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Rivo Health vs NewSelf

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
Rivo Health logo

Rivo Health

7.5
★★★3.8/5

Best for: injectable or oral compounded GLP-1 with coaching and insurance concierge

Visit Rivo Health
VS
NewSelf logo

NewSelf

8.3
★★★★4.2/5

Best for: lowest-cost compounded GLP-1 with pharmacy quality transparency

Visit NewSelf

Rivo Health and NewSelf 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, NewSelf starts lower at $100/mo versus $149/mo, and NewSelf edges ahead overall (8.3 vs 7.5 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

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

NewSelf

Semaglutide+ (best price)Compounded
$100/mo
semaglutide

All dosages same price

Semaglutide+ (regular)Compounded
$135/mo
semaglutide
Tirzepatide+ (best price)Compounded
$144/mo
tirzepatide

All dosages same price

Tirzepatide+ (regular)Compounded
$225/mo
tirzepatide

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What’s included

Rivo Health

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Included

NewSelf

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

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.

Rivo Health

7.5/10

Overall

NewSelf

8.3/10

Value25%

7.0A
vs
B
9.0

Effectiveness25%

8.0A
vs
B
8.0

User Experience15%

7.0A
vs
B
8.0

Trust & Safety15%

6.3A
vs
B
8.3

Accessibility10%

8.5A
vs
B
8.5

Support10%

8.9A
vs
B
7.9

Features & Coverage

FeatureRivo HealthNewSelf
Starting Price$149/mo$100/mo
Features8 features6 features
States Available5049
Compounded✓ Yes
Brand Name
FSA/HSA Accepted✓ Yes
FDA WarningsNone1 warning

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 →

About NewSelf

NewSelf offers compounded semaglutide+ (with B12/Glycine, from $99.97/mo) and compounded tirzepatide+ (with B6/Glycine, from $144.49/mo). LegitScript certified. Available in 48 states + Puerto Rico. Uses 503A licensed pharmacies with third-party testing.

Read our full NewSelf review →

Pros & Cons

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

NewSelf

What we like

  • Semaglutide+ from $99.97/mo — among the lowest prices in the dataset
  • All dosages at the same price — no price escalation as dose increases
  • LegitScript certified with 503A licensed pharmacies
  • Third-party potency, sterility, and endotoxicity testing
  • 48 states + Puerto Rico coverage
  • B12/B6 + Glycine enhanced formulations
  • No membership fees

Watch-outs

  • Not available in Mississippi and Louisiana
  • Compounded only — no brand-name options
  • Site also promotes AI health optimization and longevity (broader platform)

Our Verdict

Winner: NewSelf

NewSelf edges out Rivo Health with a higher overall score of 8.3/10 and is particularly strong for lowest-cost compounded GLP-1 with pharmacy quality transparency. Rivo Health remains a solid alternative, especially if you're looking for injectable or oral compounded GLP-1 with coaching and insurance concierge.

Choose Rivo Health if…

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

Choose NewSelf if…

You want lowest-cost compounded GLP-1 with pharmacy quality transparency and a starting price around $100/mo.

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7.6

Maximus

Men seeking compounded GLP-1 alongside testosterone optimization

8.0

Sesame Care

Brand-name GLP-1s at cash prices, no compounding

6.9

Try Ageless

Lowest-tier compounded GLP-1 in injection, troche and sublingual forms

Rivo Health vs NewSelf: FAQ

NewSelf is cheaper. Its lowest ongoing monthly cash price is $100/mo, compared with $149/mo for Rivo Health. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
NewSelf scores higher overall at 8.3/10 versus 7.5/10, and is particularly strong for lowest-cost compounded GLP-1 with pharmacy quality transparency. That said, Rivo Health is a better fit if you want injectable or oral compounded GLP-1 with coaching and insurance concierge.
Rivo Health covers more — 50 states versus 49.
Neither Rivo Health nor NewSelf is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.
For Semaglutide, NewSelf is cheaper at $100/mo versus $149/mo at Rivo Health.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Continue exploring Rivo Health and NewSelf head-to-heads in the same category.

Or see the full category ranking.

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