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Head-to-head · Cost-Efficiency Index

Invigor Medical 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 B+ · #8

Invigor Medical

Value shoppers who want competitive pricing on both molecules plus a wider wellness/hormone program on one account.

Visit Invigor Medical
VS
Grade C · #57

Rivo Health

People who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support.

Visit Rivo Health

The verdict

Winner · Invigor MedicalGrade B+ vs C

Invigor Medical takes it, leading the Cost-Efficiency Index 88 to 75. Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog. Rivo Health still earns a CPeople who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the board). See how it stacks up: CoreAge Rx vs Invigor Medical.

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

86
77

Price Transparency

84
78

Nationwide Access

78
86

Formulation Options

82
77

Clinical Oversight

86
79

Contract Flexibility

87
41

Pricing, coverage & formulary

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

SpecInvigor MedicalRivo Health
Cost-Efficiency Index88/10075/100
Semaglutide / mo$199/mo$149/mo (compounded)
Tirzepatide / mo$339/mo$199/mo (compounded)
Semaglutide / yr (modeled)$2,388$1,788
Tirzepatide / yr (modeled)$4,068$2,388
CoverageNot disclosedAll 50 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank on the board#8#57

Invigor Medical

88/100

Where the value is

  • Competitive mid-market pricing on both semaglutide and tirzepatide
  • Long-running operator with a broad catalog that can consolidate spend
  • Both molecules published up front for easy cost modeling

The tradeoffs

  • Does not publish an explicit states-served list, so access is a variable in the model
  • Compounded only
Visit Invigor Medical

Full Invigor Medical review →

Rivo Health

75/100

Where the value is

  • Compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo (sema) and $199/mo (tirz)
  • Bundles dietitians, live workouts, support groups and mental-health coaching with the medication, not just a prescription
  • Insurance concierge to maximize coverage, FSA/HSA eligible, with multi-month plans that cut the price further

The tradeoffs

  • Uses partner compounding pharmacies it doesn't name on the site
  • Headline prices are Spring-sale rates — everyday cost is higher and the deepest discounts need a 6-month commitment
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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