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Head-to-head · WeighScore

Rivas Medical Weight Loss vs ZipHealth

vs
ZipHealth
Graded #438

Level

The verdict

Too close to call — both grade 55.6/100 (C).

Rivas Medical Weight Loss and ZipHealth land on the same WeighScore, so neither clears the other on our six graded dimensions. Rivas Medical Weight Loss sits one line higher on the board (#437 vs #438) on the underlying tiebreak, but it's a genuine coin-flip — pick on the factors and prices that matter most to you 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 & formulationZipHealth +5
40
45
Clinical oversightRivas Medical Weight Loss +6
81
75
Labs & monitoringRivas Medical Weight Loss +1
53
52
FulfillmentZipHealth +3
65
68
Contract termsEven
55
55
Rivas Medical Weight Loss · left barZipHealth · right bar

The numbers

MetricRivas Medical Weight LossZipHealth
WeighScore55.6/10055.6/100
GradeCC
Scorecard rank#437#438
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
ZipHealth

Graded #438 · C

Strengths

  • LegitScript certified with a named in-house US-licensed pharmacy
  • Transparent clinical team including a board-certified MD and PharmD
  • Same-day prescriptions and express overnight discreet shipping
  • Lowest-price guarantee, no insurance required
  • 230,000+ customers with a 4.4/5 Trustpilot rating

Where it loses points

  • GLP-1 offering limited to compounded liraglutide (a daily injection)
  • Monthly pricing not posted on public pages
  • State availability not enumerated publicly
  • No branded semaglutide or tirzepatide confirmed

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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