Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.6/10
Best for: semaglutide from $1149/month
altRX's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.
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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
Prices checked September 2026
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.
altRX is a real, operating US company, and the FDA has issued it a warning letter. The letter is summarized at the top of this review. Read what it alleges before you decide, and raise it with the clinician who would prescribe for you. We rate altRX 7.6/10 overall.
altRX has no code to type in. The current offer: "SPRING Promo": compounded semaglutide $89/mo (was $199/mo), compounded tirzepatide $129/mo (was $299/mo), free shipping. It applies at checkout on its own. Coupon sites advertising an "altRX promo code" are not a source we can vouch for.
See how altRX compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Best for: month-to-month compounded semaglutide at $179 with the partner pharmacies named
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Six columns, each one computed from something altRX has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
$1249/month is exactly the median for brand-name tirzepatide across the sellers we compare.
Dispenses semaglutide and tirzepatide, including the FDA-approved product. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
A price is shown before the questionnaire starts.
The FDA has issued it a warning letter. It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Serves 50 of 50 states.
The price covers the medication, clinician visits and shipping.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
Taken from the terms altRX publishes. Terms change, so check the current policy before you subscribe.
Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.
Prices re-verified
Check the price yourself before you pay
Every figure here was read off altRX's own checkout on the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
Each partner below is a 503A or 503B pharmacy that altRX routes prescriptions through. Each entry is anchored to a verbatim primary-source quote from the provider’s or pharmacy’s own site.
“Prescriptions for altRx members are filled by independently owned and operated state-licensed compounding pharmacies in the altRx network, including: RedRock Pharmacy 1240 E 100 S #220, St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road, Daphne, AL 36526”
“Prescriptions for altRx members are filled by independently owned and operated state-licensed compounding pharmacies in the altRx network, including: RedRock Pharmacy 1240 E 100 S #220, St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road, Daphne, AL 36526”
“Prescriptions for altRx members are filled by independently owned and operated state-licensed compounding pharmacies in the altRx network, including: RedRock Pharmacy 1240 E 100 S #220, St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road, Daphne, AL 36526”
“Prescriptions for altRx members are filled by independently owned and operated state-licensed compounding pharmacies in the altRx network, including: RedRock Pharmacy 1240 E 100 S #220, St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road, Daphne, AL 36526”
altRX charges $149/month.
For brand-name tirzepatide, the median across the sellers we compare is $1,249/month, so altRX's $1,249 lands mid-market. Price is unlikely to be the deciding factor.
HealthRX dispenses semaglutide and tirzepatide from $133/month, which makes it the fair comparison to run before you commit here.
altRX prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two best-evidenced weight-loss molecules currently on the market. Both routes are available: the FDA-approved pen, or a compounded version at lower cost. The difference is not cosmetic. The approved product has been reviewed for safety, efficacy and manufacturing quality, and a compounded preparation has not.
altRX tells you its price before you start the medical questionnaire, that it treats patients in all 50 states, and the pharmacy that fills its prescriptions. The FDA has issued altRX a warning letter, summarized at the top of this page. A letter flags a problem rather than ruling a seller out, so read what it says before deciding what it means for you. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. How we weigh oversight, disclosure and price is set out in our scoring methodology.
altRX lands mid-market on price without a standout advantage or an obvious problem. It comes down to whether its particular package fits you. Found is the nearest comparison we review, and worth reading alongside this. Whatever you decide, read the warning letter summarized at the top of this page first, and raise it with the clinician who would prescribe for you.
The Bottom Line
altRX's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.
Starting at $149 a month. Check today's price, then start the intake.
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these two counts, another seller does better.
The sellers closest to altRX on medication and price.
The words sellers use, defined. Tap any term.
Regulatory notice
This letter concerns false & misleading claims/misbranded (telehealth). A warning letter is public correspondence from FDA, not an adjudication. On its own it establishes no finding of illegal activity, and a company that gets one often answers with corrective action.
Cited across this altRX review: primary regulatory filings, and peer-reviewed studies.
Plans start at $149 a month. Whether you qualify is a clinician's decision, made after your intake.