Provider review
Rivas Medical Weight Loss review
A full public price list across four routes, and not one word about what a dose costs.
Rivas prices in-clinic visits, in-clinic packages, telehealth compounded and telehealth brand, all in the open with no quiz. It lists dose adjustments as included on almost every tile. It never says whether the price moves when the dose does.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
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Price as published
Rivas Medical Weight Loss
$399/mo semaglutide telehealth, $599 tirzepatide
- Vs median
- $230/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Standard plan, self-directed low dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
In one paragraph
The verdict
Whether a quarter dose costs you less here is simply unanswered. Rivas publishes a fuller public price list than almost anyone, across four different routes, and never addresses the dose question in either direction. It lists dose adjustment as included on nearly every tile, which tells you the adjustment is free and nothing about the price. Give it substantial credit anyway. Every figure is public with no quiz in front of it. The per-week cost of each package is printed beside the block price, so the discount is computable rather than asserted. It is explicit that the brand-name fee excludes the medication. And it prints a resolvable certification number in text rather than a badge image. What costs you is the routing: the cheapest way to buy here means attending one of fifteen physical locations in Maryland or Virginia every week, and telehealth stops at three states.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
Who it suits, and who it does not
A good fit if
- You live near one of its Maryland or Virginia clinics and can attend weekly.
- You want every route priced in public before you speak to anyone.
- You want to compute a package discount yourself; the per-week cost sits beside the block price.
- You want a clinic with named physical locations rather than a telehealth brand.
Look elsewhere if
- You are taking less to spend less. Nothing here says whether the price responds to the dose.
- You live outside Maryland, Virginia or Florida — telehealth stops at those three states.
- You want the cheapest route without traveling. That one requires a weekly in-person visit.
- You want the dispensing pharmacy named.
What it actually costs
Price as published
Telehealth: compounded semaglutide $399/month and compounded tirzepatide $599/month, both medication-inclusive; Wegovy and Zepbound $100/month for the visit only, medication bought separately · in-clinic pay-as-you-go semaglutide $115/week and tirzepatide $165/week, medication included · in-clinic packages counted in weeks: semaglutide $437 / 4 weeks ($109.25 per week, 5% off) and $1,242 / 12 weeks ($103.50 per week, 10% off); tirzepatide $627 / 4 weeks ($156.75 per week) and $1,782 / 12 weeks ($148.50 per week) · initial telehealth visit $195, which "Includes your first month of medication" · add-ons priced separately: phentermine $115 / 4 weeks, Lipo Extreme $35 / injection, B12 Plus $25 / injection · nothing on the site states whether the price moves with the dose, in either direction
- Vs median
- $230/mo above the $169 median across the 242 of 373 programs we track that publish a plain monthly rate
- Market
- $59–$1300/mo is the full published spread in our ranking
- Structure
- Standard plan, self-directed low dose
No low-dose product of its own. Starting low means asking for a smaller amount inside a standard plan, at the standard plan's price.
152 of the 373 programs we track price a small dose this way. The row records a full public price list across four routes with no intake gate, and no statement anywhere about whether the price responds to the dose — so the dose-to-price relationship is unaddressed rather than flat or tiered. The row records that dose adjustment is listed as included on almost every tile, which speaks to the adjustment being free and not to the price. It also records that the cheapest route is an in-person one requiring weekly attendance at a physical location, and that telehealth reaches only three states.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
What is included
- Consult
- Included in the price
- Dietitian
- Not included
- Labs
- Not required
- Pricing
- Varies by dose, plan or tier
- Price last updated
- August 2026
What it does well
- Publishes a full public price list covering four routes — in-clinic pay-as-you-go, in-clinic packages, telehealth compounded and telehealth brand — with no quiz gate
- States the per-week cost of each package alongside the block price, so the discount is computable rather than asserted
- Is explicit that the brand-name fee excludes medication: "Wegovy and Zepbound visit fees do not include medication; medication pricing is subject to change and determined at the pharmacy"
- Prints a resolvable LegitScript certificate number in text — "LegitScript Certified (#16717358)" — not just a badge image
- Lists every physical location by name and names its three telehealth states
- Commits to "No contracts. Ever." and "No package required — Upgrade to a package anytime"
Pharmacy, labs and oversight
Rivas Medical Weight Loss does not publicly identify the pharmacy that fills its prescriptions. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
2 of 4 published openly
What Rivas Medical Weight Loss publishes about itself, read from its own pages when we verified them — not estimated, and not a score.
- Pharmacy named and regulatedNo pharmacy is identified anywhere we could find on its own pages.
- Not published
- A price you can read before intakeA monthly rate is published on its own pages — the figure in the price row above, read there and verified against it.
- Published
- What a higher dose costsPriced by dose, plan or tier, and the higher rungs are not published — the advertised figure does not tell you what a larger dose costs.
- Not published
- No FDA warning letter on fileChecked against the FDA's own warning-letter database; nothing on file for this company.
- None on file
How the program works
Rivas Medical Weight Loss is a clinic chain with fifteen physical locations across Maryland and Virginia plus telehealth in Maryland, Virginia and Florida. It sells compounded semaglutide and compounded tirzepatide four different ways — in-clinic pay-as-you-go, in-clinic packages counted in weeks, telehealth programs with medication included, and brand-name visits where the medication is bought separately — and publishes every figure with no intake gate. It states that it is a medical practice and not a pharmacy, and sources compounded medication from licensed 503A and 503B pharmacies without naming one.
The honest cons
WHETHER THE PRICE MOVES WITH THE DOSE IS NEVER ADDRESSED, in either direction, despite "Dose adjustments as needed" appearing on almost every tile
- THE CHEAPEST ROUTE IS NOT REMOTE. In-clinic pay-as-you-go requires attending one of fifteen locations in Maryland or Virginia, weekly
- Telehealth covers only Maryland, Virginia and Florida
- The same molecule is priced very differently by route — semaglutide is $399/month by telehealth, $437 per 4 weeks in clinic with weekly provider visits, and $115/week pay-as-you-go
- The initial telehealth visit is $195 on top, and what its "first month of medication" covers if the patient then chooses the weekly in-clinic route is not stated
- Figures circulating for this provider elsewhere ($498 and $715) appear nowhere on its pricing page — read the price from the site itself
- A competitor comparison table on the pricing page asserts that virtual-only rivals have "Rotating / none" clinical staff and "Often unclear" medication sourcing
- No compounding pharmacy is named beyond "Licensed 503A / 503B"
- Compounded GLP-1s are not FDA-approved, and intentional microdosing is off-label and unproven
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
How it compares
Rivas Medical Weight Loss is one of 373 low-dose GLP-1 programs we track, and 242 of them publish a monthly rate you can read before signing up. The ranking lists every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to.
Where this sits
#96 of 373
Ordered with the companies that pay us first, and Rivas Medical Weight Loss is not one of them. A disclosed partition, not a score.
Compare all 373 providers →Read this before you buy
Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.
- What the evidence actually shows
- What microdosing GLP-1 costs
- Low dose vs full dose
- What a flat price costs at a low dose
- The true annual cost of a plan
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
The closest alternative
RxSpan MD
From $194/mo
- Vs median
- $25/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Standard plan, self-directed low dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
Read the RxSpan MD review →Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.