Head-to-head comparison
Rivo Health vs Somi 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
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
Desk Score
Somi Health is a telehealth weight-loss provider offering compounded GLP-1 medications - compounded semaglutide and tirzepatide injections plus an oral semaglutide tablet.
From $135/mo (lowest dose rung) sema · From $165/mo (lowest dose rung) tirz · Verified June 2026
Marked down on: Compounded only - no brand-name Wegovy, Zepbound, Ozempic or Mounjaro
Rivo Health takes this head-to-head with the higher Desk Score, 80/100 (B−) against 64/100 (C) for Somi Health. Somi 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.
Rivo Health
80/100
B−
Somi Health
64/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Rivo Health | Somi Health |
|---|---|---|
| Semaglutide | $149/mo$149/mo (compounded) | From $135/molowest dose rung$135/mo (starting dose, compounded) |
| Tirzepatide | $199/mo$199/mo (compounded) | From $165/molowest dose rung$165/mo (starting dose, compounded) |
| Coverage | All 50 states | Not listed on Somi Health's site (checked June 2026) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | People who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support. | Low-cost compounded semaglutide or tirzepatide, plus an oral no-needle option. |
| Desk Score | 80/100B− | 64/100C |
The verdict
Desk pick — Rivo HealthRivo Health takes this head-to-head with the higher Desk Score, 80/100 (B−) against 64/100 (C) for Somi Health. Somi Health still holds its ground where its strengths line up with yours.
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
Choose Somi Health if…
Low-cost compounded semaglutide or tirzepatide, plus an oral no-needle option.
From $135/mo (lowest dose rung) sema · From $165/mo (lowest dose rung) tirz
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: Rivo Health · Somi 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 Rivo Health
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- Somi 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.