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10rx vs Rivo Health

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

Visit 10rx
VS
Rivo Health logo

Rivo Health

7.5
★★★3.8/5

Best for: people who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support

Visit Rivo Health

10rx and Rivo Health 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 $149/mo, and Rivo Health edges ahead overall (7.5 vs 7.1 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

Rivo Health

Injectablecompounded injection
$149/mo
semaglutide

Starting $149/mo (Spring sale, up to ~50% off retail); 3-mo and 6-mo plans save more

OralCompounded · oral
$149/mo
semaglutide

Oral semaglutide option, same starting price as the injection

Injectablecompounded injection
$199/mo
tirzepatide

Starting $199/mo (Spring sale); multi-month plans save more

OralCompounded · oral
$199/mo
tirzepatide

Oral tirzepatide option, same starting price as the injection

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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

Rivo Health

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Included

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

Rivo Health

7.5/10

Value25%

8.5A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
8.0

User Experience15%

7.0A
vs
B
7.0

Trust & Safety15%

5.3A
vs
B
6.3

Accessibility10%

7.5A
vs
B
8.5

Support10%

6.4A
vs
B
8.9

Features & Coverage

Feature10rxRivo Health
Starting Price$99.67/mo$149/mo
Features8 features8 features
States AvailableNot disclosed50
Compounded
Brand Name
FSA/HSA Accepted✓ Yes
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 Rivo Health

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 semaglutide and $199/mo for tirzepatide with deeper discounts on 3- and 6-month plans. Beyond the medication it bundles dietitians, live workouts, support groups and mental-health coaching, runs an insurance concierge to maximize coverage, and is FSA/HSA eligible. It also spans ED, longevity (NAD+, sermorelin), sleep, hair and skin, and uses partner compounding pharmacies it doesn't name.

Read our full Rivo Health 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

Rivo Health

What we like

  • Compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo (sema) and $199/mo (tirz)
  • Bundles dietitians, live workouts, support groups and mental-health coaching with the medication, not just a prescription
  • Insurance concierge to maximize coverage, FSA/HSA eligible, with multi-month plans that cut the price further
  • Large, established program (115,000+ members, Trustpilot 4.7) available nationwide

Watch-outs

  • Uses partner compounding pharmacies it doesn't name on the site
  • Headline prices are Spring-sale rates — everyday cost is higher and the deepest discounts need a 6-month commitment
  • Weight loss is one of several verticals (ED, longevity, sleep, hair, skin), not a single focus
  • Some bundled perks (e.g. meal prep) are paid add-ons rather than included

Our Verdict

Winner: Rivo Health

Rivo Health edges out 10rx with a higher overall score of 7.5/10 and is particularly strong for people who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support. 10rx remains a solid alternative, especially if you're looking for budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons.

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 Rivo Health if…

You want people who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support and a starting price around $149/mo.

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10rx vs Rivo Health: FAQ

Key terms, explained

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