Gaya Wellness vs Rivas Medical Weight Loss
Gaya Wellness costs $149 less a month, and both sell semaglutide and tirzepatide.
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Gaya Wellness
Best for: bloodwork inside the $349/month rather than billed on top
Visit Gaya Wellness →
Rivas Medical Weight Loss
Best for: compounded semaglutide at $498/month
Visit Rivas Medical Weight Loss →If you are choosing between Gaya Wellness and Rivas Medical Weight Loss, the first difference is cost: Gaya Wellness is $149 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Rivas Medical Weight Loss leads our six-part score, 5.8 to 5.5.
Gaya Wellness vs Rivas Medical Weight Loss price
Gaya Wellness is the cheaper way in: $349 a month against $498 a month at Rivas Medical Weight Loss. That is $149 less each month (30% lower), or about $1,788 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Gaya Wellness ($349 a month vs $498 a month); tirzepatide is cheaper at Gaya Wellness ($349 a month vs $715 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Gaya Wellness lists 5 states, and Rivas Medical Weight Loss lists 3 states.
They overlap in 2 states. Gaya Wellness alone covers Indiana, North Carolina and Tennessee. Rivas Medical Weight Loss alone covers Maryland.
Pricing
Gaya Wellness
Rivas Medical Weight Loss
billed $115/week for any dose; all-inclusive (visit + medication); ~$498/mo equivalent
billed $165/week for any dose; all-inclusive (visit + medication); ~$715/mo equivalent
What each price covers
Both prices cover the clinician visit and the medication itself.
Gaya Wellness' price also covers lab work and coaching, which Rivas Medical Weight Loss does not claim.
Gaya Wellness is silent on shipping.
Rivas Medical Weight Loss is silent on shipping, lab work and coaching.
Gaya Wellness
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
In the price
Coaching
In the price
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
Where each one scores higher
Overall, Rivas Medical Weight Loss scores 5.8 and Gaya Wellness 5.5 out of 10.
Gaya Wellness is stronger on value (2.6 vs 0.0) and support (8.5 vs 5.5).
Rivas Medical Weight Loss is stronger on user experience (8.0 vs 2.0) and trust & safety (8.5 vs 6.0).
Effectiveness and accessibility are within half a point.
Gaya Wellness
5.5/10
Rivas Medical Weight Loss
5.8/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Gaya Wellness nor Rivas Medical Weight Loss has an FDA warning letter on record with us.
Features & Coverage
| Feature | Gaya Wellness | Rivas Medical Weight Loss |
|---|---|---|
| Starting Price | ✓$349/mo | $498/mo |
| Features | ✓8 features | 6 features |
| States Available | ✓5 | 3 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | ✓ Yes | — |
| FDA Warning Letters | None | None |
About Gaya Wellness
Gaya Wellness runs three tiers and only the upper two include drugs: $149/mo buys GLP-1 access with no medication attached, $349/mo adds the compounded medication, and $549/mo puts GLP-1 together with HRT. Board-certified physicians write compounded semaglutide or tirzepatide, backed by a lab panel of 50+ biomarkers, weekly asynchronous check-ins and payment that qualifies for HSA/FSA. The practice is virtual and OB/GYN-led, aimed at women 40+. You must be 18-64 with a BMI of 30+, or 27+ carrying a metabolic condition. Licenses cover FL, NC, VA, IN and TN.
Read our full Gaya Wellness 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
Gaya Wellness
What we like
- The monthly price includes the medication, clinician visits, lab work and coaching
- We found no FDA warning letters issued to Gaya Wellness
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
- Baseline bloodwork is required before a prescription
Watch-outs
- Semaglutide costs $349 a month, 89% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $349 a month, 40% above the $250 median for compounded tirzepatide across the sellers we compare
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Serves only 5 states, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- 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
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication and clinician visits
- We found no FDA warning letters issued to Rivas Medical Weight Loss
Watch-outs
- Semaglutide costs $498 a month, 169% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $715 a month, 186% above the $250 median for compounded tirzepatide across the sellers we compare
- Serves only 3 states, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- 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
Rivas Medical Weight Loss wins this one, 5.8 to 5.5, above all for compounded semaglutide at $498/month. Gaya Wellness undercuts it by $149 a month, so if the monthly bill is what decides it, Gaya Wellness is the pick. Gaya Wellness fits better if bloodwork inside the $349/month rather than billed on top is your priority.
Choose Gaya Wellness if…
You want bloodwork inside the $349/month rather than billed on top and an opening price near $349 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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