altRX vs ElitePhysiqMD
ElitePhysiqMD costs $4 less a month, and both sell semaglutide and tirzepatide.
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ElitePhysiqMD
Best for: seeing what it charges before you answer any medical questions
Visit ElitePhysiqMD →If you are choosing between altRX and ElitePhysiqMD, the first difference is cost: ElitePhysiqMD is $4 a month cheaper at the entry price. 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 6.6. One of the two has an FDA warning letter on record, covered below.
altRX vs ElitePhysiqMD price
ElitePhysiqMD is the cheaper way in: $145 a month against $149 a month at altRX. That is $4 less each month (3% lower), or about $48 over a year of treatment.
Drug by drug: Semaglutide is cheaper at ElitePhysiqMD ($145 a month vs $149 a month); tirzepatide is cheaper at altRX ($249 a month vs $315 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, altRX prices compounded injections and brand-name pens, while ElitePhysiqMD 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 lists 50 states, and ElitePhysiqMD says it treats patients nationwide but does not list states.
Enter your state early in either sign-up flow: a nationwide claim is not a promise for every drug in every state.
Pricing
altRX
ElitePhysiqMD
Compounded semaglutide injection subscription. A $49 required telehealth visit is added per order.
Compounded tirzepatide injection subscription. A $49 required telehealth visit is added per order.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
altRX is silent on lab work and coaching.
ElitePhysiqMD is silent on 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
ElitePhysiqMD
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 ElitePhysiqMD 6.6 out of 10.
altRX is stronger on value (5.0 vs 3.0) and accessibility (10.0 vs 5.0).
ElitePhysiqMD is stronger on trust & safety (6.5 vs 6.0).
Effectiveness, user experience and support are within half a point.
altRX
7.6/10
ElitePhysiqMD
6.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent altRX a warning letter dated June 8, 2026 (letter 728236), and it is still open.
ElitePhysiqMD has no FDA warning letter on record with us.
Features & Coverage
| Feature | altRX | ElitePhysiqMD |
|---|---|---|
| Starting Price | $149/mo | ✓$145/mo |
| Features | 8 features | 8 features |
| States Available | 50 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | 1 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 ElitePhysiqMD
Compounded semaglutide is priced from $145/mo, tirzepatide from $315/mo on subscription, for patients in all 50 states. Shipping takes 5-7 business days out of US-licensed 503A/503B compounding pharmacies, and the online assessments are conducted by board-certified physicians. ED treatments, TRT and a peptide therapy menu (glutathione, GHK-Cu, CJC-1295/ipamorelin, sermorelin, NAD+) sit alongside. ElitePhysiqMD was founded in 2025 and is LegitScript certified, HIPAA-compliant and HSA/FSA eligible.
Read our full ElitePhysiqMD 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
- 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
ElitePhysiqMD
What we like
- 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
- We found no FDA warning letters issued to ElitePhysiqMD
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
- 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 6.6, above all for semaglutide from $1149/month. ElitePhysiqMD undercuts it by $4 a month, so if the monthly bill is what decides it, ElitePhysiqMD is the pick. ElitePhysiqMD fits better if seeing what it charges before you answer any medical questions is your priority.
Choose altRX if…
You want semaglutide from $1149/month and an opening price near $149 a month.
Choose ElitePhysiqMD if…
You want seeing what it charges before you answer any medical questions and an opening price near $145 a month.
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Get started →altRX vs ElitePhysiqMD: FAQ
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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.