Emerge Care
ED and sexual health

RIVO Health

Checked October 15, 2026 5 sources rivohealth.co ↗

RIVO Health is a telehealth company selling a 4-in-1 under-the-tongue ED product and daily ED tablets, alongside GLP-1 weight-loss programs.

What it is

Its VAST product is an as-needed sublingual combining apomorphine, vardenafil, sildenafil and tadalafil; daily tablets pair tadalafil or vardenafil with vitamins D3 and K2.

Medication is filled by a licensed 503A (compounding) pharmacy; the site says RIVO does not itself manufacture compounded medications.

Also sells compounded semaglutide and tirzepatide programs; several longevity, skin, hair and sleep products are listed as coming soon.

Prescribes: Compounded multi-ingredient sublingual ED product, daily tadalafil or vardenafil tablets, compounded GLP-1s.

What it costs

VAST 4-in-1 sublingual EDfrom $114/mo1

Insurance: Says no insurance needed; offers an insurance concierge and accepts FSA/HSA.

Prices change often. Check rivohealth.co before you sign up.

By the numbers

  • Trustpilot: 4.1/5 from 5 reviews (100% five-star, 0% one-star), checked 2026-10-15. Small sample.3

Pros and cons

Pros

  • Publishes a starting monthly price for its ED product.1

Cons

  • Main ED product is a multi-ingredient formulation from a compounding pharmacy, not an FDA-approved drug.1
  • Does not publish which states it serves.1

What users say

Common themes in public posts on Reddit, Trustpilot, the Better Business Bureau and app stores, summarised and linked. Individual experiences vary.

  • People ask about its VAST product in r/erectiledysfunction, but first-hand reports are scarce.45
  • Trustpilot reviewers: simple, straightforward online setup.3
  • Trustpilot reviewers: convenient, discreet care and fast delivery.3
  • Trustpilot reviewers: cheaper than in-clinic visits; refill reminders.3

Sources

  1. 1RIVO Health homepagerivohealth.co ↗
  2. 2Trustpilot: rivohealth.cotrustpilot.com ↗
  3. 3Trustpilot: rivohealth.cotrustpilot.com ↗
  4. 4Reddit r/erectiledysfunction threadreddit.com ↗
  5. 5Reddit r/erectiledysfunction threadreddit.com ↗

Emerge Care is not affiliated with RIVO Health and earns nothing if you use it. RIVO Health and its logo are trademarks of their owner, used only to identify it. This page lists public facts with sources and is not medical advice or a recommendation. Spotted something wrong or out of date? Email hello@getemergeapp.com and we will fix it.

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