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Amazon One Medical 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
Amazon One Medical logo

Amazon One Medical

8.5
★★★★4.3/5

Best for: the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings

Visit Amazon One Medical
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

Amazon One Medical 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, Amazon One Medical starts lower at $149/mo versus $498/mo, and Amazon One Medical edges ahead overall (8.5 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

Amazon One Medical

Foundayo (with insurance + Lilly Savings Card)Brand-name
$25/mo
orforglipron
Foundayo (cash pay)Brand-name
$149/mo
orforglipron

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

Amazon One Medical

What the monthly price covers

Medication

Billed separately

Provider visits

Included

Shipping

Included

Lab work

Billed separately

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.

Amazon One Medical

8.5/10

Overall

Rivas Medical Weight Loss

6.7/10

Value25%

8.5A
vs
B
5.5

Effectiveness25%

8.5A
vs
B
7.5

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

8.8A
vs
B
7.0

Accessibility10%

9.5A
vs
B
6.0

Support10%

8.0A
vs
B
7.5

Features & Coverage

FeatureAmazon One MedicalRivas Medical Weight Loss
Starting Price$149/mo$498/mo
Features6 features6 features
States Available503
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

About Amazon One Medical

Amazon One Medical is the unified Amazon GLP-1 channel — One Medical clinicians prescribe FDA-approved Wegovy, Zepbound, and Foundayo (no compounded products), and Amazon Pharmacy fulfills with same-day delivery across roughly 3,000 US cities plus pickup kiosks at select One Medical locations. No prior membership required; insurance and cash pay both accepted. Foundayo launched at $25/month with insurance and the Lilly Savings Card, or $149/month cash pay.

Read our full Amazon One Medical 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

Amazon One Medical

What we like

  • As low as $1/day ($25/month) for brand-name Foundayo with insurance and the auto-applied Lilly coupon
  • Same-day delivery in nearly 3,000 US cities at launch, expanding to 4,500 by end of 2026
  • In-office pharmacist kiosks at select One Medical clinics let you walk out with Foundayo in hand
  • Cash-pay $5/day ($149/month) is competitive for the same FDA-approved brand-name product
  • Real-time availability, transparent pricing, and automatic manufacturer coupon at checkout
  • Delivering GLP-1 medications since 2021 — track record on cold-chain logistics

Watch-outs

  • Headline $25/month needs both insurance and the Lilly Savings Card — uninsured pay $149/month
  • Same-day delivery is geographically gated; outside major cities it drops to next-day or slower
  • Pricing is set by manufacturer savings programs and can change at any time
  • No compounded options — brand-name only (Foundayo, Wegovy, Zepbound)
  • Wegovy/Zepbound pricing isn't shown upfront — depends on insurance at the prescribing visit
  • Copays and deductibles still apply to the clinical visit

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: Amazon One Medical

Amazon One Medical edges out Rivas Medical Weight Loss with a higher overall score of 8.5/10 and is particularly strong for the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings. 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 Amazon One Medical if…

You want the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings and a starting price around $149/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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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.