Head-to-head · Cost-Efficiency Index
Heally 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.
Heally
Patients who want to pay per order with no recurring membership charge, across a broad GLP-1 menu (compounded or brand).
Visit HeallyRivo 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
Heally takes it, leading the Cost-Efficiency Index 72 to 71. Heally is a per-order (not subscription) telehealth platform for GLP-1 prescriptions, care delivered by HLY Medical Group PA, with semaglutide starting at $149/mo and tirzepatide at $299/mo. Rivo Health still earns a C — 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.
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 Heally.
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 | Heally | Rivo Health |
|---|---|---|
| Cost-Efficiency Index | 72/100 | 71/100 |
| Semaglutide / mo | $149/mo (starting dose, plus a separate fee, compounded) | $149/mo (starting dose, annual plan, compounded oral) |
| Tirzepatide / mo | $299/mo (starting dose, plus a separate fee, compounded) | $199/mo (starting dose, annual plan, compounded oral) |
| Semaglutide / yr (modeled) | $1,788 | $1,788 |
| Tirzepatide / yr (modeled) | $3,588 | $2,388 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #76 | #83 |
Heally
72/100Where the value is
- No membership or subscription — pay only when you order, with flexible refills
- Broad GLP-1 menu: compounded semaglutide/tirzepatide plus a brand-Wegovy self-pay route
- LegitScript verified; care delivered by a named medical entity, HLY Medical Group PA
The tradeoffs
- No compounding pharmacy is named on either drug's page
- No per-dose price ladder published — only a single 'starting at' figure before consultation
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.