Head-to-head · Value Score
Precision Telemed vs Rivas Medical Weight Loss
Two GLP-1 deals, scored on the same six factors. Precision Telemed lands a Value Score of 89, Rivas Medical Weight Loss a 55. Here's who gives you the honest lower price — and where each one bites back.
Precision Telemed
#10 · Grade A · Great Deal
Est. first month
$149/mo
Save ~89% 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
Precision Telemed takes it on Value Score, 89 to 55 — an est. $149/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 | Precision Telemed | Rivas Medical Weight Loss |
|---|---|---|
| Value Score | 89 (A) | 55 (C) |
| Est. first month | $149/mo | From $498/mo (all doses, medication billed separately, compounded) |
| Save vs brand-name | ~89% | ~63% |
| Semaglutide | $149/mo | From $498/mo (all doses, medication billed separately, compounded) |
| Tirzepatide | $199/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.
Precision Telemed
A LegitScript-certified, all-50-state program with an honest $149 / $199 flat price on both molecules.
Why it's a deal
- LegitScript-certified and available in all 50 states
- Flat $149 semaglutide / $199 tirzepatide — no step-up
- Both molecules priced up front
The fine print
- Not the rock-bottom sticker — sub-$100 sema tiers exist
- No brand-name or oral option
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 Precision Telemed is ranked on the Precision Telemed 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.