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Head-to-head dispatch

Rivas Medical Weight Loss vs Trimi

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.

Dispatch #375
Rivas Medical Weight Loss

Rivas Medical Weight Loss is a physician-founded program (Paul Rivas MD LLC) combining 15 in-person clinics with telehealth across Maryland, Virginia, and Florida.

Marked down on: Expensive: about $498/mo for semaglutide and $715/mo for tirzepatide (billed weekly)

vs
Dispatch #21Desk pick
Trimi

Both molecules on one membership at a keen flat price, shipped free to all 50 states.

Marked down on: Compounded only — no brand-name Ozempic/Wegovy or Mounjaro/Zepbound

Trimi takes this head-to-head with the higher Desk Score, 84/100 (B) against 55/100 (C) for Rivas Medical Weight Loss. Rivas Medical Weight Loss 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.

Rivas Medical Weight Loss

55/100

C

Overall

Trimi

84/100

B

Price transparency

54
95

State access

42
96

Molecule range

40
80

Onboarding speed

63
88

Support responsiveness

74
82

Licensing & trust

74
80

The spec sheet

FieldRivas Medical Weight LossTrimi
SemaglutideNot disclosed$175/mo month-to-month · $99/mo only on a 12-month prepay ($1,188 in one charge)
TirzepatideNot disclosed$235/mo month-to-month · $125/mo only on a 12-month prepay ($1,500 in one charge)
Coverage3 statesAll 50 states
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forReaders who want mD/VA/FL patients wanting hands-on weekly in-person or telehealth GLP-1 visits.Cost-first patients who want both molecules at the cheapest sticker price and don't need brand-name or oral routes.
Desk Score55/100C84/100B

The verdict

Desk pick — Trimi

Trimi takes this head-to-head with the higher Desk Score, 84/100 (B) against 55/100 (C) for Rivas Medical Weight Loss. Rivas Medical Weight Loss still holds its ground where its strengths line up with yours.

Choose Rivas Medical Weight Loss if…

Readers who want mD/VA/FL patients wanting hands-on weekly in-person or telehealth GLP-1 visits.

Not disclosed sema · Not disclosed tirz · 3 states

Choose Trimi if…

Cost-first patients who want both molecules at the cheapest sticker price and don't need brand-name or oral routes.

$175/mo month-to-month · $99/mo only on a 12-month prepay ($1,188 in one charge) sema · $235/mo month-to-month · $125/mo only on a 12-month prepay ($1,500 in one charge) 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 file on a provider reads the same either way. Read full breakdowns: Rivas Medical Weight Loss · Trimi.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

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.