Head-to-head · WeighScore
Revive Meds vs Silhouette MD
The verdict
Silhouette MD takes it — 69.4/100 to 56.9/100.
Silhouette MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Concierge-style GLP-1 telehealth offering compounded semaglutide and tirzepatide in both injectable and oral forms, with provider oversight and full-service support included on every plan.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Revive Meds | Silhouette MD |
|---|---|---|
| WeighScore | 56.9/100 | 69.4/100 |
| Grade | C | C |
| Scorecard rank | #405 | #129 |
| Semaglutide | $369/mo (starting dose, compounded) | $149/mo (compounded) |
| Tirzepatide | $459/mo (starting dose, compounded) | $299/mo (compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #405 · C
Strengths
- Offers both compounded semaglutide and dual-agonist tirzepatide, each combined with vitamin B12 (cyanocobalamin) in a single injection
- Pay-per-order model with no subscription, sign-up fees, or long-term commitment, and free shipping on every order
- Names its six 503A compounding pharmacies and two prescribing physicians, which is unusually transparent on fulfillment
- Available in all 50 states and HSA/FSA eligible through a Medical Necessity Letter
- Prepaying 3 to 12 months cuts the effective cost to as low as $202/mo (semaglutide) or $300/mo (tirzepatide)
Where it loses points
- Month-to-month pricing is steep: $369/mo semaglutide and $459/mo tirzepatide unless you prepay several months
- No public price list; pricing appears only after you complete a full health intake and create an account
- Not LegitScript-certified (no seal displayed on the site)
- Compounded semaglutide and tirzepatide are not FDA-approved finished products
Graded #129 · C
Strengths
- Compounded semaglutide and tirzepatide in both injectable and oral formulations
- Concierge-level support — monitoring, expert guidance, and check-ins included on every plan
- Transparent, published pricing starting at $149/mo for semaglutide injection
- Prescriptions issued and fulfilled by licensed clinical partner OpenLoop Health
Where it loses points
- Tirzepatide ($299/mo) and oral options ($263–$325/mo) priced above many compounded competitors
- State availability not published
- Newer brand with limited independent review history
- Medications are compounded, not FDA-approved brand-name
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.