altRX vs LVNG RX
altRX and LVNG RX both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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If you are choosing between altRX and LVNG RX, 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 6.4. One of the two has an FDA warning letter on record, covered below.
altRX vs LVNG RX price
altRX and LVNG RX 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 costs the same at both, $249 a month.
Medications and formats
Both sell semaglutide and tirzepatide.
On format, altRX prices compounded injections and brand-name pens, while LVNG RX 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 LVNG RX does not publish where it ships.
Pricing
altRX
LVNG RX
Homepage card reads 'from $149/mo' against a struck-through $249. Bundle covers the online provider visit, prescription, delivery and check-ins. The site states the plan price is confirmed after provider review.
Homepage card reads 'from $249/mo' against a struck-through $299. A third program, GLP-1 Microdose, is offered with no published price.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
altRX is silent on lab work and coaching.
LVNG RX 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
LVNG RX
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 LVNG RX 6.4 out of 10.
altRX is stronger on user experience (8.0 vs 3.0), trust & safety (6.0 vs 4.0) and accessibility (10.0 vs 5.0).
LVNG RX is stronger on value (6.6 vs 5.0).
Effectiveness and support are within half a point.
altRX
7.6/10
LVNG RX
6.4/10
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.
LVNG RX has no FDA warning letter on record with us.
Features & Coverage
| Feature | altRX | LVNG RX |
|---|---|---|
| Starting Price | $149/mo | $149/mo |
| Features | 8 features | 8 features |
| States Available | 50 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| 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 LVNG RX
Treat the $149/mo on compounded semaglutide and $249/mo on tirzepatide as floors, not quotes: both are confirmed after a provider reviews you, and the treatment pages themselves show no price whatsoever. A microdose program at lower dose sits alongside. Check-ins, shipping, the prescription and the provider visit come inside the bundled figure, no consultation fee attaches, and an unapproved patient owes nothing. Delaware holds the registration of LVNG RX LLC.
Read our full LVNG RX 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
LVNG RX
What we like
- Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $249 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to LVNG RX
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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 6.4, above all for semaglutide from $1149/month. LVNG RX fits better if starting below a standard dose, with microdose tiers is your priority.
Choose altRX if…
You want semaglutide from $1149/month and an opening price near $149 a month.
Choose LVNG RX if…
You want starting below a standard dose, with microdose tiers and an opening price near $149 a month.
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Strut Health
Semaglutide at $99/month, 48% below the typical price
From $99/mo
Get started →Enhance MD
Knowing which pharmacy fills the vial: it names Tru Meds Rx
From $169/mo
Get started →DudeMeds
Compounded semaglutide at $175/month
From $175/mo
Get started →altRX vs LVNG RX: FAQ
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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.