NuvaHealth vs Rivo Health
NuvaHealth and Rivo Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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NuvaHealth
Best for: seeing what it charges before you answer any medical questions
Visit NuvaHealth →
If you are choosing between NuvaHealth 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 6.4.
NuvaHealth vs Rivo Health price
NuvaHealth only publishes an introductory price, $139 for the first month, and does not say what month two costs. Rivo Health lists $149 a month. Until NuvaHealth posts a standing rate, the two numbers are not a like-for-like comparison.
Drug by drug: Semaglutide is cheaper at NuvaHealth ($139 for the first month vs $149 a month); tirzepatide is cheaper at Rivo Health ($199 a month vs $229 for the first month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, NuvaHealth prices compounded injections, an oral option and brand-name pens, while Rivo Health prices compounded injections and an oral option.
If you want the FDA-approved brand rather than a compounded version, NuvaHealth is the only one of the two with a brand-name price.
Where each one treats patients
NuvaHealth does not publish where it ships, and Rivo Health lists 50 states.
Pricing
NuvaHealth
first month; ongoing price shown at checkout (month two)
first month; ongoing price shown at checkout (month two)
first month; ongoing price shown at checkout (month two)
first month; ongoing price shown at checkout (month two)
first month; ongoing price shown at checkout (month two)
first month; ongoing price shown at checkout (month two)
first month; ongoing price shown at checkout (month two)
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 medication itself.
NuvaHealth's price also covers shipping, which Rivo Health does not claim.
Rivo Health's price also covers the clinician visit and coaching, which NuvaHealth does not claim.
NuvaHealth is silent on the clinician visit, lab work and coaching.
Rivo Health is silent on shipping and lab work.
NuvaHealth
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
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 NuvaHealth 6.4 out of 10.
Rivo Health is stronger on value (6.6 vs 3.0), trust & safety (7.5 vs 6.5), accessibility (10.0 vs 5.0) and support (7.0 vs 4.5).
Effectiveness and user experience are within half a point.
NuvaHealth
6.4/10
Rivo Health
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither NuvaHealth nor Rivo Health has an FDA warning letter on record with us.
Features & Coverage
| Feature | NuvaHealth | Rivo Health |
|---|---|---|
| Starting Price | $139 first month | $149/mo |
| Features | 5 features | ✓8 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | — |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
About NuvaHealth
NuvaHealth advertises compounded semaglutide from $159 and compounded tirzepatide from $259, both first-month figures; standard ongoing pricing is disclosed at checkout after the medical intake. The program covers an online medical consultation, free shipping and 24/7 patient support, and the platform is LegitScript-certified. A Newark, DE address is listed. It does not disclose a specific legal entity name on the home page.
Read our full NuvaHealth 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
NuvaHealth
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 and shipping
- We found no FDA warning letters issued to NuvaHealth
Watch-outs
- Confirm it serves your state before you start the intake
- 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 6.4, above all for an oral route if you will not self-inject. NuvaHealth fits better if seeing what it charges before you answer any medical questions is your priority.
Choose NuvaHealth if…
You want seeing what it charges before you answer any medical questions.
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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Willow
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Oral orforglipron alongside the injectables
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Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →NuvaHealth vs Rivo Health: FAQ
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