altRx vs MEDGm
altRx vs MEDGm for GLP-1 in 2026 — pricing, medications, shipping and credentials compared side by side.
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 top choice
9.6/10 vs 9.2/10
altRx is our pick for most people here — altRx is our pick in this matchup — lowest compounded entry price and brand-name options under one roof. Consider MEDGm instead if its strength — one of the only programs offering an oral GLP-1 tablet alongside compounded injections and brand-name Zepbound — matters more to you. The full reasoning, the numbers, and the cases where MEDGm is the better call are all below.
View Plan: altRx| At a glance | altRx | MEDGm |
|---|---|---|
| Starting price | $89/mo (compounded semaglutide) | $169/mo (compounded GLP-1 injection) |
| Medications | Semaglutide · Tirzepatide | Semaglutide · Tirzepatide |
| Offering | Both | Both |
| Shipping | Included | Not stated — confirm with provider |
Prices are each provider’s published rate at our last check — confirm the final figure at checkout, as offers change. How we rank
The most affordable GLP-1 program, from $89/month
- Compounded GLP-1 from $89/mo, GLP-1 + GIP from $149/mo
- Brand-name options too — Zepbound and Wegovy
- No insurance required; Buy Now, Pay Later available
Compounded GLP-1 injections, oral tablets, and brand-name Zepbound
- Compounded GLP-1 injections from $169/mo; oral tablets from $239/mo
- Rare oral GLP-1 tablet option — one dissolvable tablet a day
- Brand-name Zepbound available: $99/mo membership + medication cost
The full breakdown
altRx vs MEDGm: a closer look at each
altRx and MEDGm 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.
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.
Best for: GLP-1 telehealth
Choose MEDGm if…
you want MEDGm's edge — one of the only programs offering an oral GLP-1 tablet alongside compounded injections and brand-name Zepbound.
The money
Cost breakdown
The numbers that actually decide it, side by side.
| | |
|---|---|---|
| Starting price | $89/mo (compounded semaglutide) | $169/mo (compounded GLP-1 injection) |
| Semaglutide | $89/mo (compounded) | Compounded GLP-1 injection from $169/mo (one injection per week) |
| Tirzepatide | From $149/mo (compounded GLP-1 + GIP) | Brand-name Zepbound via $99/mo membership + medication cost |
| Offering | Both | Both |
| Shipping | Included | Not stated — confirm with provider |
| Insurance | Cash; Buy Now, Pay Later available | Cash-pay for compounded; brand-name Zepbound via membership + medication cost |
On price, altRx lists $89/mo (compounded) for compounded semaglutide and From $149/mo (compounded GLP-1 + GIP) for tirzepatide, while MEDGm lists Compounded GLP-1 injection from $169/mo (one injection per week) and Brand-name Zepbound via $99/mo membership + medication cost. 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.
Side by side
Full specs, compared
| | |
|---|---|---|
| Why choose it | Lowest compounded entry price and brand-name options under one roof | One of the only programs offering an oral GLP-1 tablet alongside compounded injections and brand-name Zepbound |
| Watch out for | As with any compounded product, quality rests on the pharmacy | Higher entry price than the budget leaders, and we haven't yet verified its pharmacy accreditation, state coverage or customer reviews — confirm these before committing. Compounded products aren't FDA-approved finished drugs. |
| Starting price | $89/mo (compounded semaglutide) | $169/mo (compounded GLP-1 injection) |
| Compounded semaglutide | $89/mo (compounded) | Compounded GLP-1 injection from $169/mo (one injection per week) |
| Tirzepatide | From $149/mo (compounded GLP-1 + GIP) | Brand-name Zepbound via $99/mo membership + medication cost |
| GLP-1 + GIP option | Yes — compounded tirzepatide (GLP-1 + GIP) from $149/mo | Yes — brand-name Zepbound (tirzepatide, a GLP-1/GIP dual agonist) |
| Offering type | Both | Both |
| New-patient offer | Buy Now, Pay Later financing available | — |
| Billing model | Monthly plans; multi-month options | Monthly; brand-name Zepbound billed as $99/mo membership + medication cost |
| What's included | Online medical evaluation, Medication, Shipping, Dose adjustments | Online medical evaluation, Prescription medication |
| Lab work | Online intake; labs may be requested for some patients | Online intake |
| Shipping | Included | Not stated — confirm with provider |
| Refills | Monthly refills | Monthly refills |
| States | Most US states | Not stated — check availability at sign-up |
| Pharmacy | US compounding pharmacies (503A); brand via licensed pharmacies | US compounding pharmacy (compounded products); licensed pharmacy for brand-name Zepbound |
| Clinicians | US-licensed prescribers | US-licensed prescribers (prescription required) |
| Insurance | Cash; Buy Now, Pay Later available | Cash-pay for compounded; brand-name Zepbound via membership + medication cost |
| Consultation | Asynchronous online medical intake | Online medical intake |
| Our rating | 9.6 · Excellent | 9.2 · Excellent |
The medicine
Medications & formulations
- altRx: both GLP-1. Yes — compounded tirzepatide (GLP-1 + GIP) from $149/mo
- MEDGm: both GLP-1. Yes — brand-name Zepbound (tirzepatide, a GLP-1/GIP dual agonist)
New to the drugs themselves? Read our plain-language guides to semaglutide, tirzepatide, and the new GLP-1 pills.
The trade-offs
Pros & cons
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
Pros
- Offers an oral GLP-1 tablet — a rare, needle-free compounded option
- Both compounded GLP-1 and brand-name Zepbound in one place
- Transparent, published starting prices
- Prescription-only, with an online medical evaluation
Cons
- Pricier entry point than the budget-leading compounders
- Compounded products aren't FDA-approved finished drugs
- Pharmacy accreditation, state coverage and customer reviews not yet verified
What real altRx customers say
Verbatim altRx reviews from Trustpilot
16 real reviews shown · checked October 2026. altRx’s Trustpilot profile has no public star rating, so we show the reviews as posted rather than invent an aggregate score.
Verbatim reviews we captured, including every 4-star one.
“I'm just starting out with AltRx and the rep who really, really helped me, Natalie, was so wonderful. She gave me info on the plan and answered all of my questions and concerns. I hope everyone at AltRx is this helpful. Wish me luck. I was able to join the plan with no hassles.”
Cindi P.
US
“I am going on 3 months with Altrx and it hasn't been bad. I read these negative reviews and I find it hard to believe that we are all with the same company. They always respond to my messages with in 24 hours. I receive my shipment of tirzepatide with in a couple days after I follow up. Plus they haven't bumped my price it's been $148 since I started. I like Altrx. Plus I've lost 10 pounds. The only side effect I have is being sleepy but it's getting better.”
melissa A.
US
“I do not understand how everyone has all of these “negative” reviews. I was skeptical at first due to reading through these but I am very happy with this company. 3 of my other coworkers use them as well and they are happy as well.”
Angela
US
“Great company that takes care of my needs promptly. I'm seeing a lot of negative reviews but I can't help but think they may be coming from another provider. This company is great and takes care of me and my family quickly and they are very customer service oriented. My order came in correct and even after taking a break, was able to use the medication at have at a different dose. They didn't try to sell me another beginner dose. A+”
Tammy D.
US
Reviews are individual experiences quoted verbatim from public Trustpilotprofiles, names shortened; any weight-loss result mentioned is one person’s and is not typical — results vary. We don’t edit or curate them to flatter our pick.
Head to head
Where each one wins
We don't tally a single winner — that hides the trade-offs. Here's who leads on each dimension, and why.
altRx: $89/mo (compounded). MEDGm: Compounded GLP-1 injection from $169/mo (one injection per week).
altRx offers both; MEDGm offers both.
altRx: Included. MEDGm: Not stated — confirm with provider.
Comparable pharmacy disclosures.
Both are primarily cash-pay for compounded GLP-1.
Pick fast
Match it to your priority
Find your top priority, see which program we'd point you to.
If your priority is the lowest published price
If your priority is the best shipping
If your priority is our overall pick
Questions
altRx vs MEDGm: common questions
The bottom line
altRx is our pick in this matchup — lowest compounded entry price and brand-name options under one roof. Choose MEDGm only if its strength (one of the only programs offering an oral GLP-1 tablet alongside compounded injections and brand-name Zepbound) matters more to you than price and our overall rating.
How we compare — and how to read this
We weigh the factors that actually change a patient’s experience: real price (and whether it’s compounded or branded), the medications and formulations on offer, shipping, pharmacy accreditation and the clinician model, insurance stance, and commitment. We name a top pick for most people, then lay the trade-offs out in full so you can override it when your priorities or insurance point the other way. Pricing is provider-reported and moves often — and compounded-drug availability shifts with FDA shortage status — so confirm the current details on the provider’s own site before enrolling. Affiliate relationships never change a program’s placement. This page is educational, not medical advice; see our disclaimer.