Rivo Health vs Aspire Health

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Rivo Health

Provider comparison

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.

Semaglutide / month: $149/moStarting dose, annual plan, compounded injection or oral
Tirzepatide / month: $199/moStarting dose, annual plan, compounded injection or oral

Index 71/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Rivo Health pricing Read review

Aspire Health

Provider comparison

Shoppers in its 30 states who want compounded or brand-name GLP-1s with a full price list up front and a small, named clinical team.

Semaglutide / month: $129Per vial at 0.25–0.5 mg (a 5–10 week supply, compounded with B3; plus the required $49/mo care fee; $159–$189 per vial at 1–2.4 mg; brand Wegovy $199–$399 for a 4-week supply)
Tirzepatide / month: $149 per 4 weeksAt 2.5 mg (compounded with B3; plus the required $49/mo care fee; $249–$299 per vial at 5–15 mg; brand Zepbound $299–$449 for a 4-week supply)

Index 71/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Aspire Health pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Both score 71/100 on the Cost-Efficiency Index. There is no score winner; compare the treatment you need, billing terms and state availability.

Check the difference in state access

Rivo Health: All 50 states
Aspire Health: 30 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Rivo Health

Aspire Health

Semaglutide / month: Rivo Health: $149/moStarting dose, annual plan, compounded injection or oral; Aspire Health: $129Per vial at 0.25–0.5 mg (a 5–10 week supply, compounded with B3; plus the required $49/mo care fee; $159–$189 per vial at 1–2.4 mg; brand Wegovy $199–$399 for a 4-week supply)

Tirzepatide / month: Rivo Health: $199/moStarting dose, annual plan, compounded injection or oral; Aspire Health: $149 per 4 weeksAt 2.5 mg (compounded with B3; plus the required $49/mo care fee; $249–$299 per vial at 5–15 mg; brand Zepbound $299–$449 for a 4-week supply)

Semaglutide / year (modeled): Rivo Health: $1,788; Aspire Health: $2,136Includes $49/mo care fee

Tirzepatide / year (modeled): Rivo Health: $2,388; Aspire Health: $2,52513 charges, includes $49/mo care fee

State availability: Rivo Health: All 50 states; Aspire Health: 30 states

Oral / sublingual option listed: Rivo Health: Yes; Aspire Health: Not listed

Brand-name access listed: Rivo Health: Not confirmed; Aspire Health: Yes

Provider facts checked: Rivo Health: October 2026; Aspire Health: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

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.

Reasons to consider it

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

What to weigh up

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
The site doesn't name its compounding pharmacy partner
No LegitScript certification shown on the site

Compounded drugs are not FDA-approved. Understand the medication options.

Check Rivo Health pricing Read the full Rivo Health review

Aspire Health

Shoppers in its 30 states who want compounded or brand-name GLP-1s with a full price list up front and a small, named clinical team.

Reasons to consider it

Both compounded and brand-name options (Wegovy and Zepbound), each priced dose by dose before you book
Free first consultation, and you pay only if you decide to move forward
Lab orders with interpretation are part of the monthly care; the labs themselves can be billed to insurance

What to weigh up

The $49/mo care fee is billed on top of the medication (its FAQ still says $75/mo for the program, so confirm the fee before you enroll)
The price rises with your dose, and a vial lasts anywhere from four to ten weeks, so the monthly cost depends on your dose
Lab costs aren't included in the care fee

Compounded drugs are not FDA-approved. Understand the medication options.

Check Aspire Health pricing Read the full Aspire Health review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Rivo HealthAspire Health

Normalized Cost/Month: Rivo Health:
62/100; Aspire Health:
66/100

Price Transparency: Rivo Health:
78/100; Aspire Health:
70/100

Nationwide Access: Rivo Health:
86/100; Aspire Health:
66/100

Formulation Options: Rivo Health:
77/100; Aspire Health:
79/100

Clinical Oversight: Rivo Health:
79/100; Aspire Health:
85/100

Contract Flexibility: Rivo Health:
33/100; Aspire Health:
67/100

Before you sign up

Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.