Head-to-head · Cost-Efficiency Index
MediRX vs Rivas Medical Weight Loss
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.
MediRX
Shoppers who want transparent published pricing and don't mind that prescribing is handled by a third-party clinician network (OpenLoop) rather than an in-house medical team.
Visit MediRXRivas Medical Weight Loss
Patients already near a physical Rivas clinic in MD, VA, or FL who want the option of in-person injections.
Visit Rivas Medical Weight LossThe verdict
MediRX and Rivas Medical Weight Loss tie on the Cost-Efficiency Index at 55/100, so neither wins outright on the numbers. For most shoppers we'd start with MediRX (ranked #339, a hair above #345) — Shoppers who want transparent published pricing and don't mind that prescribing is handled by a third-party clinician network (OpenLoop) rather than an in-house medical team. But Rivas Medical Weight Loss 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 MediRX.
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 | MediRX | Rivas Medical Weight Loss |
|---|---|---|
| Cost-Efficiency Index | 55/100 | 55/100 |
| Semaglutide / mo | $149/mo (starting dose, compounded) | $399/mo (all doses, plus a separate fee, compounded) |
| Tirzepatide / mo | $199/mo (starting dose, compounded) | $599/mo (all doses, plus a separate fee, compounded) |
| Semaglutide / yr (modeled) | $1,788 | $4,788 |
| Tirzepatide / yr (modeled) | $2,388 | $7,188 |
| Coverage | Coverage not published | 3 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #339 | #345 |
MediRX
55/100Where the value is
- Publishes specific dollar pricing for both injection and oral-tablet forms of both drugs
- Rare self-disclosed distinction between promotional ($149) and standard ($179) semaglutide pricing
- LegitScript badge displayed on the page
The tradeoffs
- MediRx itself has no named medical director -- all clinical care is outsourced to OpenLoop Health's network
- Tirzepatide's wide $199-$399 range makes the true likely monthly cost at a therapeutic dose unclear
Rivas Medical Weight Loss
55/100Where the value is
- Long-tenured, named physician (Dr. Paul Rivas, 30+ years) rather than an anonymous provider pool
- 15 physical clinic locations offer an in-person alternative to remote-only competitors
- States prescribing decisions are 'made during your visit -- not after a form review'
The tradeoffs
- Telehealth footprint limited to just 3 states (MD, VA, FL)
- A $195 initial-visit fee is charged separately from the advertised monthly medication price
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.