Best-value alternatives
Alternatives to altRX
altRX scores 70/100 on our Cost-Efficiency Index (ranked #85 of 539). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 02C71/ 100Index
Goldspan Health
Ranked #84Goldspan Health sells compounded semaglutide at $229 and tirzepatide at $299 every 28 days, with daily sublingual and low-dose versions of both at lower prices, through a storefront operated by a different company.
- Sema
- $229 every 28 days month-to-month (13 charges a year, not 12)
- Tirz
- $299 every 28 days month-to-month (13 charges a year, not 12)
- Coverage
- All 50 states
- Brand
- Compounded
- 03C71/ 100Index
Rivo Health
Ranked #83Rivo 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/mo (starting dose, annual plan, compounded oral)
- Tirz
- $199/mo (starting dose, annual plan, compounded oral)
- Coverage
- All 50 states
- Brand
- Compounded
- 04C71/ 100Index
Queen RX
Ranked #82Queen RX sells one flat bundle covering whichever of semaglutide, tirzepatide, or liraglutide a patient is prescribed: $299 as a one-time purchase for a virtual consult, 3 months of medication, and supplies.
- Sema
- $100/mo (starting dose, bundle, compounded)
- Tirz
- $100/mo (bundle, compounded)
- Coverage
- 45 states
- Brand
- Compounded
- 05C71/ 100Index
GOAL.MD
Ranked #81GOAL.MD (goal.md) is a physician-run telehealth weight-loss practice, led by Chief Physician Dr. Michael Mimlitz, MD.
- Sema
- $199/mo (promotional rate, compounded)
- Tirz
- $299/mo (compounded)
- Coverage
- All 50 states
- Brand
- Yes
- 06C71/ 100Index
Apex MD
Ranked #80Apex MD is a nationwide telehealth platform selling compounded semaglutide and tirzepatide bundled with NAD, B-12, and L-carnitine (not single-ingredient GLP-1) at a flat $299/mo and $399/mo month-to-month respectively.
- Sema
- $299/mo (all doses, bundle, compounded)
- Tirz
- $399/mo (all doses, bundle, compounded)
- Coverage
- All 50 states
- Brand
- Compounded
- 07C69/ 100Index
Bodybuilding Health+
Ranked #79The Bodybuilding.com fitness brand's telehealth arm, with a genuinely descending semaglutide ladder — and a twelve-month tirzepatide rung badged Best Value while costing more than the six-month one.
- Sema
- $179/mo month-to-month; $159.33 on three months, $158 on six and $141.50 on twelve
- Tirz
- $209/mo month-to-month; $179 on three months, $174.67 on six and $187.33 on twelve
- Coverage
- Not disclosed
- Brand
- Compounded
- 08C72/ 100Index
Nova
Ranked #78Nova (trynova.co) bundles the medication, refrigerated shipping and a $99 monthly membership into one figure — $198 for semaglutide and $210 for tirzepatide — and serves 49 states, everywhere except California.
- Sema
- $198/mo month-to-month all-in (medication plus the $99/mo membership; a "Starting at" floor that rises with dose)
- Tirz
- $210/mo month-to-month all-in (same bundle; also a "Starting at" floor)
- Coverage
- 49 states
- Brand
- Compounded
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.