Provider review
Rivas Medical Weight Loss review
Its telehealth pricing is actually cheaper than its in-person pay-as-you-go rate
Two tracks, and the remote one is cheaper: $399 a month for compounded semaglutide and $599 for tirzepatide by telehealth, against $115 and $165 a week in its Maryland and Virginia clinics. Both start with a one-time $195 lifetime membership visit.
Straight talk: how we earn — some, not all, of these 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
The verdict
Rivas Medical Weight Loss backs its pricing with three independently NPI-verified physicians and a genuinely no-contract cancellation policy, but its telehealth track is actually cheaper than its in-person pay-as-you-go rate — worth comparing both before choosing — and its LegitScript badge is a self-hosted static image rather than the live, revocable seal some competitors use.
Rivas Medical Weight Loss is not ranked on any of our rankings. This is a standalone read of what the company publishes about itself — the providers we do rank in this category are on our semaglutide provider ranking. Nothing on this page is a performance claim — see the evidence review for what these compounds do and do not do.
Who it is for, and who it is not
A good fit if
- You want three independently NPI-verified physicians, including a founder with an active license since 2007
- You want the option of either in-person weekly visits or cheaper flat-rate telehealth from the same practice
- You want a genuinely no-contract, cancel-anytime policy
Look elsewhere if
- You default to the in-person pay-as-you-go pricing without checking the telehealth track — it's actually the cheaper option for the same practice
- You want an independently verifiable LegitScript seal — this one is a self-hosted static image, not a live-served badge
- You want a named compounding pharmacy — only generic '503A/503B' language is given
What it actually costs
What they advertise
In-office: $115/week semaglutide, $165/week tirzepatide (roughly $498-715/month). Telehealth (a cheaper, separate track): $399/month compounded semaglutide, $599/month compounded tirzepatide. Both require a one-time $195 lifetime membership visit fee.
What you actually pay, month to month
Telehealth track: $399/month (semaglutide) or $599/month (tirzepatide) — cheaper than the in-office weekly rate's $498-715/month equivalent for the same medications.
The commitment trap
The in-office weekly rate ($115-165/week) and the telehealth flat monthly rate ($399-599/month) are two different pricing tracks for the same practice — the telehealth option is actually the cheaper of the two, easy to miss if you only see the in-office pricing first.
Money you will meet later
- A one-time $195 'lifetime membership' initial visit fee applies to both tracks; one visit per year keeps it active
Checked live on Rivas Medical Weight Loss's own site at https://www.rivasweightloss.com in August 2026. Prices change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what Rivas Medical Weight Loss bundles in, and what it does not.
Clinician consult
Weekly provider visits included in every in-office payment
founder Dr. Paul Rivas, MD, and two other named physicians all confirmed active via the federal NPI registry.
Bloodwork / labs
Not published.
Follow-ups and dose changes
Weekly visits (in-office) or ongoing telehealth check-ins.
Human support
Nothing published beyond named physician staff.
Injection supplies
Not published.
Shipping
Not published.
Pharmacy, labs and oversight
The pharmacy
Not individually named — described only as 'licensed 503A and FDA-registered 503B outsourcing facilities.'
Oversight
Weekly visits (in-office) or ongoing telehealth check-ins.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while 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. Our guide to verifying a certificate of analysis covers what to ask for.
Where you can get it
In-person clinics in Maryland and Virginia; telehealth extends to Florida as well.
The honest cons
The part they would rather you skipped
Rivas Medical Weight Loss's telehealth pricing track, is actually cheaper per month than its in-office pay-as-you-go weekly rate for the identical medications — easy to miss if you only see the in-office pricing page first.
- Two different pricing tracks (in-office vs. telehealth) exist for the same practice, and the cheaper one is easy to overlook
- LegitScript badge is a self-hosted static image, not a live-served seal from LegitScript itself
- No compounding pharmacy individually named
- In-office weekly-visit model requires more frequent engagement than mail-order competitors
None of this is unique to Rivas Medical Weight Loss — the whole category shares it. What we hold against a provider is the part it hides, and the ways vendors hide things are cataloged in our vendor red-flags guide.
How it compares
The providers we rank on our semaglutide provider ranking, in the order that ranking ranks them. Rivas Medical Weight Loss is not among them: it is reviewed here, not ranked there, and we would rather show you the comparison than pretend the two are the same thing.
- COCollectiveThe cheapest medication price here, on a membership the headline omits
- CoreAge RxOne price that does not move when your dose does
- BHBodybuilding Health+The deep peptide catalog is gone; the GLP-1 pricing got better
- RxSpan MDOral tablet only, at a real $179 monthly rate
- Enhance MDWrites a flat-price-at-every-dose policy down — and charges near the top for it
- Found HealthInsurance-integrated, unlike every cash-only compounder here — but $99 needs a prepay
- Direct MedsThe plainest price mechanics on either ranking, from a company with an FDA warning letter
- Synergy RxPublishes a starting number, and nothing about what it commits you to
13 more providers rank on our semaglutide 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 — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect Rivas Medical Weight Loss's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Rivas Medical Weight Loss'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, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.