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10rx vs Rivas Medical Weight Loss

An in-depth comparison of two leading GLP-1 Providers

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
10rx logo

10rx

8.1
★★★★4.1/5

Best for: semaglutide at $99.67/month, 47% under the register median

Visit 10rx
VS
Rivas Medical Weight Loss logo

Rivas Medical Weight Loss

5.8
★★☆☆2.9/5

Best for: compounded semaglutide at $498/month

Visit Rivas Medical Weight Loss

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, 10rx opens cheaper — $99.67/mo against $498, and 10rx finishes ahead, 8.1 to 5.8. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

10rx

Injectablecompounded injection
$99.67/mo
semaglutide

Compounded; GLP-1 options as low as under $100/mo

Injectablecompounded injection
$149.67/mo
tirzepatide

Compounded GLP-1 + GIP

Rivas Medical Weight Loss

Any doseCompounded
$498/mo
semaglutide

billed $115/week for any dose; all-inclusive (visit + medication); ~$498/mo equivalent

Any doseCompounded
$715/mo
tirzepatide

billed $165/week for any dose; all-inclusive (visit + medication); ~$715/mo equivalent

What’s included

10rx

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Rivas Medical Weight Loss

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

10rx

8.1/10

Overall

Rivas Medical Weight Loss

5.8/10

Value25%

9.6A
vs
B
0.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

5.5A
vs
B
8.5

Accessibility10%

5.0A
vs
B
2.5

Support10%

7.0A
vs
B
5.5

Features & Coverage

Feature10rxRivas Medical Weight Loss
Starting Price$99.67/mo$498/mo
Features8 features6 features
States AvailableNot disclosed3
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About 10rx

10rx sets flat monthly rates on compounded GLP-1: semaglutide at $99.67, tirzepatide at $149.67, with NAD+ and sermorelin sold separately for energy and recovery. A free health quiz online reaches a board-certified telehealth doctor, who reads your history before writing anything, and licensed pharmacy partners handle discreet delivery. The company states it reaches every one of the 50 states. What it does not state is its operating company, its pharmacies, or any terms page.

Read our full 10rx review →

About Rivas Medical Weight Loss

Billing is weekly rather than monthly, and the dose never changes it: $115/week for compounded semaglutide, $165/week for compounded tirzepatide, each week's figure paying for a provider visit as well as the drug. Paul Rivas MD LLC pairs telehealth with 15 physical clinics spread over Maryland, Virginia and Florida. Seeing a provider every week costs more than ordering by mail from competitors.

Read our full Rivas Medical Weight Loss review →

Pros & Cons

10rx

What we like

  • Semaglutide at $99.67 a month, 47% below the $189 median for the same drug and form across this register
  • Tirzepatide at $149.67 a month, 44% below the $267 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly figure covers medication, consult, shipping
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • No state list is on record here, so whether it serves your state cannot be confirmed from this page
  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Rivas Medical Weight Loss

What we like

  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
  • The monthly figure covers medication and consult
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • Semaglutide at $498 a month, 163% above the $189 register median for the same drug and form
  • Tirzepatide at $715 a month, 168% above the $267 register median for the same drug and form
  • Coverage is published for 3 states only, so this may not reach you
  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: 10rx

10rx takes it, 8.1 against 5.8, and it is especially strong on semaglutide at $99.67/month, 47% under the register median. Rivas Medical Weight Loss is no weak second and may fit you better on compounded semaglutide at $498/month.

Choose 10rx if…

You want semaglutide at $99.67/month, 47% under the register median and an opening price near $99.67 a month.

Choose Rivas Medical Weight Loss if…

You want compounded semaglutide at $498/month and an opening price near $498 a month.

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10rx vs Rivas Medical Weight Loss: FAQ

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