Head-to-head dispatch
Rivo Health vs Zera 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, starting around $149/mo for…
Marked down on: Uses partner compounding pharmacies it doesn't name on the site
Desk Score
Zera Health is a telehealth platform for compounded GLP-1 weight loss — semaglutide from $149/mo, tirzepatide from $199/mo, plus oral and low-dose microdose options — prescribed by licensed physicians in…
Marked down on: Operates as a technology platform, not the medical provider itself
Zera Health takes this head-to-head with the higher Desk Score, 82/100 (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.
Rivo Health
80/100
B−
Zera Health
82/100
B−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Rivo Health | Zera Health |
|---|---|---|
| Semaglutide | $149/mo (compounded) | $149/mo (compounded) |
| Tirzepatide | $199/mo (compounded) | $199/mo (compounded) |
| Coverage | All 50 states | All 50 states |
| 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. | Readers who want budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy. |
| Desk Score | 80/100B− | 82/100B− |
The verdict
Desk pick — Zera HealthZera Health takes this head-to-head with the higher Desk Score, 82/100 (B−) against 80/100 (B−) for Rivo Health. Rivo 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 (compounded) sema · $199/mo (compounded) tirz · All 50 states
Choose Zera Health if…
Readers who want budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy.
$149/mo (compounded) sema · $199/mo (compounded) 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: Rivo Health · Zera Health.
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.
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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.