TopGLP1

altRx vs HealthRx

altRx and HealthRx 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 HealthRx instead if its strength — overnight cold-chain shipping and a low semaglutide price — 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.

HealthRx logo

Choose HealthRx if…

you want HealthRx's edge — overnight cold-chain shipping and a low semaglutide price.

Cost breakdown

The numbers that actually decide it, side by side.

altRx logo
altRx
HealthRx logo
HealthRx
Starting price$89/mo (compounded semaglutide)$99/mo (12-month prepaid plan)
Semaglutide$89/mo (compounded)$99/mo (compounded, 12-month prepaid)
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)— (not offered)
OfferingBothCompounded
ShippingIncludedFree overnight, cold-chain
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 HealthRx lists $99/mo (compounded, 12-month prepaid) and — (not offered). 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 logo
altRx
HealthRx logo
HealthRx
Starting price$89/mo (compounded semaglutide)$99/mo (12-month prepaid plan)
Compounded semaglutide$89/mo (compounded)$99/mo (compounded, 12-month prepaid)
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)— (not offered)
GLP-1 + GIP optionYes — compounded tirzepatide (GLP-1 + GIP) from $149/moNo
Offering typeBothCompounded
New-patient offerBuy Now, Pay Later financing availableBest rate via 12-month prepay
Billing modelMonthly plans; multi-month options12-month prepaid for the lowest rate
What's includedOnline medical evaluation, Medication, Shipping, Dose adjustmentsClinician consult, Medication, Free overnight cold-chain shipping
Lab workOnline intake; labs may be requested for some patientsOnline intake
ShippingIncludedFree overnight, cold-chain
RefillsMonthly refillsMonthly shipments on the annual plan
StatesMost US statesMost US states
PharmacyUS compounding pharmacies (503A); brand via licensed pharmacies503A pharmacies; LegitScript-certified
CliniciansUS-licensed prescribersUS-licensed clinicians
InsuranceCash; Buy Now, Pay Later availableCash
ConsultationAsynchronous online medical intakeOnline clinician consult
Our rating9.6 · Excellent9.0 · Excellent

Medications & formulations

  • altRx: both GLP-1. Yes — compounded tirzepatide (GLP-1 + GIP) from $149/mo
  • HealthRx: compounded GLP-1. No

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
HealthRx logo

Pros

  • Low $99/mo semaglutide on the annual plan
  • Free overnight cold-chain shipping
  • LegitScript-certified; 503A pharmacies

Cons

  • Best price requires a 12-month prepay
  • Semaglutide only — no tirzepatide

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). HealthRx: $99/mo (compounded, 12-month prepaid).

Medication range
altRx

altRx offers both; HealthRx offers compounded.

Shipping
HealthRx

altRx: Included. HealthRx: Free overnight, cold-chain.

Pharmacy credentials
HealthRx

HealthRx publicly states LegitScript certification.

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

HealthRxFaster/cheaper shipping.

If your priority is our overall pick

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

altRx vs HealthRx: 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 HealthRx only if its strength (overnight cold-chain shipping and a low semaglutide price) 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.