Rivas Medical Weight Loss: first month and later months
Drug
Month one
Each month after
Compounded semaglutide
$399
$399
Compounded tirzepatide
$599
$599
Every plan, by drug and term
Compounded semaglutide
compounded semaglutide price ladder
Plan
Per month
Charged today
Telehealth compounded program, month to month (after the $195 first month)Source
SEMAGLUTIDE Most common starting option Compounded Program $399 / month Medication + provider visit includedRivas Medical Weight Loss' telehealth page · read September 2026
$399
$399
In-office 4-week package (4 weekly visits)Source
1-Month Package 5% OFF 4 weeks of treatment $437 / 4 weeks $109.25 per weekRivas Medical Weight Loss' pricing page · read September 2026
$437
$437
Flat across doses in both channels. The clinic tile reads “$115/week for any dose”, and the telehealth program is one monthly rate with “Dose adjustments as needed”. In the clinics you can also pay $115 per weekly visit with no package, or $1,242 for a 12-week package ($103.50 a week).
Compounded tirzepatide
compounded tirzepatide price ladder
Plan
Per month
Charged today
Telehealth compounded program, month to month (after the $195 first month)Source
TIRZEPATIDE Compounded Program $599 / month Medication + provider visit includedRivas Medical Weight Loss' telehealth page · read September 2026
$599
$599
In-office 4-week package (4 weekly visits)Source
1-Month Package 5% OFF 4 weeks of treatment $627 / 4 weeks $156.75 per weekRivas Medical Weight Loss' pricing page · read September 2026
$627
$627
One tirzepatide price at any dose: $599 a month by video, or in a clinic $165 per weekly visit, $627 for four weeks, or $1,782 for twelve weeks ($148.50 a week).
Fees on top of the medication
Membership. None. The medication price is the whole monthly charge.
Consultation. No separate consultation fee is disclosed.
Billing, canceling and refunds
The telehealth program starts at $195, covering the initial visit and the first month of compounded medication, then bills $399 or $599 a month.
In-office care is paid per weekly visit or as a 4- or 12-week package.
The site promises no contract and says you can cancel anytime.
No written refund policy is published.
Rivas Medical Weight Loss cost questions
What does the first month at Rivas Medical Weight Loss cost?$399 for compounded semaglutide, the same as every month after it.
Does Rivas Medical Weight Loss sell a cheaper prepaid plan?No. compounded semaglutide at $399 and compounded tirzepatide at $599 are sold month to month only, with no prepaid plan published.
Does the Rivas Medical Weight Loss price go up with the dose?Yes. A month of compounded semaglutide runs from $399 to $437 depending on the dose; the full ladder is above.