Rivas Medical Weight Loss runs 15 clinics across Maryland and Virginia plus telehealth in MD, VA and Florida, charging $115 a week all-inclusive for semaglutide at any dose.
Overview
Rivas has been doing medical weight loss for over 30 years, which predates the GLP-1 era entirely. That shows in the model: weekly in-person visits with vitals and a weigh-in, medications dispensed and injected on site, and a $195 initial visit that Rivas describes as buying lifetime membership provided you return at least once a year.
The in-office pricing is genuinely transparent and genuinely flat. Semaglutide is $115 a week at any dose, all-inclusive of medication and the provider visit, dropping to $109.25 a week on a one-month package and $103.50 on a three-month package. Tirzepatide is $165 a week, $156.75 on one month and $148.50 on three. There are no contracts and no hidden fees.
It also runs a brand-name path. For Wegovy and Zepbound, Rivas charges $100 for a monthly follow-up visit including the prescription, with the medication bought separately at your pharmacy where insurance may cover it. The telehealth arm covers MD, VA and Florida at $195 for an initial video visit including the first month of medication, then $399 a month for compounded semaglutide or $599 for tirzepatide.
Rivas Medical Weight Loss at a Glance
| Detail | What Rivas Medical Weight Loss Publishes |
|---|---|
| Type of company | In-person medical weight loss clinic chain with telehealth |
| Experience | Over 30 years in medical weight loss |
| Locations | 15 clinics across Maryland and Virginia |
| Telehealth states | Maryland, Virginia and Florida |
| Initial visit | $195, described as lifetime membership |
| Semaglutide, in office | $115 a week, any dose, all-inclusive |
| Tirzepatide, in office | $165 a week, any dose, all-inclusive |
| Wegovy and Zepbound | $100 monthly follow-up visit, medication bought separately |
| Telehealth compounded | $399/mo semaglutide, $599/mo tirzepatide |
| Dispensing | Medications dispensed and injected on site in office |
| Payments | HSA and FSA accepted; Cherry and CareCredit financing |
Medications Offered
- Compounded semaglutide, injected on site at weekly visits
- Compounded tirzepatide, injected on site at weekly visits
- Brand-name Wegovy, prescribed and filled at your own pharmacy
- Brand-name Zepbound, prescribed and filled at your own pharmacy
- Phentermine as a non-GLP-1 option
- GLP-1 microdosing offered as a distinct programme
- B12 injections
Brand-Name or Compounded?
Both. Rivas offers compounded semaglutide and tirzepatide dispensed in clinic, and separately prescribes brand-name Wegovy and Zepbound for patients who want an FDA-approved product or have insurance coverage. Having both under one roof means you can switch routes without changing practice, which matters if your coverage changes.
Consultation Process
Book your $195 initial visit
A comprehensive in-person evaluation covering health history, body composition and goals, with same-day treatment start if appropriate.
Choose your programme
Your provider recommends compounded, brand-name or phentermine based on your history and eligibility.
Weekly visits with your provider
Each visit includes vitals, a weigh-in, dose adjustment as needed and your injection on site.
Stay a member
Rivas states your initial visit makes you a member for life provided you visit at least once a year.
Eligibility
- You need to reach one of 15 clinics in Maryland or Virginia for the in-office programme
- Telehealth is available in Maryland, Virginia and Florida
- A $195 initial evaluation is required before treatment
- Clinical eligibility determined by a Rivas provider at that evaluation
- Both compounded and brand-name paths are available depending on clinical fit
- Specific BMI thresholds are not published
Provider Involvement and Lab Requirements
Provider Involvement
Substantially higher than any telehealth provider in this category. In-office patients see a provider weekly, with vitals, a weigh-in and dose review at every visit. Rivas states its initial visit is a comprehensive medical evaluation rather than a sales appointment, including body composition and metabolic analysis, nutritional guidance and a written treatment plan.
Lab Requirements
Not published as a fixed requirement. The initial visit includes body composition measurements and metabolic analysis, and weekly visits include vitals and a weigh-in, so monitoring is continuous even if formal bloodwork is not specified. Ask what your provider wants at the initial evaluation.
Pharmacy Fulfillment and Shipping
Pharmacy Fulfillment
For the in-office programme, this question mostly falls away: medication is dispensed and injected on site rather than shipped, which eliminates the storage and cold-chain risk entirely. Rivas does not name the compounding pharmacy behind its preparations. Brand-name Wegovy and Zepbound prescriptions are filled at your own pharmacy.
Shipping Frequency
Not applicable for the in-office programme, where injections are given at the clinic. The telehealth programme ships compounded medication to your door with free shipping included in the monthly price.
Support Services
- Weekly provider visits with vitals, weigh-in and dose adjustment
- On-call support between visits for telehealth patients
- Nutritional guidance as part of the initial evaluation
- Easy online booking and digital intake forms
- Cherry and CareCredit financing for in-office packages
- A wider aesthetics and body-composition range alongside weight loss
Pricing
Rivas publishes every programme price openly, and the in-office rates are flat at any dose. Note that packages ship as weeks of treatment rather than vials, so the per-week figure is the number to compare.
| Plan or Medication | Published Price | What It Covers |
|---|---|---|
| Initial in-office visit | $195 one-time | Lifetime membership, evaluation, plan and same-day start |
| Semaglutide, weekly visit | $115 a week | Medication and provider visit, any dose, pay as you go |
| Semaglutide, 1-month package | $437 per 4 weeks ($109.25/wk) | 5% off, weekly visits included |
| Semaglutide, 3-month package | $1,242 per 12 weeks ($103.50/wk) | 10% off, best in-office rate |
| Tirzepatide, weekly visit | $165 a week | Medication and provider visit, any dose |
| Tirzepatide, 1-month package | $627 per 4 weeks ($156.75/wk) | 5% off |
| Tirzepatide, 3-month package | $1,782 per 12 weeks ($148.50/wk) | 10% off |
| Wegovy or Zepbound follow-up | $100 a month | Visit and prescription only; medication bought at your pharmacy |
| Initial telehealth visit | $195 | Video consultation including your first month of medication |
| Telehealth compounded semaglutide | $399 a month | Medication, monthly video visit and free shipping |
| Telehealth compounded tirzepatide | $599 a month | Medication, monthly video visit and free shipping |
Pricing reflects what Rivas Medical Weight Loss published at the time of review and can change without notice. Confirm current pricing directly with the provider before enrolling.
Membership Fees
A single $195 initial visit that Rivas describes as lifetime membership, provided you return at least once a year to keep it active. There is no recurring membership charge on top of the programme price, and Rivas states there are no contracts.
Medication Fees
Included in the weekly or monthly programme price for the compounded routes, at any dose. For brand-name Wegovy and Zepbound the $100 visit fee covers the consultation and prescription only; the medication is purchased separately at your pharmacy, where insurance may cover it.
Cancellation and Refund Policy
Cancellation
No contracts and cancel anytime, per Rivas. Because the pay-as-you-go option is billed per weekly visit, you can also simply stop attending without cancelling anything. Packages are prepaid, so ask about unused weeks before buying one.
Refunds
No refund policy is published for prepaid one-month or three-month packages. Given that packages cost $437 to $1,782, get the refund position in writing before choosing one over pay-as-you-go.
Insurance, HSA and FSA
Insurance
Not accepted for the in-office compounded programme, which is self-pay. Rivas notes that insurance may cover brand-name Wegovy and Zepbound medication, which is bought separately at your own pharmacy after the $100 visit.
HSA / FSA
Accepted for all options, per Rivas. It also offers Cherry and CareCredit financing, though Cherry is limited to in-office packages. That combination makes the larger three-month packages more manageable than the headline figure suggests.
For a fuller explanation of how these accounts work with GLP-1 care, see our GLP-1 insurance, HSA and FSA guide.
Who Rivas Medical Weight Loss May Be Best For
- You live in Maryland or Virginia and want in-person care
- You want weekly accountability rather than a monthly check-in
- You would rather not store injectable medication at home
- You want one flat price that does not rise as you titrate
- You want both compounded and brand-name options from one practice
- You want to pay with HSA or FSA funds, or finance a package
- Three states only, with in-person limited to Maryland and Virginia
- A $195 initial visit before any treatment
- Weekly visits are a real time commitment
- Telehealth compounded pricing is far above the online market rate
- The compounding pharmacy is not named
- No published refund policy for prepaid packages
Alternatives to Consider
Medi-Weightloss
The closest national equivalent, with in-person physician-supervised care across 140+ locations.
Medical Weight Loss Clinic
A comparable in-person model in Michigan, running since 1986.
knownwell
In-person and virtual obesity medicine that bills insurance rather than charging cash.
Cora Health
If the telehealth route appeals, far cheaper compounded pricing with pharmacies named.
You can also compare the whole field in our GLP-1 provider comparison and best online GLP-1 providers roundups.
Frequently Asked Questions
How much does Rivas Medical Weight Loss cost?
In office, semaglutide is $115 a week and tirzepatide $165 a week, both all-inclusive of medication and the provider visit at any dose, with 5 and 10 percent discounts on one and three-month packages. A $195 initial visit is required. Telehealth compounded programmes are $399 and $599 a month.
Where does Rivas operate?
Fifteen clinics across Maryland and Virginia for in-person care, plus telehealth in Maryland, Virginia and Florida.
Does the price go up as my dose increases?
No. Rivas publishes its weekly in-office rates as all-inclusive for any dose, covering both the medication and the provider visit.
Does Rivas offer brand-name Wegovy or Zepbound?
Yes. Rivas charges $100 for a monthly follow-up visit including the prescription, with the medication purchased separately at your own pharmacy, where insurance may cover it.
What does the $195 initial visit include?
A full medical review, body composition and metabolic analysis, a one-to-one provider consultation, nutritional guidance, a written treatment plan and same-day treatment start if appropriate. Rivas describes it as buying lifetime membership if you visit at least once a year.
Do I have to inject myself?
Not on the in-office programme. Rivas states injections are given on site at your weekly visit, which also removes any need to store medication at home.
Does Rivas accept HSA or FSA?
Yes, for all options. Cherry and CareCredit financing are also available, with Cherry limited to in-office packages.
Medical Disclaimer
This review is for general information only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with real risks and contraindications. Only a licensed clinician who knows your history can decide whether any medication is appropriate for you. Never start, stop, or change a prescription based on this page. If you have a medical emergency, call 911.
Details on this page describe what Rivas Medical Weight Loss published at the time of review. Programs, pricing, pharmacy partners, and policies change; verify everything directly with the provider before enrolling. See our full medical disclaimer.
Date reviewed: August 30, 2026