24hrDOC vs altRX
24hrDOC and altRX both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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If you are choosing between 24hrDOC and altRX, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. altRX leads our six-part score, 7.6 to 7.1. Both have drawn an FDA warning letter.
24hrDOC vs altRX price
24hrDOC and altRX start at the same figure, $149 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $149 a month; tirzepatide is cheaper at 24hrDOC ($239 a month vs $249 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, 24hrDOC prices compounded injections, while altRX prices compounded injections and brand-name pens.
If you want the FDA-approved brand rather than a compounded version, altRX is the only one of the two with a brand-name price.
Where each one treats patients
24hrDOC does not publish where it ships, and altRX lists 50 states.
Pricing
24hrDOC
Tirzepatide $239/mo sale (regular $339/mo); semaglutide $149/mo
altRX
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
24hrDOC is silent on lab work and coaching.
altRX is silent on lab work and coaching.
24hrDOC
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
altRX
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, altRX scores 7.6 and 24hrDOC 7.1 out of 10.
24hrDOC is stronger on value (6.6 vs 5.0).
altRX is stronger on trust & safety (6.0 vs 3.5) and accessibility (10.0 vs 5.0).
Effectiveness, user experience and support are within half a point.
24hrDOC
7.1/10
altRX
7.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent 24hrDOC a warning letter dated February 20, 2026 (letter 717984), and it is still open.
The FDA sent altRX a warning letter dated June 8, 2026 (letter 728236), and it is still open.
Features & Coverage
| Feature | 24hrDOC | altRX |
|---|---|---|
| Starting Price | $149/mo | $149/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | 1 letter |
About 24hrDOC
Knock 100 dollars off a first order at 24hrDOC and the compounded GLP-1 semaglutide lands around 149 dollars per month, against a standing 249; doses step from 0.25 mg up to 2 mg. Oral semaglutide tablets and tirzepatide are also stocked, cash only, with insurance refused and operating 24/7. Speed is the whole pitch: roughly a 10-minute assessment, about 45 minutes to a prescription, messaging without limit, and discreet parcels out of licensed pharmacies. Which states it covers is not listed anywhere online.
Read our full 24hrDOC review →About altRX
Compounded plans open at $149 for semaglutide and $249 for tirzepatide. Branded medication runs $1,149-$1,579, a figure that already contains the consult and the shipping. Every one of the four FDA-approved brands is stocked, Mounjaro, Ozempic, Wegovy and Zepbound, which no other entry in our directory matches. altRX works in both modalities, holds LegitScript certification, and prints the FDA compounded-medication disclaimer.
Read our full altRX review →Pros & Cons
24hrDOC
What we like
- Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued 24hrDOC a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
altRX
What we like
- Tirzepatide costs $1249 a month, close to the $1249 median for brand-name tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- Names 4 pharmacies that fill its prescriptions, which most sellers do not
Watch-outs
- Semaglutide costs $1149 a month, 15% above the $997 median for brand-name semaglutide across the sellers we compare
- The FDA has issued altRX a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
altRX wins this one, 7.6 to 7.1, above all for semaglutide from $1149/month. 24hrDOC fits better if an oral route if you will not self-inject is your priority.
Choose 24hrDOC if…
You want an oral route if you will not self-inject and an opening price near $149 a month.
Choose altRX if…
You want semaglutide from $1149/month and an opening price near $149 a month.
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Oral orforglipron alongside the injectables
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Get started →24hrDOC vs altRX: FAQ
Close alternatives to 24hrDOC and altRX
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- 24hrDOC vs PlushCare
- 24hrDOC vs Gala
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- altRX vs Sprout Health
- altRX vs Aquivia Health
Or see the full category ranking.
Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.