altRX vs NuBloom
altRX and NuBloom 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 NuBloom, 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 7.0. One of the two has an FDA warning letter on record, covered below.
altRX vs NuBloom price
altRX and NuBloom 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 NuBloom 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 NuBloom lists 49 states.
They overlap in 49 states. altRX alone covers Mississippi.
Pricing
altRX
NuBloom
Homepage/product page: '$149/mo ... Once-weekly GLP-1 Injections, month to month subscription.' Single monthly price with doses 0.25/0.5/1/1.7/2/2.4 mg listed; BMI 27+.
Product page: '$279/mo. Once-weekly GLP-1/GIP Injections, month-to-month subscription.' Doses 2.5/5/7.5/10/12.5/15 mg listed; BMI 27+.
Microdose Tirzepatide product page: '$249/mo ... Month to month subscription.'
What each price covers
Both prices cover the medication itself.
altRX's price also covers the clinician visit and shipping, which NuBloom does not claim.
altRX is silent on lab work and coaching.
NuBloom is silent on the clinician visit, 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
NuBloom
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
Not stated
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, altRX scores 7.6 and NuBloom 7.0 out of 10.
altRX is stronger on user experience (8.0 vs 3.0) and support (7.0 vs 5.0).
NuBloom is stronger on value (6.6 vs 5.0).
Effectiveness, trust & safety and accessibility are within half a point.
altRX
7.6/10
NuBloom
7.0/10
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.
NuBloom has no FDA warning letter on record with us.
Features & Coverage
| Feature | altRX | NuBloom |
|---|---|---|
| Starting Price | $149/mo | $149/mo |
| Features | 8 features | 8 features |
| States Available | ✓50 | 49 |
| 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 NuBloom
Dose ladders are shown in the open, and subscriptions run month to month: $149/month at the start for compounded semaglutide, $279/month for compounded tirzepatide. Coaching arrives with a guided 90-day program at $599/month. Dr. Marianne Pinkston Mueller, a physician in family and integrative medicine, founded this women's metabolic-health practice, which handles longevity, gut-health and hormone care as well. An affiliated telehealth network carrying LegitScript certification delivers it across 49 states. FDA approval does not extend to compounded medications.
Read our full NuBloom 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
NuBloom
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
- Serves 49 states
- We found no FDA warning letters issued to NuBloom
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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 7.0, above all for semaglutide from $1149/month. NuBloom 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 NuBloom 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
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Knowing which pharmacy fills the vial: it names Tru Meds Rx
From $169/mo
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Compounded semaglutide at $175/month
From $175/mo
Get started →altRX vs NuBloom: 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.