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Head-to-head · WeighScore

Coby Health vs Rivo Health

Coby Health
Graded #211

Lower grade

vs+5.700000000000003
Rivo Health
Graded #89

Higher grade

The verdict

Rivo Health takes it — 71.7/100 to 66/100.

Rivo Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members, Trustpilot 4.7) offering compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo for…

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Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueRivo Health +10
64
74
Dose & formulationRivo Health +21
54
75
Clinical oversightCoby Health +4
81
77
Labs & monitoringRivo Health +8
55
63
FulfillmentCoby Health +2
86
84
Contract termsCoby Health +14
55
41
Coby Health · left barRivo Health · right bar

The numbers

MetricCoby HealthRivo Health
WeighScore66/10071.7/100
GradeCC
Scorecard rank#211#89
Semaglutide$159/mo (0.25 mg dose, compounded)$149/mo (compounded)
Tirzepatide$239/mo (2.5 mg dose, compounded)$199/mo (compounded)
Coverage46 statesAll 50 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
Coby Health

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
Rivo Health

Graded #89 · C

Strengths

  • Compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo (sema) and $199/mo (tirz)
  • Bundles dietitians, live workouts, support groups and mental-health coaching with the medication, not just a prescription
  • Insurance concierge to maximize coverage, FSA/HSA eligible, with multi-month plans that cut the price further
  • Large, established program (115,000+ members, Trustpilot 4.7) available nationwide

Where it loses points

  • Uses partner compounding pharmacies it doesn't name on the site
  • Headline prices are Spring-sale rates — everyday cost is higher and the deepest discounts need a 6-month commitment
  • Weight loss is one of several verticals (ED, longevity, sleep, hair, skin), not a single focus
  • Some bundled perks (e.g. meal prep) are paid add-ons rather than included

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.

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