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Head-to-head · WeighScore

Rivo Health vs Roen Rx

Rivo Health
Graded #90

Higher grade

vs+12.5
Roen Rx
Graded #348

Lower grade

The verdict

Rivo Health takes it — 71.7/100 to 59.2/100.

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 +35
74
39
Dose & formulationRoen Rx +2
75
77
Clinical oversightRivo Health +3
77
74
Labs & monitoringRivo Health +10
63
53
FulfillmentRivo Health +17
84
67
Contract termsEven
41
41
Rivo Health · left barRoen Rx · right bar

The numbers

MetricRivo HealthRoen Rx
WeighScore71.7/10059.2/100
GradeCC
Scorecard rank#90#348
Semaglutide$149/mo (compounded)$151/mo (3-month plan, plus a separate fee, compounded)
Tirzepatide$199/mo (compounded)$216/mo (plus a separate fee, compounded)
CoverageAll 50 statesCoverage not published
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
Rivo Health

Graded #90 · 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
Roen Rx

Graded #348 · C

Strengths

  • Insurance coordination for brand-name GLP-1s — as low as $25/mo
  • Both compounded and brand-name options
  • LegitScript approved with Compounded USA badge
  • Compounded semaglutide from $151/mo quarterly
  • Also offers primary care, mental health, and other specialties

Where it loses points

  • State availability not publicly disclosed
  • Insurance coordination may not work for all plans
  • Broader platform (ED, hair loss, skincare, birth control)
  • Requires a separate membership (first month $39); GLP-1 medications are NOT included in the membership fee - medication is billed on top

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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