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Head-to-head · Cost-Efficiency Index

CoreAge Rx 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.

Better valueGrade A · #1

CoreAge Rx

Anyone optimizing for real value — a transparent flat price you can model for a full year, nationwide, without a bait-and-switch.

Visit CoreAge Rx
VS
Grade C · #83

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.

Visit Rivo Health

The verdict

Winner · CoreAge RxGrade A vs C

CoreAge Rx takes it, leading the Cost-Efficiency Index 94 to 71. Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser. Rivo Health still earns a CPatients 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.

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

93
62

Price Transparency

97
78

Nationwide Access

98
86

Formulation Options

84
77

Clinical Oversight

90
79

Contract Flexibility

95
33

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecCoreAge RxRivo Health
Cost-Efficiency Index94/10071/100
Semaglutide / mo$99/mo$149/mo (starting dose, annual plan, compounded oral)
Tirzepatide / mo$149/mo$199/mo (starting dose, annual plan, compounded oral)
Semaglutide / yr (modeled)$1,188$1,788
Tirzepatide / yr (modeled)$1,788$2,388
CoverageAll 50 statesAll 50 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#1#83

CoreAge Rx

94/100

Where the value is

  • Flat all-in monthly price — no intro rate that silently triples after month one, so the modeled annual cost is the real cost
  • Both compounded semaglutide and tirzepatide on one account at published prices
  • Available in all 50 states — no coverage gamble

The tradeoffs

  • Not the rock-bottom sticker price — 30 of the 381 priced semaglutide programs we track list a cheaper figure, though most attach a term or a step-up that CoreAge does not
  • No FDA-approved brand-name option (compounded only)
Visit CoreAge Rx

Full CoreAge Rx review →

Rivo Health

71/100

Where 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
Visit Rivo Health

Full Rivo Health review →

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.

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