Rivo Health review
Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.
- Semaglutide
- $149/mo (starting dose, annual plan, compounded oral)
- Tirzepatide
- $199/mo (starting dose, annual plan, compounded oral)
- Coverage
- All 50 states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$1,788
Tirzepatide · modeled / year
$2,388
Pricing verified August 2026
The Index scorecard
Rivo Health scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- 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
- 'If you don't qualify, you don't pay' risk-free framing on the initial assessment
The tradeoffs
- 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
- Compounding pharmacy partner is not named anywhere reachable
- No LegitScript certification found on the pages reviewed
- States served were not listed on the pages reached in this research
The bottom line
Best for: 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. Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.
Ranked #83 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Rivo Health.
- #76Heally— Heally is a per-order (not subscription) telehealth platform for GLP-1 prescriptions, care delivered by HLY Medical Group PA, with semaglutide starting at $149/mo and tirzepatide at $299/mo.72/100
- #77Recovery Delivered— Recovery Delivered is primarily an online addiction/recovery telehealth brand (buprenorphine treatment is its lead offering) that also runs a real, separately priced GLP-1 weight-loss vertical.72/100
- #78Nova— Nova (trynova.co) bundles the medication, refrigerated shipping and a $99 monthly membership into one figure — $198 for semaglutide and $210 for tirzepatide — and serves 49 states, everywhere except California.72/100
- #79Bodybuilding Health+— The Bodybuilding.com fitness brand's telehealth arm, with a genuinely descending semaglutide ladder — and a twelve-month tirzepatide rung badged Best Value while costing more than the six-month one.69/100
- #80Apex MD— Apex MD is a nationwide telehealth platform selling compounded semaglutide and tirzepatide bundled with NAD, B-12, and L-carnitine (not single-ingredient GLP-1) at a flat $299/mo and $399/mo month-to-month respectively.71/100
- #81GOAL.MD— GOAL.MD (goal.md) is a physician-run telehealth weight-loss practice, led by Chief Physician Dr. Michael Mimlitz, MD.71/100
The 24 programs nearest this one
- #84 Goldspan Health71
- #85 altRX70
- #86 Bionomy Health70
- #87 Fresh Day Meds70
- #88 NuuVim70
- #89 AHBARx70
- #90 Andrew Meds70
- #91 Edessa70
- #92 Fitish69
- #93 Zappy Health69
- #94 Better U Care69
- #95 Big Easy Weight Loss69
- #96 boostAGErx69
- #97 Claya69
- #98 Dollar Dad Club69
- #99 eMI Aesthetics69
- #100 Harbor69
- #101 Ivologist69
- #102 Ivy Rx69
- #103 Kina69
- #104 LifeRx.md69
- #105 Novi69
- #106 Nu Image Medical69
- #107 Revel Health69
Pricing, states and verification reflect Rivo Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Rivo Health's site. Not medical advice; see our disclosure.