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Head-to-head · WeighScore

Rivo Health vs Zera Health

By GLP-1 ScorecardUpdated

Rivo Health
Site position #100

Lower grade

Zera Health
Site position #63

Higher grade

Score comparison

Zera Health has the higher recorded score — 74.8/100 to 71.7/100.

Zera Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Zera Health is a telehealth platform for compounded GLP-1 weight loss — semaglutide from $149/mo, tirzepatide from $199/mo, plus oral and low-dose microdose options — prescribed by licensed physicians in all 50 states and filled by Strive Pharmacy, a 503A compounder.

We may earn a commission through these links, at no extra cost to you. Commercial relationships affect placement, but never the WeighScore or our editorial findings. See our disclosure.

Factor by factor

These are recorded editorial marks, not a measure of clinical outcomes. Current prices and terms may differ from those used in the marks. See the methodology.

Cost valueZera Health +6
74
80
Dose & formulationEven
75
75
Clinical oversightZera Health +5
77
82
Labs & monitoringRivo Health +10
63
53
FulfillmentZera Health +8
84
92
Contract termsZera Health +14
41
55
Rivo Health · top barZera Health · bottom bar

The numbers

Swipe or scroll to compare both providers.

MetricRivo HealthZera Health
WeighScore71.7/10074.8/100
GradeCC
Site position#100#63
Semaglutide$149/mo advertised starting rate on annual plan (compounded; confirm selected charge and renewal)$149/mo (compounded)
Tirzepatide$199/mo advertised starting rate on annual plan (compounded; confirm selected charge and renewal)$199/mo (compounded)
CoverageState eligibility unverified; confirm prescribing and dispensing availability for your addressAll 50 states
Brand-name accessNot confirmedNot confirmed
Oral / sublingualYesYes
Rivo Health

Site position #100 · C

Strengths

  • Advertises semaglutide and tirzepatide injection and oral options
  • Starting-price cards disclose an annual-plan condition
  • Advertises provider visits, nutrition support and dietitian access
  • Current public pages name Rivo Health, Inc. and a Rimo Health clinical network

What to consider

  • The $149/$199 labels are annual-plan starting rates; first charge, total obligation and renewal remain unverified
  • The selected cancellation and refund agreement has not been verified
  • Exact treating practice, dispensing branch and individual state/license eligibility remain unverified
  • Bundled service frequency, lab costs, supplied quantity and extra charges need selected-plan confirmation
Zera Health

Site position #63 · C

Strengths

  • Compounded semaglutide from $149/mo and tirzepatide from $199/mo, plus a $129/mo microdose option
  • Flat pricing — the same monthly cost at every dose as you titrate up
  • All-inclusive: medication, unlimited 24/7 provider messaging, and free shipping bundled in
  • Names its compounding pharmacy — Strive Pharmacy (licensed 503A)
  • Available in all 50 states with same-day approvals

What to consider

  • Operates as a technology platform, not the medical provider itself
  • Compounded GLP-1s are not FDA-approved (the site discloses this honestly)
  • Aggressive marketing results claims (e.g. '18% average', '93% kept it off') with 'results not typical' disclaimers
  • Legal entity name not published (footer shows only 'Zera Health')

Featured provider

CoreAge Rx

CoreAge Rx scores 89.5/100 (B+). Advertises pricing across doses with no membership fee, but starting-price displays and FAQ payment/refund promises need to be reconciled with the selected plan and refund policy.

Commercial relationships affect this placement. The score comparison above is separate.

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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