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WeighLab

Alternatives

Alternatives to altRX

altRX scores 70/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the altRX review →CoreAge Rx vs altRX →

altRX at a glance

Semaglutide
$89/moAll doses, compounded
Tirzepatide
$149/moAll doses, compounded
Coverage
Coverage not published
Brand-name GLP-1s
Yes
Oral option
No
Pricing verified
October 2026

0 of the 8 programs below list semaglutide for less than altRX's $89 a month. 0 of the 8 list tirzepatide for less than its $149 a month.

altRx is a compounded GLP-1 telehealth platform run through Usable Health, PC and its affiliated medical practices, offering semaglutide and tirzepatide at a flat 'same price at every dose' rate with no membership fee.

Best for: Shoppers who want one compounded price that stays the same at every dose.

What altRX does well

  • Same price at every dose — titrating up does not raise the monthly cost, unlike per-mg-tiered competitors
  • No membership fee, no insurance required; price stated to be all-in (consultation, dosing plan, medication, free delivery, clinician support)
  • LegitScript certified
  • Named physicians on staff (Dr. David Mansour, Dr. Ana Lisa Carr, Dr. Kelly Tenbrink) rather than only an anonymous provider pool

Why readers look for an alternative

  • The site runs countdown banners saying the price is about to rise, but $89 and $149 have stayed in place past each deadline, so don't rush a decision on account of the clock
  • No compounding pharmacy is individually named, only '503A compounding pharmacies within the altRx network'
  • No states-served list is published; the only geographic detail is special handling for California residents
  • No lab testing or Certificate of Analysis disclosure
  • FDA issued Trinity HealthCare Supply, LLC dba altRx a warning letter in June 2026; the letter is public in FDA's warning-letter database
  1. Partner
    01A

    CoreAge Rx

    CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with altRX: $10/mo more for semaglutide · compounded only, no brand-name GLP-1s

    Visit CoreAge Rx CoreAge Rx vs altRX →
  2. 02C

    Willow

    Partner

    Willow is a direct-to-consumer telehealth provider offering compounded semaglutide and tirzepatide in both injectable and oral-tablet form at identical prices per format.

    Sema
    $299/moCompounded, month to month
    Tirz
    $399/moCompounded, month to month
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with altRX: $210/mo more for semaglutide · $250/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit Willow Willow vs altRX →
  3. 03C

    One80Rx

    One80Rx lists compounded semaglutide from $129 a month and tirzepatide from $229, plus an oral GLP-1 from $149, but every figure is a starting price confirmed only after provider review.

    Sema
    $129/moStarting price, compounded; confirmed after provider review
    Tirz
    $229/moStarting price, compounded; confirmed after provider review
    Coverage
    Not published
    Brand
    Compounded

    Compared with altRX: $40/mo more for semaglutide · $80/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit One80Rx One80Rx vs altRX →
  4. 04C

    Queen RX

    Queen RX sells separate semaglutide and tirzepatide starter and maintenance packs. Each prepaid purchase includes a consultation, 12 weeks of compounded medication and supplies.

    Sema
    $133 per 4 weeksMaintenance, compounded; $399 prepaid for 12 weeks
    Tirz
    $199.67 per 4 weeksMaintenance, compounded; $599 prepaid for 12 weeks
    Coverage
    44 states
    Brand
    Compounded

    Compared with altRX: $44/mo more for semaglutide · $50.67/mo more for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Queen RX Queen RX vs altRX →
  5. 05C

    Rivo Health

    Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.

    Sema
    $149/moStarting dose, annual plan, compounded injection or oral
    Tirz
    $199/moStarting dose, annual plan, compounded injection or oral
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with altRX: $60/mo more for semaglutide · $50/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit Rivo Health Rivo Health vs altRX →
  6. 06C

    Measured

    Measured is a metabolic-health membership pairing GLP-1 treatment with 1:1 nutrition support and board-certified provider care.

    Sema
    $119/moCompounded
    Tirz
    $219/moCompounded
    Coverage
    Multi-state
    Brand
    Yes

    Compared with altRX: $30/mo more for semaglutide · $70/mo more for tirzepatide · offers an oral option

    Visit Measured Measured vs altRX →

    Regulatory note: the FDA issued a warning letter to Better Health Labs, Inc. dba Measured in February 2026. We still list and link to Measured; you should know the letter is on the public record before you decide.

  7. 07C

    EllieMD

    EllieMD offers standard compounded GLP-1 weight care alongside a separate microdose program. Standard injection plans start with twelve weeks prepaid: $717 for semaglutide and $897 for tirzepatide.

    Sema
    $239 per 4 weeksAll doses, $717 for 12 weeks prepaid, compounded
    Tirz
    $299 per 4 weeksAll doses, $897 for 12 weeks prepaid, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with altRX: $150/mo more for semaglutide · $150/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit EllieMD EllieMD vs altRX →
  8. 08C

    PrideRx

    PrideRx is a telehealth membership service that prescribes brand-name Zepbound and the Wegovy and Foundayo pills, with the medication shipped and billed separately by LillyDirect or NovoCare.

    Sema
    $248/moWegovy pill 1.5 mg starter dose, brand-name, month-to-month; $149 drug from NovoCare plus the $99/mo membership, $25 the first month
    Tirz
    $398/moZepbound KwikPen 2.5 mg starter dose, brand-name, month-to-month; $299 drug from LillyDirect plus the $99/mo membership, $25 the first month
    Coverage
    All 50 states
    Brand
    Yes

    Compared with altRX: $159/mo more for semaglutide · $249/mo more for tirzepatide · offers an oral option

    Visit PrideRx PrideRx vs altRX →

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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