Rivas Medical Weight Loss vs Elara Health and Wellness
An in-depth comparison of two leading GLP-1 Providers
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Rivas Medical Weight Loss
Best for: MD/VA/FL patients wanting hands-on weekly in-person or telehealth GLP-1 visits
Visit Rivas Medical Weight Loss →
Elara Health and Wellness
Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies
Visit Elara Health and Wellness →Rivas Medical Weight Loss and Elara Health and Wellness 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, Elara Health and Wellness starts lower at $117/mo versus $498/mo, and Elara Health and Wellness edges ahead overall (8.2 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
Rivas Medical Weight Loss
billed $115/week for any dose; all-inclusive (visit + medication); ~$498/mo equivalent
billed $165/week for any dose; all-inclusive (visit + medication); ~$715/mo equivalent
Elara Health and Wellness
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What’s included
Rivas Medical Weight Loss
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Not disclosed
Elara Health and Wellness
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Included
Coaching
Included
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Rivas Medical Weight Loss
6.7/10
Elara Health and Wellness
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Rivas Medical Weight Loss | Elara Health and Wellness |
|---|---|---|
| Starting Price | $498/mo | ✓$117/mo |
| Features | 6 features | 6 features |
| States Available | 3 | ✓51 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
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 →About Elara Health and Wellness
Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC. Its differentiator is a bundled care-team model — pricing includes medication, quarterly labs, physician visits, coaching, and 24/7 messaging, with four named 503A pharmacy partners disclosed. Semaglutide is $183/mo and tirzepatide $267/mo, with annual plans cutting cost further.
Read our full Elara Health and Wellness review →Pros & Cons
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
Elara Health and Wellness
What we like
- Corporate parent disclosed (JTE Medical, LLC) — rare transparency for a DTC GLP-1 platform
- Four named 503A pharmacy partners with city/state — among the most pharmacy-transparent providers we've reviewed
- Bundled care model: quarterly labs, physician visits, coaching, and 24/7 messaging without a membership fee
- Publishes the FDA compounded-medication disclaimer
- All 50 states plus DC, with explicit coverage language
- Substantial annual-plan savings ($792/yr semaglutide, $858/yr tirzepatide)
- Self-service cancellation on monthly and quarterly plans
Watch-outs
- LegitScript certification status not disclosed
- No named medical director or physician leadership
- Annual plan requires a 12-month commitment; early-cancellation terms not detailed
- Governing law / arbitration venue not disclosed
- 503A patient-specific compounding only — no 503B option
Our Verdict
Elara Health and Wellness edges out Rivas Medical Weight Loss with a higher overall score of 8.2/10 and is particularly strong for bundled-care GLP-1 with labs and coaching from four named pharmacies. 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 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.
Choose Elara Health and Wellness if…
You want bundled-care GLP-1 with labs and coaching from four named pharmacies and a starting price around $117/mo.
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Get started →Rivas Medical Weight Loss vs Elara Health and Wellness: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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