Updated September 2026A weekly appointment, not a parcelRivas Medical Weight Loss review
The medication is given in the clinic every seven days, and the price is quoted the same way.
The verdict
Rivas Medical Weight Loss charges $115 a week for semaglutide at any dose and $165 for tirzepatide, with the visit and the medication quoted together, which comes to $498 and $715 a calendar month.
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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.
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 model is also a geographic restriction dressed as a price, since a reader too far from a clinic cannot buy at any figure.
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
Fifty-two weeks at $115 is $5,980 a year, which is $498 a calendar month rather than the $460 that four weekly charges would suggest, and tirzepatide at $165 a week comes to $715. Six months of semaglutide runs to about $2,990. Those are figures that buy a clinician's time as well as a drug, and comparing them against a mailed pen compares two different products.
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: Weekly in-person attendance is required
- Limitation: Clinics operate in three states
- Limitation: A high figure once converted to 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 who cannot attend in person, since the price and the injection both depend on the visit.
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: NovaNovoCare PharmacyNowPatientNu Image MedicalNuBloomNucore Health
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Check Bodybuilding Health+ availability →Frequently asked
- Does the medication arrive by post?
- No. Injections are given on site at weekly visits, and the weekly charge covers the appointment and the drug together.
- What does a month cost?
- $498 for semaglutide and $715 for tirzepatide, converted from the weekly rate across a 52-week year rather than four weeks.
- 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 225 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $76 to $399 with a median of $179, which puts Rivas Medical Weight Loss above the median. The other 18 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.