altRx review
The short answer: altRx starts compounded semaglutide at $89 a month and promises the same price at every dose. Every payment is final, so cancel at least 72 hours before you're billed.
By LongevityGLP1 desk, Publisher
Buttons here open each provider's own site. A few providers pay us. How we make money
altRx by the numbers
- From
- $89/mo · starting dose, month to month
- Prescribes
- Compounded semaglutide · Compounded tirzepatide
- Prescriber
- Online review or a video visit
- Pharmacy
- Named on its site
- States
- All 50 states
- Healthspan Score
- 90 out of 100
Our take on altRx
altRx starts compounded semaglutide at $89 a month and compounded tirzepatide at $149, and both figures sit under a plain promise: the price you start at is the price you stay at, every month and at every dose. That price is a membership that bundles the telehealth visits, the prescription and shipping, with no separate membership fee. If you expect to move up to a maintenance dose, a flat figure like this is what keeps year two from costing more than month one. The compounded tirzepatide cost guide shows how these figures sit against the usual range.
Brand-name Wegovy, Zepbound and Ozempic are on the menu too, sold inside the same membership at prices many times the compounded figures. Their product pages print a monthly number, but nothing on them says how the brand plans are billed, so confirm the charge before you choose one. The Wegovy cost guide covers the maker's own self-pay options for comparison.
Care comes from OpenLoop Healthcare Partners and its affiliated medical practices, with a provider licensed in your state. Your consultation may be a live video visit or an online review, depending on your provider and your state's telehealth laws. Prescriptions are filled by independently owned, state-licensed 503A compounding pharmacies in its network. The product FAQ names all four with street addresses: RedRock Pharmacy in Utah, Health Warehouse in Kentucky, Precision Medicine in New York and Triad Rx in Alabama. The pages say plainly that its compounded versions aren't FDA-approved, and the membership is available in all 50 states.
Two cautions. First, the refund policy is strict: every payment is final and non-refundable once made, whether it covers one month or several, and the only exception is a provider deciding you're medically ineligible. Cancel at least 72 hours before your next billing date or you'll be charged for another cycle. Second, the company behind the site is hard to pin down. The terms say OpenLoop Health operates it, the privacy statement names a different company, and FDA's letter, shown on this page, went to Trinity HealthCare Supply doing business as altRx. Compare the flat price with other programs on the compounded semaglutide lineup.
What altRx costs
| Product | Real monthly cost | |
|---|---|---|
| Compounded semaglutideInjection | $89/mo | $89/mo |
| Compounded tirzepatideInjection | $149/mo | $149/mo |
Prices are taken from altRx's own site and current as of this update. Real monthly cost folds in required fees and turns four-week billing into calendar months; that's our math.
Compounded semaglutide skips FDA approval: no one at the FDA judges whether it is safe, whether it works, or how well it was made before a pharmacy sends it out.
Want altRx's current price for your dose?
Your monthly price is the same through our link.
What signing up looks like
Take the 2-minute assessment
Answer a short online health assessment. The starting monthly price for each GLP-1 is shown on the homepage before you begin.
Provider consultation
A provider licensed in your state reviews your answers by live video or online review, depending on your state's telehealth rules.
A network pharmacy fills it
If you're prescribed, a state-licensed 503A compounding pharmacy in the altRx network prepares the medication.
Free delivery, monthly billing
Medication ships to your door at no charge. Cancel at least 72 hours before the next billing date to stop the next charge.
Who prescribes, and the pharmacy
Prescriptions come from OpenLoop Healthcare Partners and its affiliated medical practices, licensed in your state, by live video or online review. altRx says independently owned, state-licensed 503A compounding pharmacies fill its orders, and its FAQ names four: RedRock Pharmacy, Health Warehouse, Precision Medicine and Triad Rx.
Where altRx does well
- Promises the same monthly price at every dose for compounded semaglutide and tirzepatide.
- Names its network pharmacies with street addresses in the product FAQ, and says they're 503A pharmacies.
- The monthly price bundles the telehealth visits, the prescription and shipping, with no separate membership fee.
- Available in all 50 states, with a provider licensed in the state where you live.
- States plainly that its compounded GLP-1s aren't FDA-approved or FDA-evaluated for safety or quality.
What to check first
- Every payment is final, even for months you don't use. Start with a single month until you're sure.
- Cancel at least 72 hours before your billing date, or the next cycle is charged. Set a reminder.
- Brand-name plans print a monthly figure but no billing terms. Confirm the charge before you choose one.
- Its terms and privacy pages name different operating companies. Keep your receipts and order emails.
- FDA wrote to the company about how its site presented its compounded drugs. Read the letter on this page.
It fits you if
You want compounded semaglutide or tirzepatide at one flat monthly price that doesn't rise with your dose, and you're settled enough on treatment that a no-refund policy won't bite.
Look elsewhere if
You want a refund window, a clear answer on which company you're paying, or a brand-name GLP-1 with its billing spelled out.
How altRx scored
on the compounded semaglutide lineup
90out of 100
- Price35 of 35
$89 a month at the starting dose, month to month, fees folded in. Full points at $90 or less, none at $300 or more.
- Care15 of 25
- Shown: Who prescribes
- Shown: A clinician reviews your intake
- Not shown: Labs and who pays
- Not shown: Follow-up schedule
- Shown: Dose changes at no new fee
- Pharmacy25 of 25
- Shown: Pharmacy named
- Shown: Pharmacy state or type
- Shown: Brand or compounded is clear
- Shown: No "FDA-approved" claim for a compounded drug
- Clarity15 of 15
- Shown: Price before the intake questions
- Shown: Cancel and refund terms
- Shown: States served
Other lineups: Compounded tirzepatide 89
Also on these lineups: Compounded tirzepatide under $250 a month: 4 of 36 · Compounded semaglutide under $200 a month: 2 of 41 · Compounded semaglutide programs in all 50 states: 1 of 38 · Compounded tirzepatide programs in all 50 states: 2 of 39
Three more providers to weigh
Bayan Health
From $129/mo
Nirwana Health
From $149/mo
HealthRX
PartnerFrom $165/mo
FDA warning letter
The FDA sent a warning letter to the company behind altRx on June 8, 2026. A letter is a public notice, not a ban, and it isn't part of the score. Read it and decide for yourself.
- Letter 728236, June 8, 2026 · Read the letter on the FDA's site
Questions about altRx
- How much does altRx cost a month?
- Compounded semaglutide starts at $89 a month and compounded tirzepatide at $149, with the visits, prescription and shipping included. altRx says the price stays the same every month and at every dose.
- Can I get a refund?
- Only if a provider decides you're medically ineligible. Otherwise every payment is final and non-refundable, including multi-month plans and unused months.
- How do I cancel?
- Contact support by email, phone or the portal at least 72 hours before your next billing date. Requests inside that window are charged for the next cycle.
- Which pharmacies fill altRx prescriptions?
- Independently owned, state-licensed 503A compounding pharmacies in its network. The product FAQ names four, with street addresses: RedRock Pharmacy in Utah, Health Warehouse in Kentucky, Precision Medicine in New York and Triad Rx in Alabama.
- Is altRx available in my state?
- The membership is available in all 50 states, with a provider licensed in the state where you live.
Read next
Picked for the same drugs and questions as this page.
- ResearchGLP-1 drugs and blood pressure: the drop in trials, and the low-pressure risk
Blood pressure fell in the big Zepbound and Wegovy weight trials. But neither drug is approved for it, and both labels report the opposite problem too. Here are the numbers.
- Drug guideSemaglutide: how it works and the products that contain it
Semaglutide copies GLP-1, a hormone your gut releases after eating. It raises insulin only when blood sugar is high, lowers glucagon, slows stomach emptying and reduces appetite through the brain. That is why it lowers blood sugar and body weight. It is sold as Ozempic and Rybelsus for diabetes and as Wegovy for weight.
- Side by sideWegovy pill or Wegovy shot: cost, results and the trade-offs
Same molecule, same company, two very different routines. The pill is cheaper on NovoCare's cash prices and did nearly as well in its trial. The weekly pen covers more people and goes to a higher dose.
- ResearchGetting semaglutide online in 2026: compounded, brand or insurance
Three legal routes, the self-pay prices Novo Nordisk posts for the Wegovy pill and pen, and how to check a compounded program before you sign up.
Still weighing altRx?
Where this review comes from
- altRx homepage
- altRx compounded semaglutide product page and FAQ
- altRx compounded tirzepatide product page
- altRx refund and cancellation policy
- altRx terms of service
- altRx privacy statement
- FDA warning letter to Trinity HealthCare Supply dba altRx (MARCS-CMS 728236) (June 8, 2026)
Every fact here comes from altRx's own public pages. Partner fees aren't one of the four checks.