altRX vs Nirwana Health
altRX and Nirwana Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
If you are choosing between altRX and Nirwana Health, 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 7.4. One of the two has an FDA warning letter on record, covered below.
altRX vs Nirwana Health price
altRX and Nirwana Health 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 Nirwana Health ($229 a month vs $249 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, altRX prices compounded injections and brand-name pens, while Nirwana 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 lists 50 states, and Nirwana Health does not publish where it ships.
Pricing
altRX
Nirwana Health
Weekly compounded injection, month-to-month subscription $149/mo; 3-month $133/mo, 6-month $99/mo; 1-month one-time $199; oral semaglutide $199/mo. $50 off with code LOOSE50.
Weekly compounded injection, month-to-month subscription $229/mo; 6-month as low as $133/mo; 1-month one-time $279; oral tirzepatide $249/mo.
What each price covers
Both prices cover the clinician visit and the medication itself.
altRX's price also covers shipping, which Nirwana Health does not claim.
altRX is silent on lab work and coaching.
Nirwana 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
Nirwana 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, altRX scores 7.6 and Nirwana Health 7.4 out of 10.
altRX is stronger on accessibility (10.0 vs 5.0) and support (7.0 vs 5.5).
Nirwana Health is stronger on value (6.6 vs 5.0) and trust & safety (6.5 vs 6.0).
Effectiveness and user experience are within half a point.
altRX
7.6/10
Nirwana Health
7.4/10
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.
Nirwana Health has no FDA warning letter on record with us.
Features & Coverage
| Feature | altRX | Nirwana Health |
|---|---|---|
| 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 Nirwana Health
Six months upfront takes semaglutide injection as low as $99/mo, against $149/mo taken month to month; tirzepatide is $229/mo, and the oral forms are $199 and $249/mo. Quarterly, 6-month and month-to-month plans all carry no membership fee, and a $50-off code is advertised. Longevity, sexual-wellness and hair care share the site, delivered by providers holding licenses. Which states are covered, which pharmacy fills, and which entity prescribes are all unpublished.
Read our full Nirwana 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
- 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
Nirwana Health
What we like
- Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $229 a month, close to the $250 median for compounded 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 stays the same as your dose goes up
- The monthly price includes the medication and clinician visits
- We found no FDA warning letters issued to Nirwana Health
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 7.4, above all for semaglutide from $1149/month. Nirwana Health fits better if compounded semaglutide at $149/month is your priority.
Choose altRX if…
You want semaglutide from $1149/month and an opening price near $149 a month.
Choose Nirwana Health if…
You want compounded semaglutide at $149/month and an opening price near $149 a month.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Trimi Health
Knowing which pharmacy fills the vial: it names VialsRx
From $99/mo
Get started →ShedRx
Oral orforglipron alongside the injectables
From $149/mo
Get started →bmiMD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →altRX vs Nirwana Health: FAQ
Close alternatives to altRX and Nirwana Health
- altRX vs Gala
- altRX vs Sprout Health
- altRX vs Aquivia Health
- altRX vs Vytora Health
- Nirwana Health vs Trinity Meds
- Nirwana Health vs PlushCare
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.