Head-to-head · WeighScore
Gaya Wellness vs Rivas Medical Weight Loss
The verdict
Gaya Wellness takes it — 63.9/100 to 55.6/100.
Gaya Wellness grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Gaya Wellness is a virtual, OB/GYN-led telehealth practice focused on women 40+ for menopause, hormone replacement, and weight loss.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Gaya Wellness | Rivas Medical Weight Loss |
|---|---|---|
| WeighScore | 63.9/100 | 55.6/100 |
| Grade | C | C |
| Scorecard rank | #248 | #437 |
| Semaglutide | $349/mo (compounded) | Not disclosed |
| Tirzepatide | $349/mo (compounded) | Not disclosed |
| Coverage | 5 states | 3 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #248 · C
Strengths
- OB/GYN-led care designed for women 40+ and menopause overlap
- Includes a 50+ biomarker lab panel and weekly physician check-ins
- HSA/FSA eligible with a GLP-1 plus bioidentical HRT bundle option
- Transparent tiered pricing published online
Where it loses points
- Weight loss is one vertical alongside menopause and hormone care
- Medication-included tiers ($349+/mo) are pricier than many compounders
- Available in only five states (FL, NC, VA, IN, TN)
Graded #437 · 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.