Top GLP-1

altRx vs bmiMD: which GLP-1 program is better?

TGBy the Top GLP-1 Editorial Team· Reviewed 2026-09-09· Cites FDA & NEJM· Not medical advice
21 programs compared Independent — rankings aren't for saleHow we rank →

altRx and bmiMD are both telehealth GLP-1 programs, but they differ on price, medications, shipping and how you pay. Here's the side-by-side, with the numbers, so you can pick the right one.

Short answer: altRx is our pick in this matchup — lowest compounded entry price and brand-name options under one roof. Consider bmiMD instead if its strength — gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory — matters more to you.

Educational, not medical advice. This page explains GLP-1 medications in general terms. Only a licensed clinician who knows your history can decide what's right for you.

Our pick
altRx logo

altRx is our pick in this matchup — lowest compounded entry price and brand-name options under one roof. Consider bmiMD instead if its strength — gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory — matters more to you.

View Plan: altRx
altRx logo
OUR PICK
9.6/10#2 of 22· $89/mo (compounded semaglutide)

Best for: Lowest entry price + brand option

Choose altRx if…

you want altRx's edge — lowest compounded entry price and brand-name options under one roof.

bmiMD logo
8.7/10#15 of 22· $119/mo (compounded semaglutide)

Best for: GLP-1 telehealth

Choose bmiMD if…

you want bmiMD's edge — gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory.

Cost breakdown

The numbers that actually decide it, side by side.

altRx
bmiMD
Starting price$89/mo (compounded semaglutide)$119/mo (compounded semaglutide)
Semaglutide$89/mo (compounded)$119/mo (compounded; list $228.60)
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Not a featured product
OfferingBothCompounded
ShippingIncludedIncluded; 'Ready to Ship' in-stock inventory
InsuranceCash; Buy Now, Pay Later availableCash

On price, altRx lists $89/mo (compounded) for compounded semaglutide and From $149/mo (compounded GLP-1 + GIP) for tirzepatide, while bmiMD lists $119/mo (compounded; list $228.60) and Not a featured product. Where prices are published, altRx is the lower-cost option.

Both are cash-pay compounded programs, so the real decision comes down to price, shipping, pharmacy credentials and support rather than the drug itself.

Full specs, side by side

altRx
bmiMD
Why choose itLowest compounded entry price and brand-name options under one roofGLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory
Watch out forAs with any compounded product, quality rests on the pharmacySemaglutide starts at $119/mo — above the cheapest cash options; tirzepatide isn't featured
Starting price$89/mo (compounded semaglutide)$119/mo (compounded semaglutide)
Compounded semaglutide$89/mo (compounded)$119/mo (compounded; list $228.60)
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Not a featured product
GLP-1 + GIP optionYes — compounded tirzepatide (GLP-1 + GIP) from $149/moNot listed
Offering typeBothCompounded
New-patient offerBuy Now, Pay Later financing availableSale pricing $119/mo (from $228.60)
Billing modelMonthly plans; multi-month optionsMonthly plans
What's includedOnline medical evaluation, Medication, Shipping, Dose adjustmentsOnline medical evaluation, Medication, Shipping
Lab workOnline intake; labs may be requested for some patientsOnline intake
ShippingIncludedIncluded; 'Ready to Ship' in-stock inventory
RefillsMonthly refillsMonthly refills
StatesMost US statesUS telehealth
PharmacyUS compounding pharmacies (503A); brand via licensed pharmaciesUS compounding pharmacies
CliniciansUS-licensed prescribersUS-licensed prescribers
InsuranceCash; Buy Now, Pay Later availableCash
ConsultationAsynchronous online medical intakeOnline medical intake
Our rating9.6 · Excellent8.7 · Very Good

Medications & formulations

  • altRx: both GLP-1. Yes — compounded tirzepatide (GLP-1 + GIP) from $149/mo
  • bmiMD: compounded GLP-1. Not listed

New to the drugs themselves? Read our plain-language guides to semaglutide and tirzepatide.

Pros & cons

altRx logo

Pros

  • Lowest published compounded entry price in our list
  • Rare option to choose compounded OR brand-name in one place
  • Buy Now, Pay Later spreads the cost
  • No insurance needed to start

Cons

  • Compounded products aren't FDA-approved finished drugs
  • Brand-name pricing depends on insurance/eligibility
bmiMD logo

Pros

  • Transparent list-vs-sale pricing shown upfront
  • Ready-to-ship inventory for fast dispatch
  • One clinic for GLP-1 plus peptide and longevity therapies
  • No insurance required to start

Cons

  • Compounded semaglutide entry ($119/mo) is higher than the cheapest cash programs
  • Compounded tirzepatide isn't a featured option
  • Compounded products aren't FDA-approved finished drugs

Where each one has the edge

We don't tally a winner — that hides the trade-offs. Here's who leads on each dimension and why.

Semaglutide price
altRx

altRx: $89/mo (compounded). bmiMD: $119/mo (compounded; list $228.60).

Medication range
altRx

altRx offers both; bmiMD offers compounded.

Shipping
Toss-up

altRx: Included. bmiMD: Included; 'Ready to Ship' in-stock inventory.

Pharmacy credentials
Toss-up

Comparable pharmacy disclosures.

Insurance coordination
Toss-up

Both are primarily cash-pay for compounded GLP-1.

Match by your priority

The fastest way to decide: find your top priority, see which program we'd point you to.

If your priority is the lowest published price

altRxaltRx lists the lower semaglutide price.

If your priority is the best shipping

altRxFaster/cheaper shipping.

If your priority is our overall pick

altRxlowest compounded entry price and brand-name options under one roof

altRx vs bmiMD: common questions

Where prices are published, altRx lists the lower semaglutide price ($89/mo (compounded)). Both may run promotions and change pricing, so confirm current rates on each site.

The bottom line

altRx is our pick in this matchup — lowest compounded entry price and brand-name options under one roof. Choose bmiMD only if its strength (gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory) matters more to you than price and our overall rating.

How we compare — and how to read this

We compare programs on the factors that actually affect a patient: real price (including whether it's compounded or branded), medications and formulations offered, shipping, pharmacy accreditation and clinician model, insurance stance, and commitment. We name a top pick for most people, but we show the trade-offs in full so you can override it when your priorities or insurance point the other way. Pricing is provider-reported and changes frequently — and compounded-drug availability shifts with FDA shortage status — so always confirm the current details on the provider's own site before enrolling. Affiliate relationships do not change a program's placement. This page is educational and not medical advice; see our disclaimer.

Is altRx legit? Read the full reviewIs bmiMD legit? Read the full review

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