Rivas Medical Weight Loss review
The clinic gives the injection on site every seven days, and a telehealth program prices the same drugs by the month.
The verdict
Rivas Medical Weight Loss runs two programs: a telehealth one at $399 a month for semaglutide and $599 for tirzepatide, and an in-clinic one where the injection is given on site at a weekly visit.
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- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- Dose pricing
- Flat across doses
- States
- 3
- From
- From $399/mo
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Availability
- 3 states
Rivas is a physical weight-loss practice rather than a mail-order brand, operating from clinics in a small number of states, and the injection is administered on site at a weekly appointment rather than shipped to a refrigerator at home. A telehealth program priced by the month sits beside it.
Who writes the prescription, and what do they see?
The weekly visit is the whole point of the arrangement, because it puts a clinician in front of the patient every seven days rather than behind an intake form filled in once. What the clinic does not publish is who that clinician is, or what the appointment covers beyond the injection itself.
A buyer books, attends, is injected and comes back a week later, and the charge covers all of it. There is no membership, no shipping and no subscription, because there is nothing to ship. The in-clinic model is also a geographic restriction, since a reader too far from a clinic has only the telehealth program to choose.
What happens when the dose goes up?
The weekly rate is stated as covering any dose, so a step up from 0.25mg to a maintenance dose does not move the bill, and that is a genuinely unusual thing to find beside an in-person program. The clinical side of the escalation is not described anywhere on the pages, though a weekly visit is the setting in which a dose decision would normally be made.
What the price includes
The telehealth program is $399 a month for semaglutide and $599 for tirzepatide, with the medication and a provider visit inside each figure, and its FAQ adds a $195 initial visit. Six months of semaglutide on that program is $2,394. The in-clinic route is priced by the week instead, at $115 for semaglutide and $165 for tirzepatide, and either figure buys a clinician's time as well as a drug.
What it claims, and what it cites
Both lines are compounded preparations rather than manufactured products, prepared by a pharmacy the clinic does not name, and the FDA does not review a compounded preparation before it is dispensed.
Where it holds up, and where it does not
- Strength: A clinician visit every seven days
- Strength: One rate at any dose
- Strength: One charge covers the visit and the drug
- Strength: No membership and no shipping fee
- Limitation: In-clinic care needs weekly attendance
- Limitation: Clinics operate in three states
- Limitation: Telehealth tirzepatide is $599 a month
- Limitation: No pharmacy is named for the compounding
What the evidence says about this kind of treatment
The assessment above is about Rivas Medical Weight Loss. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A buyer near a clinic who wants supervision every week rather than a parcel.
- Wrong for
- A buyer after the lowest monthly figure, since both programs price a clinician's time into it.
The evidence behind what Rivas Medical Weight Loss prescribes
These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation.
- Cochrane Review of Semaglutide for Obesity: 18 Trials Graded
A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower.
- Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?
In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points.
How Rivas Medical Weight Loss compares
| Seller | Who it suits | Go |
|---|---|---|
 Framework | Buyers who convert a weekly rate into a calendar month before comparing it | See Framework → |
 LaSara Medical Group | Buyers who can pay a full term at once and want the lowest rung | See LaSara Medical Group → |
 RxPepsDirect | Buyers at a starting dose who want per-vial pricing and no subscription | See RxPepsDirect → |
More GLP-1 telehealth sellers reviews: MedLeanRxMedroMedsol RXMEDViMetaboost RxMevo Health
Sponsored alternative
SkinnyRx
Readers choosing tirzepatide, the one line with a published standing rate
Check SkinnyRx availability →Frequently asked
- Does the medication arrive by post?
- Not on the in-clinic program, where injections are given on site at weekly visits and the weekly charge covers the appointment and the drug together. The telehealth program is the route for a patient who cannot attend.
- What does a month cost?
- $399 for semaglutide and $599 for tirzepatide on the telehealth program, with the medication and a provider visit included. The in-clinic program is charged by the week.
- Does a higher dose cost more?
- No. The weekly charge is stated as covering any dose, so escalation does not change it.
- Is Rivas Medical Weight Loss legit?
- Rivas Medical Weight Loss is a GLP-1 telehealth sellers service. Its stated availability: 3 states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is Rivas Medical Weight Loss expensive compared with other GLP-1 telehealth sellers?
- Rivas Medical Weight Loss publishes a starting figure of $399/mo. Across the 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts Rivas Medical Weight Loss above the median. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.