Rivo Health vs Zappy 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

Zappy Health

Provider comparison

Shoppers who want both compounded and brand GLP-1 options on one platform and are comfortable weighing a recent FDA misbranding finding.

Semaglutide / month: $249/moAll doses, month to month, compounded; $229/mo on a 3-month plan, $209/mo on 6 months, paid up front; new-user starter pack $159/mo for 3 months up front in select states
Tirzepatide / month: $349/moAll doses, month to month, compounded; $329/mo on a 3-month plan, $299/mo on 6 months, paid up front; new-user starter pack $279/mo for 3 months up front in select states

Index 70/100 · Grade CChecked October 2026

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

Check Zappy 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

Rivo Health has the higher Cost-Efficiency Index: 71/100 versus 70/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Rivo Health: All 50 states
Zappy Health: 42 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

Zappy Health

Semaglutide / month: Rivo Health: $149/moStarting dose, annual plan, compounded injection or oral; Zappy Health: $249/moAll doses, month to month, compounded; $229/mo on a 3-month plan, $209/mo on 6 months, paid up front; new-user starter pack $159/mo for 3 months up front in select states

Tirzepatide / month: Rivo Health: $199/moStarting dose, annual plan, compounded injection or oral; Zappy Health: $349/moAll doses, month to month, compounded; $329/mo on a 3-month plan, $299/mo on 6 months, paid up front; new-user starter pack $279/mo for 3 months up front in select states

Semaglutide / year (modeled): Rivo Health: $1,788; Zappy Health: $2,988

Tirzepatide / year (modeled): Rivo Health: $2,388; Zappy Health: $4,188

State availability: Rivo Health: All 50 states; Zappy Health: 42 states

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

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

Provider facts checked: Rivo Health: October 2026; Zappy 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

Zappy Health

Shoppers who want both compounded and brand GLP-1 options on one platform and are comfortable weighing a recent FDA misbranding finding.

Reasons to consider it

Both compounded semaglutide/tirzepatide and brand Wegovy/Zepbound pathways offered on one platform
No insurance or membership required; the full price ladder, the same at every dose, is displayed before intake
LegitScript badge displayed on the site

What to weigh up

Does not name its dispensing pharmacy
No named medical director or prescriber
The 'as low as' $159 and $279 rates are a 3-month starter pack for new GLP-1 users, paid up front and sold only in select states; month to month is $249 and $349

Regulatory note: the FDA issued a warning letter to Kare Solutions, LLC dba Zappy in February 2026. We still list and link to Zappy Health; you should know the letter is on the public record before you decide.

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

Check Zappy Health pricing Read the full Zappy 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 HealthZappy Health

Normalized Cost/Month: Rivo Health:
62/100; Zappy Health:
62/100

Price Transparency: Rivo Health:
78/100; Zappy Health:
94/100

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

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

Clinical Oversight: Rivo Health:
79/100; Zappy Health:
55/100

Contract Flexibility: Rivo Health:
33/100; Zappy Health:
61/100

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.