TopGLP1

altRx vs Calibrate

altRx and Calibrate 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.

Last reviewed 2026-09-01 · Pricing is provider-reported and changes often — confirm current rates on each provider's site. We may earn a commission.

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 Calibrate instead if its strength — a structured, coached year-long metabolic program — matters more to you.

View Plan: altRx
altRx logo
OUR PICK

Choose altRx if…

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

Calibrate logo

Choose Calibrate if…

you want Calibrate's edge — a structured, coached year-long metabolic program.

Cost breakdown

The numbers that actually decide it, side by side.

altRx logo
altRx
Calibrate logo
Calibrate
Starting price$89/mo (compounded semaglutide)Program fee + insurance-covered medication
Semaglutide$89/mo (compounded)Brand / insurance-dependent
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Brand / insurance-dependent
OfferingBothBranded
ShippingIncludedVia pharmacy
InsuranceCash; Buy Now, Pay Later availableWorks through insurance

On price, altRx lists $89/mo (compounded) for compounded semaglutide and From $149/mo (compounded GLP-1 + GIP) for tirzepatide, while Calibrate lists Brand / insurance-dependent and Brand / insurance-dependent. Where prices are published, altRx is the lower-cost option.

The two differ on branded vs compounded, so your insurance situation usually decides it: a covered branded prescription can beat cash compounding, but without coverage compounded is far cheaper.

Full specs, side by side

altRx logo
altRx
Calibrate logo
Calibrate
Starting price$89/mo (compounded semaglutide)Program fee + insurance-covered medication
Compounded semaglutide$89/mo (compounded)Brand / insurance-dependent
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Brand / insurance-dependent
GLP-1 + GIP optionYes — compounded tirzepatide (GLP-1 + GIP) from $149/moYes — where prescribed
Offering typeBothBranded
New-patient offerBuy Now, Pay Later financing availableVaries by promotion
Billing modelMonthly plans; multi-month optionsOne-year program fee plus medication
What's includedOnline medical evaluation, Medication, Shipping, Dose adjustments1:1 coaching, Medical support, Insurance coordination
Lab workOnline intake; labs may be requested for some patientsRequired (metabolic labs)
ShippingIncludedVia pharmacy
RefillsMonthly refillsPer prescription
StatesMost US statesNationwide
PharmacyUS compounding pharmacies (503A); brand via licensed pharmaciesLicensed pharmacies (branded)
CliniciansUS-licensed prescribersUS-licensed clinicians + coaches
InsuranceCash; Buy Now, Pay Later availableWorks through insurance
ConsultationAsynchronous online medical intake1:1 coaching + medical
Our rating9.6 · Excellent7.9 · Good

Medications & formulations

  • altRx: both GLP-1. Yes — compounded tirzepatide (GLP-1 + GIP) from $149/mo
  • Calibrate: branded GLP-1. Yes — where prescribed

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
Calibrate logo

Pros

  • Structured year-long program with coaching
  • Works through insurance for branded GLP-1
  • Whole-program approach

Cons

  • Program fee on top of medication
  • Best value only with insurance coverage

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). Calibrate: Brand / insurance-dependent.

Medication range
altRx

altRx offers both; Calibrate offers branded.

Shipping
Toss-up

altRx: Included. Calibrate: Via pharmacy.

Pharmacy credentials
Toss-up

Comparable pharmacy disclosures.

Insurance coordination
Calibrate

Calibrate works with insurance.

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 Calibrate: 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 Calibrate only if its strength (a structured, coached year-long metabolic program) 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.