Head-to-head · WeighScore
Rivo Health vs Vita Bella
The verdict
Rivo Health takes it — 71.7/100 to 64.9/100.
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.
The numbers
| Metric | Rivo Health | Vita Bella |
|---|---|---|
| WeighScore | 71.7/100 | 64.9/100 |
| Grade | C | C |
| Scorecard rank | #90 | #233 |
| Semaglutide | $149/mo (compounded) | Not disclosed |
| Tirzepatide | $199/mo (compounded) | $159/mo (2.5 mg dose, plus a separate fee, compounded) |
| Coverage | All 50 states | 46 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
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
Graded #233 · C
Strengths
- Offers both compounded semaglutide (from $109/mo) and tirzepatide (from $159/mo) at member pricing, with supplies and a B-6 add-in included
- Genuine LegitScript-certified website (seal #4395819) and a clearly disclosed legal entity, Vita Bella Health, LLC (Nevada)
- Broad access: care published for 46 states plus Washington, D.C., and HSA cards are accepted
- Fully remote telehealth with video provider consults and quarterly provider check-ins included in the membership
- Medications dispensed by US FDA-inspected compounding pharmacies; ondansetron for nausea provided at no extra charge
Where it loses points
- Advertised $109-$159 medication prices require a separate $129/mo membership plus a one-time $99 consult, pushing true cost to ~$238-288/mo
- Three-month minimum commitment before it renews month-to-month; no refunds on medications and all sales are final
- Compounding pharmacy partners are not named anywhere on the site — a transparency gap
- Compounded semaglutide and tirzepatide are not FDA-approved; only the dispensing pharmacies are described as FDA-inspected
- Disputes are subject to binding arbitration with a class-action waiver, governed by Nevada law (Las Vegas jurisdiction)
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.