Compounded tirzepatide
Rivas Medical Weight Loss review
Rivas Medical Weight Loss is a clinic chain first and an online service second. Its telehealth tirzepatide program costs $599 a month after the first month, with the medication, a monthly video visit and shipping in that figure. It serves only Maryland, Virginia and Florida.
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Who it suits
Good fit if
- You live in Maryland, Virginia or Florida and want a live video visit before anything is prescribed.
- You like having a physical clinic to fall back on if a shipment goes missing or a dose feels wrong.
- You'd rather pay one monthly figure than a clinic fee plus a separate pharmacy bill.
Look elsewhere if
- You live in any other state, since Rivas prescribes only to people located in its three states.
- You want to use insurance, which Rivas doesn't process.
- You're shopping on price alone, because $599 a month sits well above many online-only sellers.
What you get
The telehealth program bundles compounded tirzepatide, a monthly video visit with your provider, dose changes and shipping into $599 a month. Rivas bills the program monthly. The first month is different: a flat initial visit fee covers the evaluation and that month's medication.
Rivas has run weight-loss clinics since 1991 and now has 15 locations across Maryland and Virginia. The providers who see you by video are the same PAs and NPs who work those clinics. Rivas says they work only for Rivas, not for a shared doctor network.
The tirzepatide comes from licensed compounding pharmacies, and the kit ships with everything needed to inject at home. Rivas says a kit usually arrives within 1 to 2 days once the prescription is processed.
How it works
- Book a video appointment online. Rivas says scheduling takes under two minutes, and you fill in a health intake before the call.
- Meet your provider by video. If tirzepatide suits you, the prescription is written during that visit rather than after a form review.
- The compounding pharmacy ships your kit overnight to your door.
- Each month you have another video visit, where the provider reviews progress and adjusts the dose. The program then bills again.
Pros and cons
Pros
- Rivas prescribes during a live video visit, so a provider who also works the Rivas clinics talks to you before approving tirzepatide.
- Near one of the 15 Maryland or Virginia clinics, you can pick up medication the same day if a Rivas shipment fails.
- Rivas includes a monthly video visit and dose adjustments in the $599 price, with no separate pharmacy charge.
Cons
- Telehealth tirzepatide from Rivas is limited to residents of Maryland, Virginia and Florida.
- At $599 a month, the Rivas tirzepatide program costs more than many online sellers charge for the same drug.
- Rivas doesn't bill insurance, so HSA or FSA cards are the only way to use pre-tax money.
Check before you pay
- Your location at the visit
- You must be in Maryland, Virginia or Florida at the time of your appointment. A provider can't prescribe if you join the call from another state.
- First month versus later months
- The first month is a flat initial visit fee that includes your first month of tirzepatide. The $599 monthly rate starts after that.
- Name-brand option
- If you'd rather have Zepbound, Rivas runs a cheaper visits-only program and sends the prescription to LillyDirect or a local pharmacy. The pens are paid for separately.
Price
Rivas Medical Weight Loss costs $599 a month for compounded tirzepatide.
How we got $599
The arithmeticOne month = 30.4375 days
Rivas Medical Weight Loss advertises
Read on Rivas Medical Weight Loss's own site
$599.00
The card is charged $599.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$599.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$86median $269$434+
362 cheaper · 99%1 dearer · 0%
Rivas Medical Weight Loss costs more than this chart is drawn to show, so its bar sits in the final column rather than at its true position. The chart stops at $434 because 10 sellers charge more than that, up to $649.
- Collective$86
- Teleios Health$99
- Valhalla Vitalitystarting dose$99
- RxPepsDirectstarting dose$100
- WeightRxstarting dose$125
- Rivas Medical Weight Loss$599
Another 357 sellers are cheaper than Rivas Medical Weight Loss. The whole cheapest list →
Where it says it operates
Listed in 3 states.
State pages this seller appears on: Florida, Maryland, Virginia
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $399 a month
Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.
Rivas Medical Weight Loss questions
- Is Rivas Medical Weight Loss legit?
- Rivas is a medical weight-loss practice with 15 clinics in Maryland and Virginia, operating since 1991. It shows a LegitScript certification and uses licensed compounding pharmacies for its compounded medication. Compounded tirzepatide isn't Zepbound or Mounjaro and isn't FDA-approved, which Rivas states on its pages.
- How much is Rivas Medical Weight Loss tirzepatide per month?
- The telehealth tirzepatide program is $599 a month, billed monthly. That covers the medication, the monthly video visit, dose changes and shipping. The first month is priced separately as an initial visit fee that includes the medication.
- Does Rivas Medical Weight Loss take insurance?
- No. Every Rivas program is self-pay. HSA and FSA cards are accepted.
- Can you cancel Rivas Medical Weight Loss?
- Yes. Rivas says there is no contract and you can cancel at any time.