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Head-to-head · WeighScore

Rivas Medical Weight Loss vs TideMedix

Rivas Medical Weight Loss
Graded #438

Higher grade

vs+1.3000000000000043
TideMedix
Graded #458

Lower grade

The verdict

Rivas Medical Weight Loss takes it — 55.6/100 to 54.3/100, but only just.

Rivas Medical Weight Loss grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Rivas Medical Weight Loss is a physician-founded program (Paul Rivas MD LLC) combining 15 in-person clinics with telehealth across Maryland, Virginia, and Florida. TideMedix is close behind and may still be the better fit — see the factor split below.

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.

Cost valueEven
45
45
Dose & formulationEven
40
40
Clinical oversightRivas Medical Weight Loss +7
81
74
Labs & monitoringRivas Medical Weight Loss +1
53
52
FulfillmentRivas Medical Weight Loss +2
65
63
Contract termsTideMedix +6
55
61
Rivas Medical Weight Loss · left barTideMedix · right bar

The numbers

MetricRivas Medical Weight LossTideMedix
WeighScore55.6/10054.3/100
GradeCC
Scorecard rank#438#458
SemaglutideNot disclosedNot disclosed
TirzepatideNot disclosedNot disclosed
Coverage3 statesCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only

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
TideMedix

Graded #458 · C

Strengths

  • Offers both semaglutide and tirzepatide GLP-1 weight care
  • Treatment only after licensed-provider review when clinically appropriate
  • Fully online assessment — no in-person visit required
  • Published patient-care phone line: (833) 365-5589

Where it loses points

  • Pricing not published on the site — shown only during intake
  • Prescribing medical group and pharmacy partner not named publicly
  • LegitScript certification claimed via a self-hosted badge; not independently verifiable
  • Medication form (compounded vs brand) not stated on the site
  • Once shipped, all sales are final — no refunds on prescriptions

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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