Alternatives to Rivo Health

From $133/mo semaglutide, $209/mo tirzepatide, all 50 states, and an explicit pregnancy/breastfeeding exclusion most competitors don't bother disclosing — the price just isn't flat, it's tiered by how many months you prepay.

Compounded semaglutide at $99 a month and tirzepatide at $149, with the provider visit, two-day shipping and injection supplies all included — genuinely cheap for what is in the box. The catch is in what 'no subscription, ever' actually means here. Those rates are six-month programs, paid as one payment up front. The shortest commitment on offer is three months at $165 a month, and maintenance afterwards runs $199. There is no month-to-month option at all, so the flexibility the phrase implies is the opposite of what is on sale. It also names no company anywhere — an address in Dallas and a phone number, but no legal entity.

The posted price is half the bill, and the site says so itself. Read live on 26 August 2026, the weight-loss catalog is ten FDA-approved brand listings — Wegovy as a pill and a pen, Zepbound as a vial and a KwikPen, Ozempic in both forms, Mounjaro, and two new oral tablets in the Ozempic Pill and Foundayo — and every single one carries the same footnote: the figure covers medication only, and a membership at $39 for the first month then $149 a month is required and billed separately. So the $149 Wegovy Pill is really about $298 a month and the $299 Zepbound vial is about $448. That membership is not nothing — 24/7 messaging with licensed providers, monthly care-team follow-ups, a smart scale and named in-house clinicians — but it is $1,788 a year on top of the drug. One oddity to open before you buy: Mounjaro and one of two Zepbound listings are posted at a flat $1,899 a month on the same page as Zepbound vials at $299, and nothing explains the gap. Its FAQ asks whether video visits are required and whether all states are served, but keeps both answers inside collapsed panels, so neither could be verified. It carries two FDA warning letters dated 9 September 2025 over the compounded-semaglutide business it has since left behind entirely.

Solaya MD publishes no price anywhere. The homepage, the weight-loss page, the three-question pre-qualifier and the FAQ were each read end to end and not one contains a dollar figure, and the questionnaire asks whether affordability is what matters most to you before saying anything about cost. The only dollar amounts on the entire property sit in the terms, and they are extra charges rather than the price of treatment: $15 for each additional consult or lab interpretation, and $125 for an at-home blood draw. The same terms describe a membership the marketing pages never mention, billed roughly every 28 to 30 days until canceled, with the first payment due the day it starts and non-refundable once paid. Prescription sales are final. What it discloses well is who treats you, naming Bask Health as the platform whose independent clinicians provide care, and it states plainly that compounded medications are not FDA-approved. Both molecules come oral, injectable and micro, and it claims all fifty states while qualifying the claim in the same sentence.

From $149 semaglutide, $179 tirzepatide, one bundled price, flat at every dose, all 50 states and D.C. The price buys four weeks — stated in its own terms — and requires a three-month plan, a condition shown in the funnel but not on the homepage cards. The month-to-month tier sits behind the intake and is not published. FDA screen clean against a passing control.

AskRx solves the pricing question most of this page leaves open, and creates a different one. Its care fee is itemized in its own footnote — $90/month physician visit, $10/month fulfilment, $100 total — and the medication is billed separately through its own pharmacy, at cost, with both halves shown at checkout. If you have ever wondered how much of a blended monthly price is the drug and how much is margin, this is the provider that answers it. It is FDA-approved only ('No compounded meds'), so the options are the Wegovy pen, the Wegovy pill, Zepbound in pen or KwikPen form, and Foundayo, the oral tirzepatide. All 50 states, board-certified physicians with obesity-medicine training, unlimited messaging, monthly titration, cancel anytime. Two logistics notes that matter on a workday. First, $100 is a floor: no medication price is published, so your real monthly total is unknown until checkout and depends on coverage. Second — and read this one if scheduling is your constraint — 'video visits available in select states' means the async route is not universal here, so confirm your own state before assuming you can do this without a call.

A microdose-or-full-strength compounded shop — starting at $149/mo semaglutide, $249/mo tirzepatide — with a 4.9-star Google rating and a stated 15,000+ clients served, though the compounding pharmacy itself isn't named on the site.

A no-membership-fee, quarterly-billed program — $167/mo semaglutide, $267/mo tirzepatide — bundling a GLP-1 fitness app, meal plans, and 1-on-1 nutrition coaching that most compounded-only competitors don't offer. It also publishes its own named comparison against Ro, Mochi Health, TrimRx, and Hims, an unusually direct move for this category.

A 3-month starter-bundle model — $99/mo semaglutide, $133/mo tirzepatide, medication plus shipping, consult and an injection kit included — serving all 50 states with no membership fees.