Head-to-head · Cost-Efficiency Index
Apex MD vs Rivo Health
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
Apex MD
Patients who want unlimited visits and labs bundled into a flat month-to-month price and don't mind the medication being combined with NAD/B-12/L-carnitine.
Visit Apex MDRivo Health
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.
Visit Rivo HealthThe verdict
Apex MD and Rivo Health tie on the Cost-Efficiency Index at 71/100, so neither wins outright on the numbers. For most shoppers we'd start with Apex MD (ranked #80, a hair above #83) — Patients who want unlimited visits and labs bundled into a flat month-to-month price and don't mind the medication being combined with NAD/B-12/L-carnitine. But Rivo Health is a genuine coin-flip alternative here.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Apex MD.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Apex MD | Rivo Health |
|---|---|---|
| Cost-Efficiency Index | 71/100 | 71/100 |
| Semaglutide / mo | $299/mo (all doses, bundle, compounded) | $149/mo (starting dose, annual plan, compounded oral) |
| Tirzepatide / mo | $399/mo (all doses, bundle, compounded) | $199/mo (starting dose, annual plan, compounded oral) |
| Semaglutide / yr (modeled) | $3,588 | $1,788 |
| Tirzepatide / yr (modeled) | $4,788 | $2,388 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #80 | #83 |
Apex MD
71/100Where the value is
- Genuinely all-in flat pricing: 'no other fees' across all doses, with unlimited provider visits and Labcorp labs included
- No membership fee, no sign-up fee, no lab fee — confirmed verbatim on the pricing page
- Both semaglutide and tirzepatide, in injectable or daily-oral form
The tradeoffs
- Not single-ingredient GLP-1 — every tier bundles NAD, B-12, and L-carnitine into the compound, so the $299/$399 price isn't directly comparable to a plain-semaglutide/tirzepatide competitor
- Compounding pharmacies are never named, only described generically as 'Legit Script Certified pharmacies'
Rivo Health
71/100Where the value is
- 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
The tradeoffs
- 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
- Compounding pharmacy partner is not named anywhere reachable
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.