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10rx vs Rivas Medical Weight Loss

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
10rx logo

10rx

7.1
★★★3.6/5

Best for: budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons

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VS
Rivas Medical Weight Loss logo

Rivas Medical Weight Loss

6.7
★★★☆☆3.4/5

Best for: MD/VA/FL patients wanting hands-on weekly in-person or telehealth GLP-1 visits

Visit Rivas Medical Weight Loss

10rx and Rivas Medical Weight Loss are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, 10rx starts lower at $99.67/mo versus $498/mo, and 10rx edges ahead overall (7.1 vs 6.7 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

10rx

Injectablecompounded injection
$99.67/mo
semaglutide

Compounded; GLP-1 options as low as under $100/mo

Injectablecompounded injection
$149.67/mo
tirzepatide

Compounded GLP-1 + GIP

Rivas Medical Weight Loss

Any doseCompounded
$498/mo
semaglutide

billed $115/week for any dose; all-inclusive (visit + medication); ~$498/mo equivalent

Any doseCompounded
$715/mo
tirzepatide

billed $165/week for any dose; all-inclusive (visit + medication); ~$715/mo equivalent

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What’s included

10rx

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Rivas Medical Weight Loss

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Not disclosed

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

10rx

7.1/10

Overall

Rivas Medical Weight Loss

6.7/10

Value25%

8.5A
vs
B
5.5

Effectiveness25%

7.0A
vs
B
7.5

User Experience15%

7.0A
vs
B
7.0

Trust & Safety15%

5.3A
vs
B
7.0

Accessibility10%

7.5A
vs
B
6.0

Support10%

6.4A
vs
B
7.5

Features & Coverage

Feature10rxRivas Medical Weight Loss
Starting Price$99.67/mo$498/mo
Features8 features6 features
States AvailableNot disclosed3
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About 10rx

10rx is a nationwide GLP-1 telehealth program offering compounded weight-loss medication at low flat monthly rates: semaglutide at $99.67/month and tirzepatide at $149.67/month, with NAD+ and sermorelin also offered for energy and recovery. You take a free online health quiz, a board-certified telehealth doctor reviews your history and prescribes if appropriate, and licensed pharmacy partners ship discreetly. 10rx says it ships to all 50 states, but it doesn't publish its operating company, name its pharmacies, or post a terms page.

Read our full 10rx review →

About 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. It offers compounded semaglutide at $115/week and compounded tirzepatide at $165/week, flat for any dose, with each all-inclusive weekly price covering the medication plus a provider visit. The concierge weekly-visit model runs higher than mail-order competitors.

Read our full Rivas Medical Weight Loss review →

Pros & Cons

10rx

What we like

  • Very low pricing — compounded semaglutide $99.67/month and tirzepatide $149.67/month
  • Free online health quiz with board-certified telehealth doctors reviewing eligibility
  • Offers NAD+ and sermorelin alongside GLP-1, for energy and muscle recovery
  • Says it ships to all 50 states with discreet delivery from licensed pharmacy partners

Watch-outs

  • Doesn't publish its legal operating entity, so accountability is hard to verify
  • Pharmacy partners are described as licensed but none are named
  • No terms-of-service page is posted, and FAQ answers load only via script
  • Compounded semaglutide and tirzepatide only — no brand-name or oral options
  • No LegitScript or third-party accreditation is shown on the site

Rivas Medical Weight Loss

What we like

  • Physician-founded (Paul Rivas MD) with 15 clinics plus telehealth
  • Flat price for any dose; weekly provider visits included in every payment
  • Offers both compounded semaglutide and tirzepatide

Watch-outs

  • Expensive: about $498/mo for semaglutide and $715/mo for tirzepatide (billed weekly)
  • Only available in Maryland, Virginia, and Florida
  • Weekly-visit concierge model requires more frequent engagement than mail-order

Our Verdict

Winner: 10rx

10rx edges out Rivas Medical Weight Loss with a higher overall score of 7.1/10 and is particularly strong for budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons. Rivas Medical Weight Loss remains a solid alternative, especially if you're looking for MD/VA/FL patients wanting hands-on weekly in-person or telehealth GLP-1 visits.

Choose 10rx if…

You want budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons and a starting price around $99.67/mo.

Choose Rivas Medical Weight Loss if…

You want MD/VA/FL patients wanting hands-on weekly in-person or telehealth GLP-1 visits and a starting price around $498/mo.

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Direct Meds

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7.6

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8.0

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10rx vs Rivas Medical Weight Loss: FAQ

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