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Rivas Medical Weight Loss vs T2D.com

Rivas Medical Weight Loss costs $501 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
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 →
VS
T2D.com logo

T2D.com

5.4
★★★☆☆2.7/5

Best for: a published list of the one state it serves, when most sellers publish none

Visit T2D.com →

If you are choosing between Rivas Medical Weight Loss and T2D.com, the first difference is cost: Rivas Medical Weight Loss is $501 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 5.4.

Rivas Medical Weight Loss vs T2D.com price

Rivas Medical Weight Loss is the cheaper way in: $498 a month against $999 a month at T2D.com. That is $501 less each month (50% lower), or about $6,012 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Rivas Medical Weight Loss ($498 a month vs $999 a month); tirzepatide is cheaper at Rivas Medical Weight Loss ($715 a month vs $999 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Rivas Medical Weight Loss lists 3 states, and T2D.com lists 1 state.

They overlap in 0 states. Rivas Medical Weight Loss alone covers Florida, Maryland and Virginia. T2D.com alone covers California.

Pricing

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

T2D.com

Starting doseCompounded
$999/mo
semaglutide
Starting doseCompounded
$999/mo
tirzepatide

What each price covers

Both prices cover the clinician visit and the medication itself.

T2D.com's price also covers shipping, which Rivas Medical Weight Loss does not claim.

Rivas Medical Weight Loss is silent on shipping, lab work and coaching.

T2D.com is silent on lab work and coaching.

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

T2D.com

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

Where each one scores higher

Overall, Rivas Medical Weight Loss scores 5.8 and T2D.com 5.4 out of 10.

Rivas Medical Weight Loss is stronger on user experience (8.0 vs 3.0) and trust & safety (8.5 vs 5.0).

T2D.com is stronger on value (3.0 vs 0.0) and support (7.0 vs 5.5).

Effectiveness and accessibility are within half a point.

How we score

Rivas Medical Weight Loss

5.8/10

Overall

T2D.com

5.4/10

Value25%

0.0A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

8.5A
vs
B
5.0

Accessibility10%

2.5A
vs
B
2.2

Support10%

5.5A
vs
B
7.0

FDA warning letters

Neither Rivas Medical Weight Loss nor T2D.com has an FDA warning letter on record with us.

Features & Coverage

FeatureRivas Medical Weight LossT2D.com
Starting Price✓$498/mo$999/mo
Features6 features✓7 features
States Available✓31
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

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 →

About T2D.com

T2D.com bundles the prescriber, the medication, and home delivery into one service covering compounded semaglutide and tirzepatide. It is a subsidiary of Vertical Insight Corp, and the program is built specifically for people managing type 2 diabetes and pre-diabetes.

Read our full T2D.com review →

Pros & Cons

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

T2D.com

What we like

  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to T2D.com

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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

Our Verdict

Winner: Rivas Medical Weight Loss

Rivas Medical Weight Loss wins this one, 5.8 to 5.4, above all for compounded semaglutide at $498/month. It also costs $501 less each month than T2D.com. T2D.com fits better if a published list of the one state it serves, when most sellers publish none is your priority.

Choose Rivas Medical Weight Loss if…

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

Choose T2D.com if…

You want a published list of the one state it serves, when most sellers publish none and an opening price near $999 a month.

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6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

6.7

RxSpan MD

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

Rivas Medical Weight Loss vs T2D.com: FAQ

Rivas Medical Weight Loss. It starts at $498 a month; T2D.com starts at $999 a month, $501 more per month.
Yes, both sell semaglutide and tirzepatide.
Rivas Medical Weight Loss: 3 states against 1, with 0 in common.
Both include the clinician visit and the medication itself. Only T2D.com includes shipping.
Rivas Medical Weight Loss has none. T2D.com has none.
No. Neither Rivas Medical Weight Loss nor T2D.com pays us anything.

Or see the full category ranking.