Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our tirzepatide provider ranking, above Rivo Health at #153.
Read the Care Bare Rx review →
Provider review
Rivo Health cost: $349/mo tirzepatide
"$199/mo" is a one-cycle intro rate — its own checkout auto-renews near double.
Its billing-plan data (`introPrice`/`introCycles: 1`/`regularPrice`) shows the featured tirzepatide price applies for exactly one charge before auto-renewing at $349/month, a mechanism found nowhere on the homepage, FAQ, or its 16 blog posts.
Verified August 2026
Reviewed by Marcus Webb
Transparency scorecard
1 of 4 disclosed openly
What Rivo Health discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Not disclosed
Publishes no state coverage list — availability is something you learn during signup.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
On this page
What it actually costs
- Tirzepatide$349/mo
- Semaglutide$299/mo
What this price covers
Medication
Included
Provider visits
Not confirmed
Shipping
Not confirmed
Lab work
Not disclosed
Coaching
Not confirmed
The catch — The number featured most prominently sitewide is a single-cycle introductory rate baked directly into the checkout's own billing-plan object — the plan then auto-renews at roughly double that price starting month two. Nothing on the marketing site (homepage, FAQ question list, or any of its 16 blog posts) discloses that the price changes after the first charge; the mechanism is visible only in the checkout's own JSON, not in anything a reader is shown before paying. Separately, the homepage's own "$279/mo" and "$389/mo" "annual plan" comparison figures don't even match the checkout's own regular-price fields ($299/$349) — and no 12-month/annual plan exists anywhere in the live checkout at all (only 1-, 3-, and 6-month terms), so that on-page comparison doesn't correspond to any plan a reader could actually buy.
See plans at Rivo HealthPrices read from Rivo Health's own site · August 2026
What they advertise
Rivo Health's own homepage pricing card advertises "Starting at $149" per month for compounded Semaglutide (injection or oral) and "Starting at $199" per month for compounded Tirzepatide, each next to a separate, crossed-out "with an annual plan" comparison figure ($279/mo and $389/mo respectively).
What you actually pay
The checkout's own billing data shows those figures are a ONE-CYCLE intro rate: the "1 Month Supply" plan for Tirzepatide Injections is coded with a $199 intro price for one cycle only, an auto-renew flag, and a $349 regular price — meaning it charges $199 once, then renews automatically at $349/month starting the second cycle. Semaglutide Injections follow the identical shape ($149 intro → $299 regular), as do Semaglutide Orals+ ($169 intro → $289 regular) and Tirzepatide Orals ($229 intro → $349 regular).
Money you will meet later
- No separate membership or platform fee was found in the checkout's own billing data — the pricing card states "Membership included free."
- Its dietitian/coaching/live-workout bundle overlaps closely with Fridays' own membership program, and the pricing card lists "Fridays™ Membership Included ($0)" as a line item — evidence this portion of the plan is a resale of Fridays', not something Rivo Health built independently.
- No Refund Policy, Cancellation Policy, Terms of Service, or Privacy Policy page exists anywhere on the live site, so what a reader would actually get back after canceling is never stated.
The bottom line
Rivo Health (rivohealth.co) is a telehealth storefront — its checkout confirms compounded semaglutide and tirzepatide, each in injection and oral form, all four ACTIVE and purchasable, and its 115,000+ member claim appears plainly (if unverifiably) on its own homepage. Its pricing does not hold up as advertised: the "$199/mo" tirzepatide figure featured most prominently sitewide is, per the checkout's own billing-plan object, a one-cycle introductory rate that auto-renews at $349/month starting the second charge — nearly double, and never disclosed on the marketing site itself. A "Longevity" section markets Sermorelin injections and orals, but no purchase path for either exists anywhere in the live checkout.
Rivo Health appears on our tirzepatide provider ranking, our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- A full GLP-1 catalog — injection AND oral, both semaglutide and tirzepatide — confirmed purchasable in the live checkout, not just claimed on a marketing page, is what you're after.
- Dietitian support, live workouts, and mental health coaching bundled at no separate membership fee appeal to you, and you don't mind that this bundle reads as a resold Fridays membership rather than a program Rivo Health built itself.
- You plan to budget for the checkout's real second-month price ($349/mo for tirzepatide injections) rather than the "$199/mo" headline, and won't be surprised when the higher charge lands.
Look elsewhere if
- You're comparison-shopping off the homepage's "$199/mo" tirzepatide figure — its own checkout shows that price applies for one billing cycle only, then auto-renews at $349/month.
- You came for the "Sermorelin injections, Sermorelin orals" or NAD+ products advertised on the homepage — none of them can actually be bought anywhere on the site.
- You want to read a Privacy Policy or Terms of Service before signing up — neither page exists anywhere on the live site; the footer labels both, but neither link goes anywhere.
What Rivo Health offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
Rivo Health does not name the pharmacy that fills your prescription.
What its own site says
Never named, and no 503A/503B category is stated anywhere on the live site — homepage, FAQ, blog posts, Consent to Telehealth, and the checkout's own template strings were all. The closest the site comes is "Compounded GLP-1s are produced in FDA-regulated facilities" (a facility-regulation claim, not a named pharmacy) and "our partner pharmacy," singular and unnamed, in the checkout's own delivery-status text.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
Not published
Not published as a coverage claim anywhere on the live site — no page states which states Rivo Health serves, or that it serves all 50, correcting the previously recorded claim. The checkout's own intake form does list all 50 state names, but that is a standard state-selector dropdown field present on any US intake form, not a coverage statement in the provider's own words.
The honest cons
The part they would rather you skipped
The "$199/mo" tirzepatide price featured most prominently on Rivo Health's own homepage is, per its own checkout's billing-plan data, a one-cycle introductory rate (`introCycles: 1`) that auto-renews at $349/month — nearly double — starting the second charge, with `autoRenew: true` and no separate consent step found. Nothing on the marketing site discloses this anywhere a reader would see it before paying; the mechanism is visible only in the checkout's own JSON.
- The featured "$199/mo" tirzepatide (and "$149/mo" semaglutide) price is a one-cycle intro rate; the checkout's own billing data shows it auto-renews at roughly double ($349/mo and $299/mo respectively) starting the second charge
- No live Privacy Policy or Terms of Service page exists anywhere on the site — the footer labels both, but neither anchor has a working href, neither leads anywhere, and neither appears in the site's own sitemap.xml
- Sermorelin and NAD+ products are marketed prominently on the homepage under "Longevity," but there is no way to buy either one — they are advertised, not actually for sale
None of this is unique to Rivo Health — the whole category shares it.
How it compares
The providers we rank on our tirzepatide provider ranking — the most specific board Rivo Health sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- TrimiNames its two pharmacies outright — then headlines a price that needs a year upfront.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
- Enhance MDHonest pricing and a real 503A claim — but it isn't in all 50 states, whatever it says.
149 more providers rank on our tirzepatide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Rivo Health's current pricing before you decide. Ours was read from their own site in August 2026.
Facts on this page reflect Rivo Health's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Rivo Health's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Rivo Health
2 compounds from $299/mo