Certification: altRX publishes a LegitScript certification on its own pages. Where it ships: The site doesn't say which states it serves. Last checked: July 2026, against altRX's own pages. Published price: altRX publishes a figure for semaglutide and tirzepatide — the qualifiers are in "What does altRX cost?" below. What it sells: Brand-name medication as well as compounded, injectable route only. Licensing & trust: 57/100 on the scored dimension of that name — one of the six in our published methodology. Proceed with care: an FDA warning letter to this company is on the public record. It is a disclosure rather than a disqualification — the letter is linked above, and it is worth reading before you decide.

C64/100

Desk Score

Ranked #276

altRX

Q: What does altRX cost?

Semaglutide: $149/mo (starting dose, compounded). That is a starting figure, not the price at every dose: $149 a month is the lowest rung, and the cost rises from there. Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for semaglutide — only flat month-to-month rates compete there. Tirzepatide: $249/mo (starting dose, compounded). That is a starting figure, not the price at every dose: $249 a month is the lowest rung, and the cost rises from there. Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for tirzepatide — only flat month-to-month rates compete there. All figures as published on altRX's own site and read in July 2026. Prices change — confirm before you order.

altRX is a dual-modality telehealth platform offering compounded GLP-1s plus all four brand-name FDA-approved options — Mounjaro, Ozempic, Wegovy.

Desk Score 64/100 (C) · Verified July 2026

Visit altRX ↗Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way.

Is altRX legit?

Only what altRX publishes and what we could check ourselves — nothing inferred. See the methodology.

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

Certification: altRX publishes a LegitScript certification on its own pages.
Where it ships: The site doesn't say which states it serves.
Last checked: July 2026, against altRX's own pages.
Published price: altRX publishes a figure for semaglutide and tirzepatide — the qualifiers are in "What does altRX cost?" below.
What it sells: Brand-name medication as well as compounded, injectable route only.
Licensing & trust: 57/100 on the scored dimension of that name — one of the six in our published methodology.

Proceed with care: an FDA warning letter to this company is on the public record. It is a disclosure rather than a disqualification — the letter is linked above, and it is worth reading before you decide.

What does altRX cost?

Each figure exactly as altRX publishes it, with the condition attached to it spelled out.

Semaglutide

$149/mo (starting dose, compounded)

That is a starting figure, not the price at every dose: $149 a month is the lowest rung, and the cost rises from there.

Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for semaglutide — only flat month-to-month rates compete there.

Tirzepatide

$249/mo (starting dose, compounded)

That is a starting figure, not the price at every dose: $249 a month is the lowest rung, and the cost rises from there.

Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for tirzepatide — only flat month-to-month rates compete there.

All figures as published on altRX's own site and read in July 2026. Prices change — confirm before you order.

Semaglutide: From $149/molowest dose rung
Tirzepatide: From $249/molowest dose rung
Coverage: Not listed on altRX's site (checked July 2026)
Brand-name: Yes
Verification: Prices as published on altRX's site — verified july 2026. Each figure's full condition is in “What does altRX cost?” below.

Weigh altRX against the full ranked field on the best semaglutide providers ranking, or line it up against its closest alternatives. Or go one-on-one: altRX vs CoreAge Rx.

Desk Score breakdown

Each of the six scored dimensions. See the methodology.

Price transparency78/100

State access24/100

Molecule range79/100

Onboarding speed70/100

Support responsiveness78/100

Licensing & trust57/100

What we like

Offers all four brand-name FDA-approved GLP-1s (Mounjaro, Ozempic, Wegovy, Zepbound) — the most comprehensive brand-name access we've reviewed
LegitScript Certified
Publishes the FDA compounded-medication disclaimer
Transparent pricing across all six product tiers (compounded plus four brand-name)
All-inclusive pricing — consult, prescription, and shipping with no hidden fees

Where points come off

States-served list not disclosed
503A/503B pharmacy partner not named (only 'multiple USA-certified pharmacies')
503A vs 503B designation not specified
No named medical director
FDA issued Trinity HealthCare Supply, LLC dba altRx a warning letter in June 2026; the letter is public in FDA's warning-letter database

The bottom line — C

Best for: The only platform offering all four brand-name GLP-1s plus compounded.

altRX ranks #276 of 542 providers scored — see #1, CoreAge Rx here.

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

Visit altRX ↗

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

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