP-1 platform serving all 50 states, advertising compounded semaglutide from $90 a month as a new-patient offer and tirzepatide from $149, with the provider visit and delivery included.
- Sema
- $90/moNew-patient offer, starting price, compounded
- Tirz
- $149/moStarting price, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Rivo Health: $59/mo less for semaglutide · $50/mo less for tirzepatide · no oral option
- 07C72/ 100Index
Liv Body
Liv Body, the supplement brand, sells compounded semaglutide from $99 a month and tirzepatide from $149 on a monthly plan, and adds $150 of its own supplements free with a first order.
- Sema
- $99/moStarting price, monthly plan, compounded
- Tirz
- $149/moStarting price, monthly plan, compounded
- Coverage
- Not published
- Brand
- Compounded
Compared with Rivo Health: $50/mo less for semaglutide · $50/mo less for tirzepatide · no oral option
- 08C71/ 100Index
Navio MD
Navio MD lists compounded tirzepatide from $189 monthly and brand-name Zepbound from $445, with fulfillment through The Pharmacy Hub.
- Sema
- Not currently listed; confirm availability
- Tirz
- $189/moStarting dose, compounded
- Coverage
- 48 states
- Brand
- Yes
Compared with Rivo Health: $10/mo less for tirzepatide · also lists brand-name GLP-1s · no oral option
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.