Head-to-head · WeighScore
Coby Health vs Rivas Medical Weight Loss
The verdict
Coby Health takes it — 66/100 to 55.6/100.
Coby Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Chicago/Springfield IL DTC telehealth marketplace (Coby Health LLC, BBB file opened 3/2025) offering compounded semaglutide from $99/mo (6-mo bundle, 0.25mg) and compounded tirzepatide from $179/mo (6-mo…
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Coby Health | Rivas Medical Weight Loss |
|---|---|---|
| WeighScore | 66/100 | 55.6/100 |
| Grade | C | C |
| Scorecard rank | #211 | #438 |
| Semaglutide | $159/mo (0.25 mg dose, compounded) | Not disclosed |
| Tirzepatide | $239/mo (2.5 mg dose, compounded) | Not disclosed |
| Coverage | 46 states | 3 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #211 · C
Strengths
- LegitScript Certified (seal 38387067)
- No membership fee
- Aggressive 6-month bundle pricing
- Beluga Health P.A. clinical network — board-certified, 50-state licensure
- Trustpilot 4.9/5 (~83 reviews)
Where it loses points
- Does NOT publicly name compounding pharmacy partner(s) — transparency gap vs Belle/Joi+Blokes
- Compounded medications are not FDA-approved
- Tirzepatide pricing escalates steeply ($439/mo at 15mg monthly)
- $50 non-refundable cancellation fee
- No oral GLP-1 options
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.