Blis MD vs Rivo Health

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Blis MD

Provider comparison

Patients in its twenty-nine covered states who want one-time vial purchases and will budget for the higher prescribed strength.

Semaglutide / month: $109/mo0.25 mg weekly starting dose, compounded; higher doses $129–$189
Tirzepatide / month: $159/mo2.5 mg weekly starting dose, compounded; higher doses $199–$270

Index 72/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Blis MD pricing Read review

Rivo Health

Provider comparison

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.

Semaglutide / month: $149/moStarting dose, annual plan, compounded injection or oral
Tirzepatide / month: $199/moStarting dose, annual plan, compounded injection or oral

Index 71/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Rivo Health pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Blis MD has the higher Cost-Efficiency Index: 72/100 versus 71/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Blis MD: 29 states
Rivo Health: All 50 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Blis MD

Rivo Health

Semaglutide / month: Blis MD: $109/mo0.25 mg weekly starting dose, compounded; higher doses $129–$189; Rivo Health: $149/moStarting dose, annual plan, compounded injection or oral

Tirzepatide / month: Blis MD: $159/mo2.5 mg weekly starting dose, compounded; higher doses $199–$270; Rivo Health: $199/moStarting dose, annual plan, compounded injection or oral

Semaglutide / year (modeled): Blis MD: $1,308; Rivo Health: $1,788

Tirzepatide / year (modeled): Blis MD: $1,908; Rivo Health: $2,388

State availability: Blis MD: 29 states; Rivo Health: All 50 states

Oral / sublingual option listed: Blis MD: Yes; Rivo Health: Yes

Brand-name access listed: Blis MD: Not confirmed; Rivo Health: Not confirmed

Provider facts checked: Blis MD: October 2026; Rivo Health: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Blis MD

Patients in its twenty-nine covered states who want one-time vial purchases and will budget for the higher prescribed strength.

Reasons to consider it

Publishes a dose-based price ladder for both injections
No automatic refill or subscription required for one-time purchases
Free consultation, shipping and provider messaging advertised

What to weigh up

The $109 and $159 prices are starting doses, not flat prices at every strength
The dispensing pharmacy and medical director are not named
Prescription return and refund eligibility needs confirmation before an order

Compounded drugs are not FDA-approved. Understand the medication options.

Check Blis MD pricing Read the full Blis MD review

Rivo 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.

Reasons to consider it

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

What to weigh up

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

Compounded drugs are not FDA-approved. Understand the medication options.

Check Rivo Health pricing Read the full Rivo Health review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Blis MDRivo Health

Normalized Cost/Month: Blis MD:
82/100; Rivo Health:
62/100

Price Transparency: Blis MD:
78/100; Rivo Health:
78/100

Nationwide Access: Blis MD:
52/100; Rivo Health:
86/100

Formulation Options: Blis MD:
77/100; Rivo Health:
77/100

Clinical Oversight: Blis MD:
79/100; Rivo Health:
79/100

Contract Flexibility: Blis MD:
55/100; Rivo Health:
33/100

Before you sign up

Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.