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Head-to-head dispatch

altRX vs FitRx

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #231
altRX

altRX is a dual-modality telehealth platform offering compounded GLP-1s plus all four brand-name FDA-approved options — Mounjaro, Ozempic, Wegovy, and Zepbound — the most comprehensive brand-name lineup in…

Marked down on: States-served list not disclosed

FDAWarning letter issued to Trinity HealthCare Supply, LLC dba altRx in June 2026. See the FDA warning-letter database.

vs
Dispatch #93Desk pick
FitRx

FitRx offers brand-name GLP-1s (Ozempic, Wegovy, Zepbound, Mounjaro) with insurance coordination as low as $25/month, plus compounded semaglutide from $151/month without insurance.

Marked down on: Insurance coordination may not work for all plans

FDAWarning letter issued to FitRX, LLC dba FitRx in February 2026. See the FDA warning-letter database.

FitRx takes this head-to-head with the higher Desk Score, 76/100 (C) against 64/100 (C) for altRX. altRX still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

altRX

64/100

C

Overall

FitRx

76/100

C

Price transparency

78
76

State access

24
86

Molecule range

79
66

Onboarding speed

70
82

Support responsiveness

78
76

Licensing & trust

57
66

The spec sheet

FieldaltRXFitRx
Semaglutide$149/mo (starting dose, compounded)$151/mo (quarterly plan, compounded)
Tirzepatide$249/mo (starting dose, compounded)Not disclosed
CoverageCoverage not publishedAll 50 states
Brand-nameYesYes
Oral optionInjectable onlyInjectable only
Best forReaders who want the only platform offering all four brand-name GLP-1s plus compounded.Readers who want insured patients seeking brand-name GLP-1 access with compounded fallback.
Desk Score64/100C76/100C

The verdict

Desk pick — FitRx

FitRx takes this head-to-head with the higher Desk Score, 76/100 (C) against 64/100 (C) for altRX. altRX still holds its ground where its strengths line up with yours.

Choose altRX if…

Readers who want the only platform offering all four brand-name GLP-1s plus compounded.

$149/mo (starting dose, compounded) sema · $249/mo (starting dose, compounded) tirz · Coverage not published

FDAWarning letter issued to Trinity HealthCare Supply, LLC dba altRx in June 2026. See the FDA warning-letter database.

Choose FitRx if…

Readers who want insured patients seeking brand-name GLP-1 access with compounded fallback.

$151/mo (quarterly plan, compounded) sema · Not disclosed tirz · All 50 states

FDAWarning letter issued to FitRX, LLC dba FitRx in February 2026. See the FDA warning-letter database.

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: altRX · FitRx.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete ranking.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.