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altRX vs GoodRx

altRX and GoodRx both sell tirzepatide; this is how their prices, coverage and records differ.

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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
GoodRx logo

GoodRx

6.9
★★★★☆3.5/5

Best for: oral orforglipron alongside the injectables

Visit GoodRx →

If you are choosing between altRX and GoodRx, price alone will not settle it. Both prescribe tirzepatide, so moving from one to the other would not change your drug. GoodRx leads our six-part score, 6.9 to 6.7. One of the two has an FDA warning letter on record, covered below.

altRX vs GoodRx price

altRX and GoodRx 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: Tirzepatide is cheaper at altRX ($249 a month vs $299 a month).

Medications and formats

Both sell tirzepatide; only altRX lists semaglutide; only GoodRx lists orforglipron.

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

Where each one treats patients

altRX does not publish where it ships, and GoodRx lists 50 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

GoodRx

Foundayo (lowest dose, self-pay)Brand-name
$149/mo
orforglipron
Zepbound KwikPen (self-pay)Brand-name
$299/mo
tirzepatide

What each price covers

altRX's price also covers the clinician visit, the medication itself and shipping, which GoodRx does not claim.

altRX is silent on lab work and coaching.

GoodRx does not say what its price includes.

That matters most for the drug: unless GoodRx confirms otherwise, budget for medication on top of its listed price.

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

GoodRx

Inclusions not disclosed.

Where each one scores higher

Overall, GoodRx scores 6.9 and altRX 6.7 out of 10.

altRX is stronger on user experience (8.0 vs 5.0) and support (7.0 vs 5.0).

GoodRx is stronger on trust & safety (6.0 vs 3.5) and accessibility (10.0 vs 5.0).

Value and effectiveness are within half a point.

How we score

altRX

6.7/10

Overall

GoodRx

6.9/10

Value25%

5.0A
vs
B
5.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
5.0

Trust & Safety15%

3.5A
vs
B
6.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

7.0A
vs
B
5.0

FDA warning letters

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

GoodRx has no FDA warning letter on record with us.

Features & Coverage

FeaturealtRXGoodRx
Starting Price$149/mo$149/mo
Features✓8 features6 features
States AvailableNot disclosed50
Compounded✓ Yes—
Brand Name✓ Yes✓ 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 GoodRx

GoodRx (NASDAQ: GDRX) is the largest US prescription savings platform. It publishes self-pay discount pricing on brand-name GLP-1 medications, with Foundayo (orforglipron) starting at $149/month and the Zepbound KwikPen (tirzepatide) starting at $299/month, redeemable at 70,000+ pharmacies nationwide. It also operates GoodRx Care, a telehealth arm that prescribes GLP-1s with online visits starting at $39.

Read our full GoodRx 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

GoodRx

What we like

  • Orforglipron costs $149 a month, close to the $149 median for brand-name orforglipron across the sellers we compare
  • Tirzepatide costs $299 a month, 76% below the $1249 median for brand-name tirzepatide across the sellers we compare
  • Serves all 50 states
  • We found no FDA warning letters issued to GoodRx

Watch-outs

  • Ask which pharmacy fills the prescription before you pay, so you can check its license

Our Verdict

Winner: GoodRx

GoodRx wins this one, 6.9 to 6.7, above all for oral orforglipron alongside the injectables. 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 GoodRx if…

You want oral orforglipron alongside the injectables and an opening price near $149 a month.

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9.2

He & She MD

Starting below a standard dose, with microdose tiers

5.9

Wellorithm

Compounded semaglutide at $247/month

6.6

Willow

Seeing what it charges before you answer any medical questions

altRX vs GoodRx: FAQ

Neither on the entry price: altRX and GoodRx both start at about $149 a month. The difference is in what the price includes.
Yes, both sell tirzepatide. altRX adds semaglutide. GoodRx adds orforglipron.
altRX does not publish where it ships; GoodRx lists 50 states. Confirm your state before paying.
Only altRX includes the clinician visit, the medication itself and shipping.
altRX has an open FDA warning letter from June 8, 2026. GoodRx has none.
No. Neither altRX nor GoodRx 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.