Head-to-head comparison
Idgie Health vs Rivo Health
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Publishes the amount billed today at every rung and states its 503A class — beside a recurring Membership Fee that appears only in the Terms.
$149/mo sema · $229/mo tirz · Verified September 2026
Marked down on: Both headlines are the six-month prepay: "From $114" against $149 a month, and "From $171" against $229.
Desk Score
Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members, Trustpilot 4.7) offering compounded semaglutide and tirzepatide as both injections and oral options.
$149/mo sema · $199/mo tirz · Verified June 2026
Marked down on: Uses partner compounding pharmacies it doesn't name on the site
Idgie Health takes this head-to-head with the higher Desk Score, 81/100 (B−) against 80/100 (B−) for Rivo Health. Rivo Health still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Idgie Health
81/100
B−
Rivo Health
80/100
B−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Idgie Health | Rivo Health |
|---|---|---|
| Semaglutide | $149/mo$149/mo month-to-month (compounded; $114 only on a 6-month prepay) | $149/mo$149/mo (compounded) |
| Tirzepatide | $229/mo$229/mo month-to-month (compounded; $171 only on a 6-month prepay) | $199/mo$199/mo (compounded) |
| Coverage | A state-availability page is published | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Someone who wants the whole ladder in the open and will ask what the membership is before starting. | People who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support. |
| Desk Score | 81/100B− | 80/100B− |
The verdict
Desk pick — Idgie HealthIdgie Health takes this head-to-head with the higher Desk Score, 81/100 (B−) against 80/100 (B−) for Rivo Health. Rivo Health still holds its ground where its strengths line up with yours.
Choose Idgie Health if…
Someone who wants the whole ladder in the open and will ask what the membership is before starting.
$149/mo sema · $229/mo tirz · A state-availability page is published
Choose Rivo Health if…
People who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support.
$149/mo sema · $199/mo tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Idgie Health · Rivo Health.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- CoreAge Rx vs Idgie Health
- CoreAge Rx vs Rivo Health
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- Rivo Health vs Strut Health
- Idgie Health vs Zera Health
- Rivo Health vs Zera Health
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.