Head-to-head · WeighScore
Rivo Health vs Vaylen
The verdict
Vaylen takes it — 77.7/100 to 71.7/100.
Vaylen grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Vaylen is a pure GLP-1 specialist offering compounded semaglutide ($179/mo), compounded tirzepatide ($239/mo), compounded oral GLP-1 ($259/mo), and brand-name Ozempic, Zepbound, and Wegovy.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Rivo Health | Vaylen |
|---|---|---|
| WeighScore | 71.7/100 | 77.7/100 |
| Grade | C | C+ |
| Scorecard rank | #89 | #44 |
| Semaglutide | $149/mo (compounded) | $179/mo (compounded) |
| Tirzepatide | $199/mo (compounded) | $239/mo (compounded) |
| Coverage | All 50 states | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Yes |
Graded #89 · 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
Graded #44 · C+
Strengths
- Pure GLP-1 specialist — not a multi-category telehealth platform
- All 50 states coverage with licensed clinicians
- Both compounded and brand-name options (Ozempic, Wegovy, Zepbound)
- Oral GLP-1 option (compounded dissolvable tablets) for needle-averse patients
- LegitScript certified
Where it loses points
- Compounded semaglutide at $179/mo is mid-range (not the cheapest)
- Brand-name options at near-retail pricing ($997-$1,086/mo)
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.