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Ranked #104 of 537 · Grade C

Rivo Health review

Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members, Trustpilot 4.7) offering compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo for…

Visit Rivo Health Or see your best match We may earn a commission if you start care through some of these links, at no extra cost to you. What we write about a provider is the same either way, providers we have a commercial relationship with are listed first on most boards, and every Match Score is computed from the six published factor sub-scores regardless. See our disclosure.

Semaglutide here is $303/mo — $104 above our category median of $199.

Semaglutide
$303/mo
Tirzepatide
$354/mo
Coverage
All 50 states
Brand-name
Compounded only
Oral option
Yes
Verification
Not independently listed

Best for: People who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support.

MatchScript's take: Our #104 pick of 537 — one of the few with a non-injection route.

The factor breakdown

Rivo Health on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.

Budget Fit37/100

Semaglutide from $303/mo puts Budget Fit at a below-par 37 — above the budget tiers.

Speed to Start92/100

Confirmed all-50-state access means it can usually prescribe within days, for a strong 92 on Speed to Start.

Formulary Match77/100

Rivo Health adds an oral/sublingual route on top of injectables, for a middling 77 on Formulary Match.

Support Level92/100

Support lands at a strong 92 — high-touch coaching and regular check-ins.

Flexibility41/100

Flexibility scores a below-par 41 — fewer levers to flex your plan.

Transparency90/100

Open pricing and coverage detail put Transparency at a strong 90.

Pricing in context

How Rivo Health's monthly price sits against the category median and the cheapest provider we track.

Monthly priceSemaglutideTirzepatide
Rivo Healththis providerVisit $303/mo+$104 vs median$354/mo+$80 vs median
Category median430 tracked$199/mo$274/mo
Cheapest trackedMondaeVisit $87 per 28 days (13 charges a year)$126 per 28 days (13 charges a year)

What we like

  • Compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo (sema) and $199/mo (tirz)
  • Bundles dietitians, live workouts, support groups and mental-health coaching with the medication, not just a prescription
  • Insurance concierge to maximize coverage, FSA/HSA eligible, with multi-month plans that cut the price further
  • Large, established program (115,000+ members, Trustpilot 4.7) available nationwide

The caveats

  • Uses partner compounding pharmacies it doesn't name on the site
  • Headline prices are Spring-sale rates — everyday cost is higher and the deepest discounts need a 6-month commitment
  • Weight loss is one of several verticals (ED, longevity, sleep, hair, skin), not a single focus
  • Some bundled perks (e.g. meal prep) are paid add-ons rather than included

Who it's for — and who should skip it

Rivo Health is for people who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support.

Skip it if that doesn't sound like you. A closer fit may be Collective (Match Score 71) — or take the quiz to see where Rivo Health lands for your priorities.

See every alternative to Rivo Health.

How it compares to CoreAge Rx & the closest scorer

Rivo Health against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.

How it comparesRivo Healththis providerCoreAge Rxour #1Collectiveclosest scorer
Sema price$303/mo$99/mo at every dose$59/mo (medication only — a separate annual membership is required)
CoverageAll 50 statesAll 50 statesCoverage not published
FormularyInjectable + oralInjectableInjectable
Match Score71 · C91 · A−71 · C

Rivo Health, answered

Is Rivo Health legit?

Rivo Health is a real, operating GLP-1 telehealth program. LegitScript certification is the third-party check worth asking for — look for the seal on their site and confirm your prescriber is US-licensed at intake. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved.

How much does Rivo Health cost?

Rivo Health lists compounded semaglutide from $303/mo and tirzepatide from $354/mo — above our category median of $199/mo. These are the provider's public figures at our last review (August 2026); confirm on their site, since some teaser tiers step up after month one.

Does Rivo Health ship to my state?

Yes — Rivo Health reports availability in all 50 states, so most people can start within days.

Rivo Health vs Collective — which should I pick?

They score within a few points of each other: Rivo Health at 71/100 and Collective at 71/100, so neither wins on the headline number. Rivo Health is the better fit for people who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support. Collective suits people who will run the arithmetic on the medication charge plus the annual membership before deciding whether $59 is cheap. Run the quiz and the weighting shifts to whichever of those matters more to you.

Pricing & state data last verified August 2026 from Rivo Health's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Rivo Health's site. Not medical advice; see our disclosure.

Verdict · Grade C · 71/100

Semaglutide here is $303/mo — $104 above our category median of $199. Tirzepatide is $354/mo. It scores highest on how quickly you can start. Best suited to people who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support. If that is not you, Collective is the closest thing to it here.

Compare with other providers

Our next-best picks in default ranking order, then the 24 programs that sit nearest Rivo Health here.

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Rivo Health is ranked on our best semaglutide providers, best tirzepatide providers, best GLP-1 programs and best oral GLP-1 providers boards, scored on the same six factors as every other provider there.

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