AlyveRx Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.4/10
Best for: people who want compounded semaglutide or tirzepatide without needles, as sublingual drops
AlyveRx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price. It charges from $183 a month.
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Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Prices checked October 2026
AlyveRx, run by Alyve, Inc., offers compounded semaglutide and tirzepatide two ways: a weekly shot, or sublingual drops built on its own PermeAct delivery technology. Advertised starting prices are $183 a month for semaglutide injections and $283 for tirzepatide; the drops start at $203 and $249. Brand Wegovy, Mounjaro and Ozempic are also listed from $1,395 a month. Shipping is free, insurance is not used, and plan lengths are shown only inside the medical intake.
Is AlyveRx legit?
Yes. AlyveRx is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 6.4/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there an AlyveRx promo or coupon code?
We know of no promo or coupon code for AlyveRx. Its listed price is $183 a month. Coupon sites advertising "AlyveRx discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how AlyveRx compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to AlyveRx
Embody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
AgelessRx
Best for: microdosed compounded GLP-1s from a longevity clinic, or brand Wegovy at manufacturer pricing plus monitoring
Editorial score · methodology
AlyveRx at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $183/mo
- What's included
- Medication · Shipping
- FDA status
- No FDA warning letters found
How AlyveRx scores
Six columns, each one computed from something AlyveRx 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.
Value25%
3.0/10The listed figure is not a comparable monthly price for a named GLP-1 (it may be a membership fee, an insured copay, a per-vial rate or a starting-dose price), so Value is capped rather than scored against other sellers.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, including the FDA-approved product. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
6.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information.
Accessibility10%
5.0/10No state list is available to check, so this is held at the midpoint rather than scored on reach.
Support10%
4.5/10The price covers the medication 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 →
What we checked on AlyveRx
Last checked October 2026- Checked the listed price across 7 dose or plan tiers
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for AlyveRx
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with AlyveRx involves
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.
- 1AlyveRx shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Ask AlyveRx which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 3The monthly price includes the medication and shipping.
- Before you commit, get the ongoing monthly price of the medication itself, not a first-month rate, a membership fee or a per-vial price.
- Confirm that AlyveRx serves your state before you start.
Contacting AlyveRx
- AlyveRx offers email support
Cancelling AlyveRx
Taken from the terms AlyveRx publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None stated; billing frequency is set at checkout
- Refund policy
- No refund after processing except for damage, loss in transit or an unavailable treatment; prorated refund on unshipped prepaid supply if a treatment becomes unavailable
Medications AlyveRx lists
AlyveRx lists Wegovy, Ozempic, Mounjaro, compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Pricing
Prices re-verified
"From $183/mo". Plan lengths and dose prices are shown only inside the medical intake, which was not entered.
"From $283/mo" on the product page and "Starting at $283/mo monthly" on the homepage. The page title still reads $329, the figure earlier recorded as the month-to-month price.
Needle-free sublingual drops, "From $203/mo".
Needle-free sublingual drops, "From $249/mo".
"From $1695/mo".
"From $1395/mo".
"From $1395/mo".
Check the price yourself before you pay
Every figure here comes from AlyveRx's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication and shipping
- We found no FDA warning letters issued to AlyveRx
Against it
- 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 compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
What AlyveRx charges
AlyveRx lists $183/month. Before you pay, compare AlyveRx's cancellation terms with other sellers' cancellation and refund policies.
- Compounded semaglutide (injection): $183/month
- Compounded tirzepatide (injection): $283/month
- Compounded semaglutide (oral drops): $203/month
- Compounded tirzepatide (oral drops): $249/month
- Wegovy: $1,695/month
- Mounjaro: $1,395/month
Bodybuilding Health+ dispenses semaglutide and tirzepatide from $179/month, which makes it the fair comparison to run before you commit here.
What AlyveRx dispenses
AlyveRx 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. The choice is between an FDA-approved pen and a compounded preparation that costs less. Compounding is lawful and often appropriate, but a compounded product is not an approved one, and the price gap is largely that difference. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder.
A needle-free oral option is genuinely uncommon and is the reason some readers will look at AlyveRx at all. Set expectations on the evidence, though: the published weight-loss trials for these molecules used injections. Oral and sublingual delivery of peptides is far less studied, so treat it as a route that solves the needle problem rather than as a proven equal to the shot. No human absorption study of sublingual semaglutide drops has been published.
Safety and disclosure
AlyveRx tells you its price before you start the medical questionnaire. We found no FDA warning letters issued to AlyveRx. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If AlyveRx will not tell you, treat that as a warning sign. A 503A pharmacy answers to a state board and a 503B facility to the FDA; which one fills it changes what you can check. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You need insurance to cover the cost. Check whether AlyveRx bills your plan before you start.
It fits if
- injections are the thing keeping you from starting
Our read
AlyveRx charges $183/month. Too few sellers offer the same drug and form to say whether that is cheap or expensive, so judge it on what the package includes.
The Bottom Line
AlyveRx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price. It charges from $183 a month.
Before you pay AlyveRx
Starting at $183 a month. Check today's price, then start the intake.
Where AlyveRx is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these two counts, another seller does better.
- If the standing monthly cost is what decides it, consider WellMedRx (from $49/mo).
- If you want a human checking in, not just a prescription, consider Eden.
If none of these fits, our guide to alternatives to AlyveRx sets more sellers in the same category beside AlyveRx on price, states and what the price includes.
Frequently Asked Questions
How to check AlyveRx yourself
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this AlyveRx review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See AlyveRx's current pricing
Plans start at $183 a month. Whether you qualify is a clinician's decision, made after your intake.