Head-to-head · Value Score
Ondra Health vs Rivas Medical Weight Loss
Two GLP-1 deals, scored on the same six factors. Ondra Health lands a Value Score of 92, Rivas Medical Weight Loss a 55. Here's who gives you the honest lower price — and where each one bites back.
Ondra Health
#2 · Grade A+ · Best Value
Est. first month
$93/mo
Save ~93% vs brand-nameRivas Medical Weight Loss
#379 · Grade C · Watch List
Est. first month
From $498/mo (all doses, medication billed separately, compounded)
Save ~63% vs brand-nameThe verdict
Ondra Health takes it on Value Score, 92 to 55 — an est. $93/mo first month, with no teaser step-up baked in. Rivas Medical Weight Loss isn't out of it: Shoppers who want mD/VA/FL patients wanting hands-on weekly in-person or telehealth GLP-1 visits.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | Ondra Health | Rivas Medical Weight Loss |
|---|---|---|
| Value Score | 92 (A+) | 55 (C) |
| Est. first month | $93/mo | From $498/mo (all doses, medication billed separately, compounded) |
| Save vs brand-name | ~93% | ~63% |
| Semaglutide | $93/mo | From $498/mo (all doses, medication billed separately, compounded) |
| Tirzepatide | $166/mo | From $715/mo (all doses, medication billed separately, compounded) |
| Both molecules | Yes | Yes |
| Pricing | Flat — no step-up | Flat — no step-up |
| Coverage | All 50 states | 3 states |
Factor by factor
The six factors behind each Value Score. The orange bar marks the stronger side. See the methodology.
Ondra Health
The cheapest flat semaglutide sticker we track ($93) — LegitScript-certified, all 50 states, and it still offers brand-name access.
Why it's a deal
- Lowest disclosed flat semaglutide price in the roster ($93/mo) — no teaser step-up
- LegitScript-certified and available in all 50 states
- Offers FDA-approved brand-name access alongside compounded
- Tirzepatide is competitive too at $166/mo
The fine print
- Newer name with a shorter public track record than the established flat-fee brands
- No oral/sublingual route for the needle-averse
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.
Why it's a deal
- 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
The fine print
- 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
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Value Score.
Neither one the right fit? Every program that outscores Ondra Health is ranked on the Ondra Health alternatives board, and the same list for the other side is on alternatives to Rivas Medical Weight Loss.
More head-to-heads
Prices, states and verification reflect each program's public disclosures at last check; the Value Score is our editorial judgment per the methodology. “Save vs brand-name” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.