Rivo Health vs SkinnyRx
Rivo Health and SkinnyRx both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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If you are choosing between Rivo Health and SkinnyRx, 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 5.9. One of the two has an FDA warning letter on record, covered below.
Rivo Health vs SkinnyRx price
Rivo Health and SkinnyRx start at within a dollar of each other ($149 and $149.25 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 $224.25 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
Rivo Health lists 50 states, and SkinnyRx does not publish where it ships.
Pricing
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
SkinnyRx
'As low as $149.25/mo*' — plan-length/promo dependent (matches the sitewide '25% lower prices' promo, $199 x 0.75); standard single-month rate not published pre-intake. Microdose available; free overnight shipping.
'As low as $199/mo*' on /products/semaglutide-oral; once-daily.
'As low as $249/mo*' on /products/semaglutide-tablets.
'As low as $224.25/mo*' and 'Starting at $224.25/mo with free overnight shipping'; microdose available; once-weekly.
'As low as $224.25/mo*' on /products/tirzepatide-tablets; once-daily.
'$1,400/mo*' — '*Price shown applies to Monthly plan paid upfront or with buy now, pay later programs.' 'No membership fees. Same price at every dose.'
'$1,400/mo*' on /products/wegovy-injectable. Wegovy PILL is listed 'Unavailable' ('available via SkinnyRx Membership', fee not published).
'$1,400/mo*' on /products/mounjaro.
'$1,400/mo*' on /products/zepbound. Foundayo (orforglipron) pill also listed but 'Unavailable' — price not published.
What each price covers
Both prices cover the clinician visit and the medication itself.
Rivo Health's price also covers coaching, which SkinnyRx does not claim.
SkinnyRx's price also covers shipping, which Rivo Health does not claim.
Rivo Health is silent on shipping and lab work.
SkinnyRx is silent on lab work and coaching.
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
SkinnyRx
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, Rivo Health scores 8.2 and SkinnyRx 5.9 out of 10.
Rivo Health is stronger on user experience (8.0 vs 3.0), trust & safety (7.5 vs 1.0) and accessibility (10.0 vs 5.0).
Value, effectiveness and support are within half a point.
Rivo Health
8.2/10
SkinnyRx
5.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent SkinnyRx a warning letter dated February 20, 2026 (letter 717989), and it is still open.
Rivo Health has no FDA warning letter on record with us.
Features & Coverage
| Feature | Rivo Health | SkinnyRx |
|---|---|---|
| Starting Price | ✓$149/mo | $149.25/mo |
| Features | ✓8 features | 3 features |
| States Available | 50 | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | ✓ Yes | — |
| FDA Warning Letters | ✓None | 1 letter |
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 →About SkinnyRx
SkinnyRx sells compounded semaglutide and tirzepatide as injectables, with a microdosing option, prescribed by licensed US clinicians. The consult and free overnight shipping are bundled into a single monthly cash price.
Read our full SkinnyRx review →Pros & Cons
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
SkinnyRx
What we like
- Semaglutide costs $149.25 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $224.25 a month, 10% below the $250 median for compounded tirzepatide across the sellers we compare
- The monthly price includes the medication, clinician visits and shipping
- Offers both oral and injectable options, so the format is your choice
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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
- The FDA has issued SkinnyRx a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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
SkinnyRx is where we would start, above all for starting below a standard dose, with microdose tiers. Rivo Health fits better if an oral route if you will not self-inject is your priority.
Choose Rivo Health if…
You want an oral route if you will not self-inject and an opening price near $149 a month.
Choose SkinnyRx if…
You want starting below a standard dose, with microdose tiers and an opening price near $149.25 a month.
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RNK Health
An oral route if you will not self-inject
From $197/mo
Get started →He & She MD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →Wellorithm
Compounded semaglutide at $247/month
From $247/mo
Get started →Rivo Health vs SkinnyRx: FAQ
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