Head-to-head · WeighScore
Ascend Medical vs Rivas Medical Weight Loss
The verdict
Ascend Medical takes it — 55.9/100 to 55.6/100, but only just.
Ascend Medical grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Ascend Medical is a virtual-first whole-person primary care practice that includes a Medical Weight Loss program among its services (alongside primary care, mental health, women's and men's health, diabetes… Rivas Medical Weight Loss is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Ascend Medical | Rivas Medical Weight Loss |
|---|---|---|
| WeighScore | 55.9/100 | 55.6/100 |
| Grade | C | C |
| Scorecard rank | #426 | #438 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | 2 states | 3 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #426 · C
Strengths
- Whole-person virtual primary care that includes a medical weight loss program
- Staffed by licensed MDs, DOs, NPs and PAs
- Integrates weight loss with primary, mental health and diabetes care
- Clear state availability (Georgia and Texas)
Where it loses points
- Available only in Georgia and Texas
- Specific GLP-1 medications and branded-vs-compounded status not published
- No pricing disclosed on public pages
- Weight loss is one service among many, not a dedicated GLP-1 specialist
Graded #438 · C
Strengths
- Physician-founded (Paul Rivas MD) with 15 clinics plus telehealth
- Flat price for any dose; weekly provider visits included in every payment
- Offers both compounded semaglutide and tirzepatide
Where it loses points
- Expensive: about $498/mo for semaglutide and $715/mo for tirzepatide (billed weekly)
- Only available in Maryland, Virginia, and Florida
- Weekly-visit concierge model requires more frequent engagement than mail-order
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.