New patients: $100 off your first month · cancel anytime
New-patient offer · Save $100
Compounded Tirzepatide + B12
$100 off your first month
A once-weekly GLP-1/GIP injection, prescribed online by licensed U.S. clinicians. $0 until you're approved, cancel anytime, and no membership fees — ever.
- $0 to start — you only pay if a clinician prescribes
- Cancel anytime — no lock-in, no long commitment
- No membership fees — all-in pricing (Hims & Ro charge up to $149/mo)
Secure & HIPAA-compliant · 2-minute start
Prescribed only if medically appropriate after provider review.
*Average tirzepatide weight loss, SURMOUNT-1 trial; individual results vary. First month $199, then $299/mo — cancel anytime. Compounded medications are not FDA-approved.
Once-weekly · GLP-1/GIP
B12 in every dose
−16%
avg. loss in trials*
First month
$199One dose. Two pathways.
Compounded Tirzepatide + B12 mimics two of your body's natural incretin hormones — GIP and GLP-1. Together, they quiet appetite signals in the brain and slow gastric emptying, so you feel satisfied sooner and stay satisfied longer.
Works on both GIP and GLP-1 hunger signals, not just one.
Fewer spikes and crashes across the day.
Included in every dose to support energy while your body adjusts.
One small self-injection per week.
Your dose is titrated gradually over several months by your provider, balancing results with comfort as your body adapts.
Backed by clinical data
The medicine that works.
Average weight loss in the pivotal trials of these molecules, over 24 weeks:
Compare RIVA vs. the rest
More support, more flexibility, more results for your money.
| What you get |  |
Ro | Hims |
|---|---|---|---|
| Monthly membership fee | None | $149/mo | $149/mo |
| 1-on-1 clinician visits | Yes | No | No |
| Video provider visits | Yes | Yes | No |
| Unlimited care messaging | Yes | No | No |
| Free cold-chain shipping | Yes | No | No |
| First-month discount | Yes New patients | No | No |
Comparison based on publicly available information as of July 2026; details may change. RIVA is not affiliated with or endorsed by these brands.
Prescribed only if medically appropriate after provider review.
FAQ
Get the answers you need
Still have questions? Our care team answers seven days a week at care@rivahealth.co.
Who qualifies for weight-loss medication?
You must be 18 or older. Most members qualify with a BMI of 27 or higher alongside a weight-related condition, or a BMI of 30 or higher. A licensed provider makes the final determination after reviewing your online health evaluation — medication is prescribed only if it’s medically appropriate for you.
What is Compounded Tirzepatide + B12?
It’s a once-weekly injection that pairs tirzepatide — a dual GIP/GLP-1 receptor agonist that helps regulate appetite — with vitamin B12. Each order is prepared for you by a U.S.-licensed compounding pharmacy according to your provider’s prescription.
Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for individual patients when prescribed by a licensed clinician.
How does the first-month offer work?
New patients get a discount on their first month — $199 for Compounded Tirzepatide + B12 (then $299/mo) or $129 for Compounded Semaglutide + B12 (then $199/mo). You continue month-to-month at the regular price and can cancel anytime. You’re only charged if a licensed provider prescribes.
Do I need insurance?
No. RIVA uses transparent cash pricing — no insurance, no prior authorizations, no surprise bills. HSA/FSA funds may apply; check with your plan administrator.
How do I take it?
It’s a once-weekly self-injection with a very small needle. Your shipment arrives with full step-by-step instructions, and your care team is there whenever you want a walkthrough. Your provider titrates your dose gradually over time.
Can I cancel?
Yes — you can cancel anytime from your account. If your medication hasn’t shipped yet, our refund policy applies to that order.
Start today
Your first month, $100 off.
Compounded Tirzepatide + B12 — $199 your first month, then $299/mo. You’re only charged if you’re prescribed, you can cancel anytime, and there are no membership fees. See if you qualify in about two minutes.
- Secure checkout
- HIPAA compliant
- No hidden fees
Prescribed only if medically appropriate after provider review.
