Head-to-head · Cost-Efficiency Index
Bodybuilding Health+ vs altRX
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
Bodybuilding Health+
Someone buying semaglutide on a long commitment, where the ladder really does fall the further out you go.
Visit Bodybuilding Health+altRX
Cost-first shoppers who want locking in a flat, same-at-every-dose promotional rate before it expires.
Visit altRXThe verdict
altRX takes it, leading the Cost-Efficiency Index 70 to 69. 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. Bodybuilding Health+ still earns a C — Someone buying semaglutide on a long commitment, where the ladder really does fall the further out you go.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs altRX.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Bodybuilding Health+ | altRX |
|---|---|---|
| Cost-Efficiency Index | 69/100 | 70/100 |
| Semaglutide / mo | $179/mo month-to-month; $159.33 on three months, $158 on six and $141.50 on twelve | $89/mo (all doses, promotional rate, plus a separate fee, compounded) |
| Tirzepatide / mo | $209/mo month-to-month; $179 on three months, $174.67 on six and $187.33 on twelve | $149/mo (all doses, promotional rate, compounded) |
| Semaglutide / yr (modeled) | $2,148 | $1,068 |
| Tirzepatide / yr (modeled) | $2,508 | $1,788 |
| Coverage | Not disclosed | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Yes |
| Rank here | #79 | #85 |
Bodybuilding Health+
69/100Where the value is
- The semaglutide ladder genuinely descends: $179 monthly, $159.33 on three months, $158 on six and $141.50 on twelve, each with its saving shown
- Every savings badge is arithmetically honest against the monthly rate, on both molecules
- Both molecules are priced on one page before any intake
The tradeoffs
- The twelve-month tirzepatide rung is badged "Best Value" at $187.33 while the six-month rung is $174.67 — the badge is on the worse of the two
- The product card calls $179 a "first month" beside a struck-through $279 while the plan selector treats it as the monthly rate; the site never reconciles the two
altRX
70/100Where the value is
- 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
The tradeoffs
- The advertised $89/$149 prices are an explicitly time-limited promotion with a live countdown on the page — the standing price is roughly double, and a naive reading of the headline as a stable price would be wrong within about a week of this research
- No compounding pharmacy is individually named, only '503A compounding pharmacies within the altRx network'
Regulatory note: the FDA issued a warning letter to Trinity HealthCare Supply, LLC dba altRx in June 2026. We still list and link to altRX; you should know the letter is on the public record before you decide.
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.