Compounded tirzepatide

Rivo Health review

By ·Editor·Reviewed

Rivo Health advertises compounded tirzepatide at $199 a month, but that figure covers the first month only. From month two the plan renews at $349, billed once a calendar month. Coaching, dietitian visits and a fitness app ride along at no extra charge.

A real month costs$349advertised $199 +$150.00 gap
EvidenceVerified
Billing cyclemonthly
Price across dosesSame at every dose
Where it ships50 states
FDA warning letterNone found
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On this page

Who it suits

Good fit if

  • You want coaching, a dietitian and group support bundled into the monthly price.
  • You'd like the option of a tirzepatide tablet as well as the weekly shot.
  • You plan to pay with an HSA or FSA card.

Look elsewhere if

  • You're budgeting from the $199 headline. The ongoing charge is $349.
  • You want a clinician to approve you before any money changes hands.
  • You need to know the dispensing pharmacy before you order.

What you get

The month-to-month plan is called a 1 Month Supply. It opens at $199 and then renews at $349, with the checkout describing it as “Pay monthly, cancel anytime.” Longer supplies of three and six months are paid up front for a small discount. The same checkout sells tirzepatide as a tablet on similar terms.

Rivo calls its bundle a Signature Plan. It folds in a free membership with unlimited provider visits, nutrition and mental health coaching, one-on-one dietitian sessions and the SESH fitness app. A meal-prep service costs extra. Prescribing sits with Rimo Health, a network of U.S.-licensed doctors. Rivo doesn't compound the drug itself and doesn't name the pharmacy that does.

How it works

  1. Start the online intake from Rivo's homepage. It opens with your main health goal, then moves through your weight and medical history.
  2. Choose tirzepatide injections or tablets and a plan length, then pay at checkout.
  3. A Rimo Health clinician meets with you after checkout and decides whether a prescription is appropriate. Rivo says a prescription is never guaranteed.
  4. If you're approved, the medication ships to your door in discreet packaging.
  5. The monthly plan then renews at $349 each month until you cancel.

Pros and cons

Pros

  • Rivo's Fridays membership is listed at no cost, so no separate program fee sits on top of $349.
  • Unlimited provider visits, a 1-on-1 dietitian and the SESH fitness app all come with the plan.
  • Tirzepatide is sold as an injection and as a tablet, both from the same Rivo checkout.

Cons

  • The $199 month is an intro rate, and every month after it costs $349.
  • Rivo takes payment at checkout, and a Rimo Health clinician reviews you afterward.
  • The pharmacy that compounds Rivo's tirzepatide isn't named anywhere on its site.

Check before you pay

First month versus every month
The checkout lists the 1 Month Supply at $199, followed by $349 after the first month. Budget for $349.
Prepaid supplies
The three- and six-month options charge the full term in one payment. Their per-month saving only holds if you stay on tirzepatide that long.
If you're not approved
Rivo's FAQ says a declined patient may be pointed to in-person care, but it doesn't spell out the refund. Ask support before you pay.

Price

Rivo Health costs $349 a month for compounded tirzepatide. It advertises $199.

How we got $349

The arithmeticOne month = 30.4375 days

  1. Rivo Health advertises

    Read on Rivo Health's own site

    $199.00

  2. The card is charged $349.00, not $199.00

    The advertised figure is not the amount that leaves the account.

    + $150.00

  3. And it is charged once a calendar month

    + $0.00

A real month$349.00

A real month costs $150.00 more than the figure advertised.

Where it sits, and what costs less

$86median $269$434+

280 cheaper · 77%70 dearer · 19%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. Rivo Health$349

Another 275 sellers are cheaper than Rivo Health. The whole cheapest list →

Where it says it operates

Listed in 50 states, all but 1 of the 51 we track.

State pages this seller appears on: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

What else this seller sells

The same seller appears in our data for one other medication.

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.

Rivo Health questions

Is Rivo Health legit?
Rivo Health, Inc. is a telehealth company that lists its address in Sheridan, Wyoming. Clinicians from Rimo Health, a network of U.S.-licensed doctors, decide who gets a prescription. Rivo's own pages say its compounded tirzepatide is not FDA-approved and that Rivo doesn't make the medication. It isn't Zepbound or Mounjaro.
How much is Rivo Health tirzepatide per month?
$349 a month on the month-to-month plan, after a first month at $199. Coaching, provider visits and the fitness app are included. Rivo's semaglutide renews at $299.
Does Rivo Health take insurance?
Compounded tirzepatide is cash-pay. Rivo runs an insurance concierge for brand-name coverage and says HSA and FSA cards are accepted.
Can you cancel Rivo Health?
Yes. The month-to-month plan is described at checkout as “Pay monthly, cancel anytime,” so canceling stops the next $349 charge. A prepaid three- or six-month supply is charged in full at the start.