altRX review
Compounded semaglutide and tirzepatide with named dispensing pharmacies, a published dose schedule, and monthly product prices.
The verdict
altRx identifies its prescribing practice and four pharmacies, giving readers more of the care pathway to check before they enroll. The current product pages list semaglutide at $89 a month and tirzepatide at $149, without the earlier dated promotional banner.
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- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- Dose pricing
- Flat across doses
- From
- From $89/mo
- Dose published
- Yes
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Named
- Availability
- All 50 states
altRx sells compounded semaglutide and compounded tirzepatide in multi-dose vials through a self-pay membership, and lists brand-name Zepbound, Wegovy and Ozempic as further options on its homepage. It describes itself as the technology and administrative platform rather than the medical practice.
Who writes the prescription, and what do they see?
Prescribing is done by clinicians of OpenLoop Healthcare Partners and its affiliated practices, which the footer names as independently owned. The evaluation can be a live video visit or an asynchronous review, depending on what the treating provider and the patient's state allow.
After a free two-minute assessment, a provider decides whether treatment fits, and the prescription goes to a pharmacy in the altRx network. The vial ships with syringes, needles and alcohol swabs. The membership is described as covering consultations, messaging support and shipping, and it can be paused or canceled at any time.
What happens when the dose goes up?
The semaglutide page gives the schedule in plain numbers: 0.25mg weekly for four weeks, then stepping up to a maintenance dose between 1.0mg and 2.4mg. The site's own line on price across that climb is 'Same price at every dose', which matters most in the second and third months when the steps come quickly. The FAQ adds that stopping may mean a taper, and that regain after discontinuation is common.
What the price includes
The semaglutide product page displays $89 a month, while the tirzepatide page displays $149. The homepage says there are no membership fees or price hikes and that patients can cancel anytime. Confirm the specific prescription and renewal terms before completing enrollment.
What it claims, and what it cites
Both molecules are compounded by state-licensed 503A pharmacies and are not FDA-approved; the FAQ says the compounded versions have not been evaluated for safety, efficacy or quality. The pharmacies are named in the FAQ, with addresses: RedRock Pharmacy in Utah, Health Warehouse in Kentucky, Precision Medicine in New York and Triad Rx in Alabama.
Where it holds up, and where it does not
- Strength: Four filling pharmacies named, with addresses
- Strength: A milligram dose schedule is published
- Strength: Prescribing practice is identified
- Strength: Available in all 50 states per the FAQ
- Limitation: Compounded preparations are not FDA-approved
- Limitation: Final prescription depends on clinical evaluation
- Limitation: Weight-loss claims rest on self-reported member data
- Limitation: Some testimonials are from paid endorsers, per the site
What the evidence says about this kind of treatment
The assessment above is about altRX. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A reader who values a named prescribing practice and pharmacy network alongside the dose schedule.
- Wrong for
- Someone seeking trial results for the compounded preparations themselves rather than evidence from approved products.
The evidence behind what altRX prescribes
These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation.
- Cochrane Review of Semaglutide for Obesity: 18 Trials Graded
A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower.
- Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?
In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points.
How altRX compares
| Seller | Who it suits | Go |
|---|---|---|
 Henry Meds | Patients who want a fixed monthly bill and can read dose as milligrams per shipment | See Henry Meds → |
 Remedy Meds | Readers willing to finish the quiz who count the fills rather than the months | See Remedy Meds → |
 Eden | Buyers comparing what the two molecules actually cost | See Eden → |
More GLP-1 telehealth sellers reviews: BrightmedsCabanaCaliberRxCalibrate HealthCalifornia Trim ClinicCall-On-Doc
Sponsored alternative
SkinnyRx
Readers choosing tirzepatide, the one line with a published standing rate
Check SkinnyRx availability →Frequently asked
- What monthly prices does altRx publish?
- Its current product pages list $89 for compounded semaglutide and $149 for compounded tirzepatide. The earlier September promotion is no longer displayed.
- Which pharmacies fill altRx prescriptions?
- The FAQ names RedRock Pharmacy, Health Warehouse, Precision Medicine and Triad Rx, all state-licensed compounding pharmacies.
- Who actually prescribes?
- Clinicians with OpenLoop Healthcare Partners and affiliated practices. The seller describes itself as the platform that connects patients to them.
- Is altRX legit?
- altRX is a GLP-1 telehealth sellers service. Its stated availability: All 50 states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is altRX expensive compared with other GLP-1 telehealth sellers?
- altRX publishes a starting figure of $89/mo. Across the 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts altRX below the median, toward the cheaper end. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.