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Ranked #203 for moms · Grade C

Rivas Medical Weight Loss review

Everyone else on this site quotes a month. This one quotes a week, and once you convert it the difference is huge: $115 a week is about $500 a month, three or four times the telehealth price. But it is not the same thing you are buying. That price covers a weekly in-person appointment with a provider, vitals and a weigh-in, fifty-two times a year, at one of fifteen clinics in Maryland and Virginia.

$500/mo
Consult Medication Labs
See plans at Rivas Medical Weight Loss
  • HSA / FSA-eligible
  • Walked the public signup
  • No insurance needed
Compare the picks I'd point a friend to ↓
Walked and written by Jenna Marsh — a mom doing this herself, not a treating clinician

Rivas Medical Weight Loss at a glance

Semaglutide
$500/mo — $115 a week, all-inclusive with a weekly in-person visit
Tirzepatide
$717/mo — $165 a week on the same terms
Coverage
Fifteen locations across Maryland and Virginia
Brand-name
Yes

How I scored Rivas Medical Weight Loss

Every factor here comes from Rivas Medical Weight Loss's own pricing, its disclosures and the signup I walked, and the six add up to the 55/100 Mom-Tested Score on the same weighted six-factor method I use on every provider — never nudged by whether a provider pays us.

No-surprise pricing44/100 · Weak

Scores low: pinning down the real ongoing number takes work.

Works in your state12/100 · Weak

Scores low: whether it reaches you is the open question.

Both meds available58/100 · Weak

Scores low on choice — the medication menu is narrower here.

Cancel without a fight64/100 · Weak

Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.

Nap-time-easy signup86/100 · Strong

One of the easiest starts on my list — very little stands between you and a real answer.

Support you can reach62/100 · Weak

Support is the weakest part of this provider's score.

How I verified this review

Last verified
August 2026
Confidence
high

I read this on 19 August 2026. Rivas Medical Weight Loss prices by the week, which nobody else here does, and converting it is the whole point: $115 a week for compounded semaglutide is about $500 a month, and $165 a week for tirzepatide about $717. On the three-month packages those come down to $450 and $645. That is two to three times what the telehealth sellers on this site charge, and the weekly unit is what makes it hard to see. But what you are buying is genuinely different and I do not want to compare it to a delivery service. The price is all-inclusive and covers a weekly in-person visit with a provider, vitals and a weigh-in — fifty-two visits a year — plus the medicine, flat at any dose, at one of fifteen clinics across Maryland and Virginia. There is a one-time $195 evaluation that they call a lifetime membership and do not charge again if you come once a year. I recalculated all four package discounts and every one is exact. They also offer Wegovy and Zepbound at a $100 monthly follow-up and say plainly that the medicine itself is paid for separately at the pharmacy. Cherry and CareCredit financing are available, HSA and FSA are accepted, and there are no contracts. It came back clean on the FDA's warning-letter list, and its legal documents have nothing to do with the four-brand group I found alongside it.

What to expect when you sign up

I walked Rivas Medical Weight Loss's public signup funnel (August 2026) — a first-hand look at the flow. I don't create accounts, enter medical info, or check out, so this is what any visitor sees, not a patient outcome.

  1. 1The signup call to action leaves rivasweightloss.com for app.rivasweightloss.com, a separate host
  2. 2The intake responded HTTP 200 when checked on 2026-08-21
  3. 3Walked to the intake entry only. No personal information was submitted, so nothing past the entry screen is asserted here

What I noticed

  • A monthly price is visible on the public homepage before any intake — you do not have to hand over information to see a number
  • Intake is hosted on app.rivasweightloss.com, so the company you fill the form in with is not the domain you started on

Pricing

Prices re-verified

Compounded semaglutide$500Per weekly in-person visit, flat at any dose$115 per week, all-inclusive — medication plus a weekly in-person provider visit with vitals and weigh-in. At 4.345 weeks to the month that is about $500. Packages: $437 per 4 weeks ($109.25/wk) and $1,242 per 12 weeks ($103.50/wk), exactly 5% and 10% off.
Compounded tirzepatide$717Per weekly in-person visit, flat at any dose$165 per week on the same all-inclusive terms, about $717 a month. Packages $627 per 4 weeks and $1,782 per 12 weeks, again exactly 5% and 10% off.
Brand tirzepatide$100Zepbound — visit fee only$100 for a monthly follow-up visit including a one-month prescription. ⚠ The site states plainly that the medication itself is paid separately at the pharmacy and that insurance may cover it.

HSA and FSA usually work for this — worth checking your own plan. The prices here are what Rivas Medical Weight Loss's public disclosures showed at last review, and they change often; confirm the current number on Rivas Medical Weight Loss's own site.

What I like

  • The price covers a weekly in-person visit with vitals and a weigh-in, not just the prescription
  • Flat at any dose, for both medicines
  • I checked all four package discounts and they are exact to the cent
  • Fifteen real clinics, and the $195 evaluation is not charged again if you visit once a year
  • It says outright that the Wegovy and Zepbound visit fees do not include the medicine
  • Cherry and CareCredit financing, HSA and FSA accepted, no contracts

The caveats

  • ⛔ Pricing by the week hides a monthly cost of about $500 and $717
  • That is two to three times what the telehealth sellers here charge
  • It only works if you can actually go every week
  • Maryland and Virginia only for the in-person program
  • The $195 first visit has to be in person
  • No pharmacy is named

What I actually think of Rivas Medical Weight Loss

Everyone else on this site quotes a month. This one quotes a week, and once you convert it the difference is huge: $115 a week is about $500 a month, three or four times the telehealth price. But it is not the same thing you are buying. That price covers a weekly in-person appointment with a provider, vitals and a weigh-in, fifty-two times a year, at one of fifteen clinics in Maryland and Virginia. It runs about $500/month — pricier than most, so the extras have to earn it.

I look at Rivas Medical Weight Loss the way moms actually have to — not just the real monthly number, but nursing and pregnancy timing and canceling without a fight. That's the stuff a generic weight-loss review skips right over.

What Rivas Medical Weight Loss really costs

  • Compounded semaglutide — Per weekly in-person visit, flat at any dose: $500/mo
  • Compounded tirzepatide — Per weekly in-person visit, flat at any dose: $717/mo
  • Brand-name tirzepatide — Zepbound — visit fee only: $100/mo

For context, the typical ongoing price across my shortlist is around $179/month, so Rivas Medical Weight Loss sits at the pricey end.

Which meds Rivas Medical Weight Loss prescribes

Rivas Medical Weight Loss prescribes semaglutide and tirzepatide — the two with the strongest published weight-loss numbers, and having both on one account genuinely matters if insulin resistance is in the mix (which it often is with PCOS or after gestational diabetes), because that's when tirzepatide tends to be the better fit. It can also route you to FDA-approved brand pens, not just compounded — and the on-label products come with the manufacturer's own pregnancy and lactation labeling, which is a lot cleaner to hand to your OB.

Who Rivas Medical Weight Loss is — and isn't — for

A good fit if…

  • you might need to move between semaglutide and tirzepatide as your body and hormones shift.

Look elsewhere if…

  • you'd rather a prescriber actually talk through nursing and pregnancy timing with you — that's what my #1 pick, CoreAge Rx, is built to do.

Can you trust it?

I'm confident in the public facts on Rivas Medical Weight Loss — pricing, pharmacies, and the clinical network all checked out when I last looked. With any compounded GLP-1, the most useful thing you can do is confirm which licensed pharmacy fills it and what's actually in the formulation — I explain how I weigh oversight in the scoring method.

One line that's true of every provider on this site: no GLP-1 is established as safe in pregnancy or while breastfeeding, and the labels say don't. This is me reviewing a commercial signup, not giving you a green light — the timing call is yours and your clinician's.

So, would I use it?

Rivas Medical Weight Loss is a reasonable option — weigh it against the picks below on nursing and pregnancy timing and canceling without a fight. For most moms, CoreAge Rx is still the stronger all-round fit — and you can see them side by side in this head-to-head.

The bottom line for moms

Best for: A mom near Maryland or Virginia who wants to be seen every week rather than posted a vial every month.

If Rivas Medical Weight Loss isn't the one

Providers I have a referral relationship with, ordered by Mom-Tested Score — highest first. A fee never moves a score, but it does decide who shows up in this box, so it isn't everyone: my full ranking has every provider, paid or not.

  • CoreAge RxMy #1 pick

    The one I'd point a friend to first: I finished the intake in a single nap, the price on screen was the price I'd actually pay, and both semaglutide and tirzepatide were right there on one account.

    Visit CoreAge Rx
  • Pallas is one of the few places that will sell you either the cheap compounded route or the real brand-name pen without making you pick a provider first — compounded semaglutide works out to about $199 a month and tirzepatide about $299, while actual Zepbound, Ozempic, Wegovy and Mounjaro sit alongside them at cash-pay prices from $1,069. The price genuinely doesn't climb as you titrate, Pallas says so plainly on its own site, and the clinician, dose adjustments, check-ins and messaging are all inside that one number with no membership fee stacked on top. Two clinicians are named and both check out in the federal NPI registry, the LegitScript badge it displays is a real one, and it publishes an actual refund policy — full refund if a clinician turns you down, and a $5 processing fee if you cancel a qualifying payment — which is more paperwork than most of this market bothers with. The two things to know before you commit: it bills every 12 weeks in $597 and $897 chunks rather than monthly, and it never names its compounding pharmacy.

    Visit Pallas Health
  • The price-first pick: some of the lowest flat, all-inclusive pricing I found, in all 50 states — great if the monthly number is your whole decision and you read the annual-prepay fine print before you sign.

    Visit Trimi Health

Keep comparing Rivas Medical Weight Loss

Rivas Medical Weight Loss, answered

How much does Rivas Medical Weight Loss cost?
As I last checked, Rivas Medical Weight Loss's pricing starts around $500/month ($500/mo — $115 a week, all-inclusive with a weekly in-person visit semaglutide, $717/mo — $165 a week on the same terms tirzepatide). Confirm the current, all-in number on Rivas Medical Weight Loss's own site before you commit — these move.
Is Rivas Medical Weight Loss okay to use while I'm breastfeeding?
No — and that's true of every GLP-1, compounded or brand: none is established as safe in pregnancy or breastfeeding, and the labels say don't. Rivas Medical Weight Loss is no exception. Plan any GLP-1 for after weaning and talk the timing through with your own clinician. I'm a mom, not a doctor.
Does Rivas Medical Weight Loss have both semaglutide and tirzepatide?
Yes — Rivas Medical Weight Loss offers both. Tirzepatide's dual GIP/GLP-1 action is often the one clinicians reach for when insulin resistance drives weight, which matters if you've got PCOS or a history of gestational diabetes.
Where does Rivas Medical Weight Loss land on your list?
Rivas Medical Weight Loss scores 55/100 on the Mom-Tested Score (ranked #203), which weights the six things that actually matter when you're doing this around kids. My #1 pick, CoreAge Rx, leads the list — worth seeing how they stack up.

Pricing, states and verification reflect Rivas Medical Weight Loss's public disclosures at last review; the Mom-Tested Score is one mom's editorial judgment per the published method. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See my medical disclaimer and how I'm funded.

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