Head-to-head · Cost-Efficiency Index
Rivas Medical Weight Loss vs SkyRx
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.
Rivas 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 LossSkyRx
Shoppers willing to commit and prepay a full year upfront in exchange for a lower blended monthly rate.
Visit SkyRxThe verdict
Rivas Medical Weight Loss and SkyRx tie on the Cost-Efficiency Index at 55/100, so neither wins outright on the numbers. For most shoppers we'd start with Rivas Medical Weight Loss (ranked #345, a hair above #346) — Patients already near a physical Rivas clinic in MD, VA, or FL who want the option of in-person injections. But SkyRx 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 Rivas Medical Weight Loss.
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 | Rivas Medical Weight Loss | SkyRx |
|---|---|---|
| Cost-Efficiency Index | 55/100 | 55/100 |
| Semaglutide / mo | $399/mo (all doses, plus a separate fee, compounded) | $199/mo (compounded) |
| Tirzepatide / mo | $599/mo (all doses, plus a separate fee, compounded) | Not disclosed |
| Semaglutide / yr (modeled) | $4,788 | $2,388 |
| Tirzepatide / yr (modeled) | $7,188 | — |
| Coverage | 3 states | Coverage not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #345 | #346 |
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
SkyRx
55/100Where the value is
- Simple, single headline price displayed on the weight-loss page
- Claims LegitScript certification
- Straightforward telehealth intake flow
The tradeoffs
- The '$199/mo' price is a 12-month prepay rate, not a cancel-anytime monthly price -- a major disclosure trap
- Tirzepatide not yet available ('coming soon'), so half the category is unpriced
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.