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altRX vs Brello Health

altRX costs $8.72 less a month, and both sell semaglutide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
altRX logo

altRX

6.7
★★★☆☆3.4/5

Best for: semaglutide from $1149/month

Visit altRX →
VS
Brello Health logo

Brello Health

7.4
★★★★☆3.7/5

Best for: seeing what it charges before you answer any medical questions

Visit Brello Health →

If you are choosing between altRX and Brello Health, the first difference is cost: altRX is $8.72 a month cheaper at the entry price. Both prescribe semaglutide, so moving from one to the other would not change your drug. Brello Health leads our six-part score, 7.4 to 6.7. One of the two has an FDA warning letter on record, covered below.

altRX vs Brello Health price

altRX is the cheaper way in: $149 a month against $157.72 a month at Brello Health. That is $8.72 less each month (6% lower), or about $104.64 over a year of treatment.

Drug by drug: Semaglutide is cheaper at altRX ($149 a month vs $157.72 a month).

Medications and formats

Both sell semaglutide; only altRX lists tirzepatide.

On format, altRX prices compounded injections and brand-name pens, while Brello Health prices compounded injections.

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

altRX does not publish where it ships, and Brello Health lists 35 states.

Pricing

altRX

Compounded GLP-1 (semaglutide) starting tierCompounded
$149/mo
semaglutide
Compounded GLP-1/GIP (tirzepatide) starting tierCompounded
$249/mo
tirzepatide
Brand-name Ozempic®Brand-name
$1149/mo
semaglutide
Brand-name Mounjaro®Brand-name
$1249/mo
tirzepatide
Brand-name Zepbound®Brand-name
$1249/mo
tirzepatide
Brand-name Wegovy®Brand-name
$1579/mo
semaglutide

Brello Health

Compounded semaglutide, billed $399 every 11 weeksCompounded
$157.72/mo
semaglutide

What each price covers

Both prices cover the clinician visit and the medication itself.

altRX's price also covers shipping, which Brello Health does not claim.

altRX is silent on lab work and coaching.

Brello Health is silent on shipping, lab work and coaching.

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

Brello Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Brello Health scores 7.4 and altRX 6.7 out of 10.

altRX is stronger on effectiveness (10.0 vs 8.5) and support (7.0 vs 5.5).

Brello Health is stronger on value (6.1 vs 5.0), trust & safety (8.5 vs 3.5) and accessibility (7.6 vs 5.0).

User experience is within half a point.

How we score

altRX

6.7/10

Overall

Brello Health

7.4/10

Value25%

5.0A
vs
B
6.1

Effectiveness25%

10.0A
vs
B
8.5

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

3.5A
vs
B
8.5

Accessibility10%

5.0A
vs
B
7.6

Support10%

7.0A
vs
B
5.5

FDA warning letters

The FDA sent altRX a warning letter dated June 8, 2026 (letter 728236), and it is still open.

Brello Health has no FDA warning letter on record with us.

Features & Coverage

FeaturealtRXBrello Health
Starting Price✓$149/mo$157.72/mo
Features✓8 features2 features
States AvailableNot disclosed35
Compounded✓ Yes✓ Yes
Brand Name✓ Yes—
FSA/HSA Accepted——
FDA Warning Letters1 letter✓None

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 →

About Brello Health

Brello Health is a telehealth wellness platform selling GLP-1 weight management.

Read our full Brello Health review →

Pros & Cons

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

Watch-outs

  • Semaglutide costs $1149 a month, 16% above the $990 median for brand-name semaglutide across the sellers we compare
  • 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 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

Brello Health

What we like

  • Semaglutide costs $157.72 a month, 14% below the $184 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 and clinician visits
  • We found no FDA warning letters issued to Brello Health

Watch-outs

  • Serves only 35 states, so check that yours is one of them
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Brello Health

Brello Health wins this one, 7.4 to 6.7, above all for seeing what it charges before you answer any medical questions. altRX undercuts it by $8.72 a month, so if the monthly bill is what decides it, altRX is the pick. altRX fits better if semaglutide from $1149/month is your priority.

Choose altRX if…

You want semaglutide from $1149/month and an opening price near $149 a month.

Choose Brello Health if…

You want seeing what it charges before you answer any medical questions and an opening price near $157.72 a month.

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8.4

Collective

Flat any-dose pricing, if you can absorb a $199 annual membership on top

8.6

Found

Tirzepatide at $169/month, 37% below the typical price

7.6

Breeze Meds

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

altRX vs Brello Health: FAQ

altRX. It starts at $149 a month; Brello Health starts at $157.72 a month, $8.72 more per month.
Yes, both sell semaglutide. altRX adds tirzepatide.
altRX does not publish where it ships; Brello Health lists 35 states. Confirm your state before paying.
Both include the clinician visit and the medication itself. Only altRX includes shipping.
altRX has an open FDA warning letter from June 8, 2026. Brello Health has none.
No. Neither altRX nor Brello Health pays us anything.

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.