MedLeanRx vs Rivo Health
MedLeanRx and Rivo Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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MedLeanRx
Best for: seeing what it charges before you answer any medical questions
Visit MedLeanRx →
If you are choosing between MedLeanRx and Rivo Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Rivo Health leads our six-part score, 8.2 to 6.5.
MedLeanRx vs Rivo Health price
MedLeanRx and Rivo Health start at the same figure, $149 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $149 a month; tirzepatide is cheaper at Rivo Health ($199 a month vs $269 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections and an oral option.
Where each one treats patients
MedLeanRx lists 1 state, and Rivo Health lists 50 states.
They overlap in 1 state. Rivo Health alone covers 49 states, including Alaska, Alabama, Arkansas and Arizona.
Pricing
MedLeanRx
Weekly semaglutide vial $149/mo; plans 'start at $149/month for the starting dose' — pricing may vary with medication and dosage
Needle-free daily oral semaglutide tablets, $149/mo
$269/mo standard; intro bundle: 2-month supply at 2 mg weekly for $325 (~$163/mo), Texas clients only, while supplies last
Rivo Health
Starting $149/mo (Spring sale, up to ~50% off retail); 3-mo and 6-mo plans save more
Oral semaglutide option, same starting price as the injection
Starting $199/mo (Spring sale); multi-month plans save more
Oral tirzepatide option, same starting price as the injection
What each price covers
Both prices cover the clinician visit and the medication itself.
MedLeanRx's price also covers shipping, which Rivo Health does not claim.
Rivo Health's price also covers coaching, which MedLeanRx does not claim.
MedLeanRx is silent on lab work and coaching.
Rivo Health is silent on shipping and lab work.
MedLeanRx
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
Rivo Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
Not stated
Coaching
In the price
Where each one scores higher
Overall, Rivo Health scores 8.2 and MedLeanRx 6.5 out of 10.
Rivo Health is stronger on value (6.6 vs 3.0) and accessibility (10.0 vs 2.2).
Effectiveness, user experience, trust & safety and support are within half a point.
MedLeanRx
6.5/10
Rivo Health
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither MedLeanRx nor Rivo Health has an FDA warning letter on record with us.
Features & Coverage
| Feature | MedLeanRx | Rivo Health |
|---|---|---|
| Starting Price | $149/mo | $149/mo |
| Features | 8 features | 8 features |
| States Available | 1 | ✓50 |
| Compounded | ✓ Yes | — |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
About MedLeanRx
Texas and nowhere else. MedLeanRx works out of Spring, TX with physicians guiding care, charging $149/month for compounded semaglutide, taken as a weekly shot or a daily oral tablet, and $269/month for compounded tirzepatide. A brand route also exists at a $99/month fee covering Wegovy, Zepbound and Foundayo (orforglipron), with the drug itself billed on its own. Fill in a 5-minute assessment, wait 24-48 hours for a physician to read it, then delivery follows free on plans you can cancel whenever.
Read our full MedLeanRx review →About Rivo Health
Semaglutide begins around $149/mo, tirzepatide around $199/mo, both compounded GLP-1, available as injections or orally, with 3- and 6-month terms cutting deeper. By its own account Rivo has 115,000+ members and a Trustpilot score of 4.7. What comes attached to the drug is unusual: dietitians, live workouts, support groups, mental-health coaching, and an insurance concierge whose job is squeezing more out of your coverage. FSA/HSA money is eligible. ED, longevity through NAD+ and sermorelin, sleep, hair and skin fill the rest of the catalog. Its partner compounding pharmacies go unnamed.
Read our full Rivo Health review →Pros & Cons
MedLeanRx
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to MedLeanRx
Watch-outs
- Serves only 1 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
Rivo Health
What we like
- Semaglutide costs $149 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $199 a month, 20% below the $250 median for compounded tirzepatide across the sellers we compare
- 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, clinician visits and coaching
- Serves all 50 states
- We found no FDA warning letters issued to Rivo Health
- Offers both oral and injectable options, so the format is your choice
Watch-outs
- 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
Rivo Health wins this one, 8.2 to 6.5, above all for an oral route if you will not self-inject. MedLeanRx fits better if seeing what it charges before you answer any medical questions is your priority.
Choose MedLeanRx if…
You want seeing what it charges before you answer any medical questions and an opening price near $149 a month.
Choose Rivo Health if…
You want an oral route if you will not self-inject and an opening price near $149 a month.
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Sesame Care
Oral orforglipron alongside the injectables
From $59/mo
Get started →Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →MedLeanRx vs Rivo Health: FAQ
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