Top GLP-1Independent GLP-1 reviews & research

altRx vs Medvi

altRx vs Medvi for GLP-1 in 2026 — pricing, medications, shipping and credentials compared side by side.

TGBy the Top GLP-1 Editorial Team· Reviewed 2026-10-05· Cites FDA & NEJM· Not medical advice
21 programs compared Independent — rankings aren't for saleHow we rank →

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 8.5/10

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 Medvi instead if its strength — a simple, no-friction path to compounded GLP-1 — matters more to you. The full reasoning, the numbers, and the cases where Medvi is the better call are all below.

View Plan: altRx
At a glancealtRxMedvi
Starting price$89/mo (compounded semaglutide)Varies by plan
MedicationsSemaglutide · TirzepatideSemaglutide · Tirzepatide
OfferingBothCompounded
ShippingIncludedIncluded

Prices are each provider’s published rate at our last check — confirm the final figure at checkout, as offers change. How we rank

altRx logo
Licensed telehealth

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
Visit altRx
VS
Medvi logo
4.3 / 5(14,987) Licensed telehealth

Medical weight loss made simple

  • Prescription-based treatment options
  • Provider support throughout
  • Straightforward online enrollment

The full breakdown

altRx vs Medvi: a closer look at each

altRx and Medvi 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.

altRx logo
OUR PICK
9.6/10#2 of 23· $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.

Medvi logo
8.5/10#17 of 23· Varies by plan

Best for: Simple, no-friction enrollment

Choose Medvi if…

you want Medvi's edge — a simple, no-friction path to compounded GLP-1.

The money

Cost breakdown

The numbers that actually decide it, side by side.

altRx
Medvi
Starting price$89/mo (compounded semaglutide)Varies by plan
Semaglutide$89/mo (compounded)Compounded (plan-dependent)
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Compounded (plan-dependent)
OfferingBothCompounded
ShippingIncludedIncluded
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 Medvi lists Compounded (plan-dependent) and Compounded (plan-dependent). 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

altRx
Medvi
Why choose itLowest compounded entry price and brand-name options under one roofA simple, no-friction path to compounded GLP-1
Watch out forAs with any compounded product, quality rests on the pharmacyEntry pricing isn't published upfront
Starting price$89/mo (compounded semaglutide)Varies by plan
Compounded semaglutide$89/mo (compounded)Compounded (plan-dependent)
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Compounded (plan-dependent)
GLP-1 + GIP optionYes — compounded tirzepatide (GLP-1 + GIP) from $149/moYes — compounded tirzepatide (GLP-1/GIP)
Offering typeBothCompounded
New-patient offerBuy Now, Pay Later financing availableVaries
Billing modelMonthly plans; multi-month optionsMonthly plans
What's includedOnline medical evaluation, Medication, Shipping, Dose adjustmentsMedical evaluation, Medication, Provider support
Lab workOnline intake; labs may be requested for some patientsOnline intake
ShippingIncludedIncluded
RefillsMonthly refillsMonthly refills
StatesMost US statesMost US states
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 · Excellent8.5 · Very Good

The medicine

Medications & formulations

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

New to the drugs themselves? Read our plain-language guides to semaglutide, tirzepatide, and the new GLP-1 pills.

The trade-offs

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
Medvi logo

Pros

  • Simple enrollment
  • Ongoing provider support
  • Prescription-based

Cons

  • Pricing not published as a flat rate
  • Compounded only

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.

Trustpilot

Verbatim reviews we captured, including every 4-star one.

Sort
Sep 7, 2026

“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.”

C

Cindi P.

US

Sep 3, 2026

“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.”

m

melissa A.

US

Sep 2, 2026

“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.”

A

Angela

US

Sep 1, 2026

“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+”

T

Tammy D.

US

Sep 1, 2026

“I have been with altrx for few months. I take tirzepatide from them. I always get everything on time! I just felt they needed a good review since other companies I used suck and scam me.”

S

Shannon R.

US

Aug 31, 2026

“Ive be been using AltRx for 4 months (out of a 6 mo subscription) after switching from another company. Not a single problem. Ive communicated with customer service multiple times and received prompt responses. Ive continually lost 4-5 pounds a month. They accidentally billed me once but after contacting them, I was refunded immediately. Ive been really happy with my experiences using them.”

A

Alicia V.

US

Aug 26, 2026

“I don't understand all of the bad reviews because I've had a great experience so far! Paige my care consultant (maybe AI but idk) helped me get a discounted rate and answered all of my questions! I had previously been taking GLP1 from a Medspa and they were great but the price was Insane and it stopped working for me there. With AltRX I've lost 8 lbs and it hasn't even been a month yet since I started.”

T

Tori W.

US

Aug 14, 2026

“I signed up on a Friday night at 8pm. A doctor called me at 1045 Saturday morning and we talked for about ten minutes. She ordered the dose and medicine I wanted and I received it by FedEx overnight delivery on Thursday. So far so good.”

C

Carlton L.

US

Jun 16, 2026

“I joined in June 2026. At first I was worried cause the ad I saw said $129 a month for tirzepatide but when I signed up they said it was an error and it would be $149 a month forever. And so far it's been great. My dose has increased but my price hasn't. I haven't had any trouble with communication via messaging them. My experience so far has been great, but I am not a social person I appreciate them checking up on me monthly and not annoying me with weekly check ins.”

Z

ZC

US

Aug 26, 2026

“I've had a pretty good experience with them. The shipping can take a tad bit longer but they respond when I reach out and the process is seamless in my opinion. Currently on level 2 and no issues”

B

B L.

US

Aug 13, 2026

“So far so good. The med arrived promptly in good packaging to keep the med cold. No surprise costs at this time. I'm happy.”

M

Marni G.

US

Jun 10, 2026

“I spoke to someone at Altrx last week. I told her I wanted a high dose of Triz since I have been on Triz for one year. My order arrived today, a week after ordering. Everything went very smoothly. The only concern was the tiny vial in comparison to other companies I previously ordered from. I just hope it works as it should.”

P

Paula L.

US

May 12, 2026

“I was very skeptical about ordering with this company but thankfully I was proven wrong for the most part. Once I was approved I received email stating that my prescription had been sent to the pharmacy for compounding. It took about 5 days but I finally received an email that it had been shipped & I received it the next day. Total process took about 8 days total. Paige was great about texting me back if I had questions but customer service never responded back to me. However, I did receive them & I'm happy that everything has worked out so far. Overall experience - very satisfied.”

M

Marlie C.

US

“I'm on my third month with altRx and while my first two months were very smooth, this third one has been terrible. My refill order has yet to be fulfilled with zero reason as to why. Customer service says they requested to “expedite it” but nothing yet. We shall see. I've been happy otherwise.”

j

jb

US

“I was looking for a telehealth that utilized the same pharmacy I was already using, and AltRx was one of the ones. Ordering through AltRx was almost a 3rd of the cost I spent the first 3 months through the FSA site. Everything else ran smoothly. I ordered 7/5 and received it today, 7/13. I paid through Afterpay, so they can't renew without my approval.”

K

Kimberly W.

US

“Fantastic customer service! I had a quick question about tracking my delivery, and their support team responded within an hour with all the details. The product quality is top-notch. Highly recommend”

L

Lenden

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.

What real Medvi customers say

4.3 / 5out of 5

14,987 reviews · checked October 2026

Trustpilot

Verbatim reviews we captured, including every 1-star one.

Sort
Sep 25, 2026

“Very helpful information. Theresa was thoughtful and explained all of her observations.”

E

Eric B.

US

Sep 25, 2026

“Nurse was very informative and pleasant to talk with.”

S

Stephen V.

US

Sep 25, 2026

“This journey has been great . Talking with Jessica certainly has answered my questions and concerns.”

L

Linda H.

US

Sep 24, 2026

“My provider was very helpful. She listened to my concerns and made proper adjustments.”

C

Crystal C.

US

Sep 24, 2026

“Tomica, the company rep was outstanding.”

J

John W.

US

Sep 24, 2026

“I was able to ask any questions, she was very informative.”

M

Maria A.

US

Sep 23, 2026

“MedVi support and their affordable access to these truly life saving medicines is wonderful. I'm beyond grateful.”

K

Kelly G.

US

Sep 23, 2026

“They really care about my needs and goals.”

S

Sandra C.

US

Sep 23, 2026

“The doctor reviewed my history of orders and saw the mistake previously made and said she would correct my prescription order. All was great and can't think of any improvements. The program has been working fantastic for me and highly recommend.”

N

Nan

US

Sep 23, 2026

“That you meet with a real provider or nurse practitioner via video call I think is more important than a phone call. Things are cleared in your visit. Much better. They're always available, easy to make appointments”

M

Michele S.

US

Sep 22, 2026

“Uneventful, went as hoped”

S

Stev H.

US

Sep 22, 2026

“Experience was handled professionally and I was given well informed information on my weight loss medication and journey and what to expect. I was very comfortable knowing I can contact medical personnel at anytime with any questions or concerns. Overall I am very happy”

M

May L.

US

Sep 22, 2026

“The RN was very helpful with my medical questions as well as assuring me that things will be taken care of.”

S

Stephanie N.

US

Sep 22, 2026

“Very helpful and cooperative. I'm very satisfied.”

A

Alfred J.

US

Sep 22, 2026

“Today I had a great follow up, check-in appointment with a nurse practitioner after having a surgical procedure done. We went over expectations, where I met with my dosages, how to continue with my dosages now that I have recovered from surgery. All in all it was a great experience; so far everything has gone really well with this MedVi tirzepatide health adventure I have undertaken.”

J

Jennifer P.

US

Sep 22, 2026

“Helpful and thorough”

T

Tracy H.

US

Sep 22, 2026

“The nurse was very kind, professional and helpful. Thank you and keep up the good work. Unfortunately this company dosage peaks out at 11.125mg unlike some other companies that go to a max dosage of 15mg”

M

Maurice R.

US

Aug 10, 2026

“My provider was very friendly. She answered all my questions very thoughtfully and thoroughly.”

A

Ashley

US

Aug 10, 2026

“Timely and helpful video call resolving my issues.”

S

Scott C.

US

Aug 10, 2026

“The nurse paid close attention to my questions and responded in ways that were very helpful. Great job!”

R

Rena

US

Aug 7, 2026

“Video visit was made very easy and reminders were sent right before my visit”

M

Martin

US

Aug 7, 2026

“The person who helped me listened and helped me with my problems”

R

Richard

US

Aug 7, 2026

“The phone call was very thorough and everything went smoothly”

R

Randy B.

US

Aug 7, 2026

“My experience was highly satisfactory, and all my inquiries were addressed to my complete satisfaction.”

T

Traci F.

US

Aug 7, 2026

“The teams at Medvi always help to assist with my concerns and have been supportive and positive through my weight-loss journey.”

V

Veronica

US

Jul 28, 2026

“She was very professional and considerate. The video call was on time and straightforward.”

G

Greg R.

US

“The personal service”

D

DB

US

“She took her time, answered any questions. Very satisfied thank you”

R

Raymond S.

US

“Friendly professional answered my questions. Thank you!”

l

lisa E.

US

“Professional summary, courtesy, thoroughly recommended and helpful information for my case.”

B

Brian

US

Sep 22, 2026

“Very personal, communicated all needs and supported me with advice”

R

Roxanne C.

US

Sep 21, 2026

“Quick, easy, to the point.”

S

Shawn E.

US

Sep 5, 2026

“Helpful personnel.”

V

Vivian H.

US

Sep 4, 2026

“At first had a hard time canceling my monthly subscription, but they did finally get that taken care of. The product is great, I just didnt need/want a monthly prescription. I wish they had more flexibility in that regard. Maybe an every other month, or just buy as needed.”

C

Chris W.

US

Aug 31, 2026

“MEDVi offers a lot of assistance with the RN, Provider. and Coaching Support - I like that assistance. However, they need to ensure for a solid audio-video connection to see whom you're speaking with (there's too much FRAUD going on today) especially when it comes to your health. It's very important to see and get there credentials/whom you're speaking with about your health - you know, the HIPPA ACT Policy. Otherwise, I really enjoy this Rx, it really curves your appetite. My PRAYER is NO side effects so that I can continue and accomplish my goal. I started this program in March 2026. It cost too much not to receive stellar service.”

A

A Concerned First Time Consume

US

Sep 23, 2026

“Caution is advised. The operational efficiency of this company is significantly lagging, causing an impediment to my regular medication intake schedule. Regrettably, their customer support inadequacies persist, coupled with a lack of responsibility for service deficiencies. In addition, their pricing surpasses that of competitors. It is my recommendation to refrain from engaging with this establishment due to their unreliability in ensuring timely delivery of essential medications for weekly GLP-1 dosages.”

K

Kearsley R.

US

Sep 22, 2026

“For the first 5 months, they were great. Good service. Good communication. Then, all communication stopped: no emails, no text. I called and canceled. But they would not send me a cancellation email. In three additional calls.”

A

Andy W.

US

Sep 16, 2026

“I transitioned to Medvi from another company and have been using GLP-1s for over a year. Medvi didn't review my history and continuously sent me a level 1 prescription when I needed a level 5. It took weeks to get each one resolved, including multiple calls/emails with customer service, and having to explain why I didn't want to pay more money for the "extra prescriptions". I paid for three months, but will not be renewing after these months are over.”

N

N R

US

Sep 11, 2026

“I signed up for medication and was charged without ever having spoken to a medical professional. They ordered medication that was an incorrect dose. I met with their medical provider and she agreed to change to the correct dose. The change was never made. I called numerous times to correct the problem, I was assured that it was corrected. It never was. I called to cancel the order and request a refund. I was told I would have a refund in 5-10 days. I didn't receive confirmation of the refund and was getting notified that the prescription was being processed. I called again and was told to ignore the notification that it was cancelled and I would receive a refund. The order was shipped to me. It is not labeled with the correct dosage and the company is now refusing the refund I was promised. I have been on the phone and in email communication almost daily. DO NOT DO BUSINESS with MEDVI. They are not trustworthy. They will lie to you and refuse to honor their word.”

D

Deborah D.

US

Sep 1, 2026

“Medvi promised GLP 1 medication for $179.00 monthly with a prepaid yearly subscription. Unfortunately the term was not a complete year. After just 11 shipments they renewed my subscription without any advance notice. They did not give me a choice. The amount I was charged previously was $2,148.01. If you divide this amount by 11 it does not come out to $179.00. When I did discover the charge applied to my card, I contacted Medvi that same day to cancel my subscription. They replied that they have cancelled it the following August in 2027. They would not allow me to cancel the current subscription. Not until I filed complaints with the Better Business Bureau, the FTC, and my State Attorney General did they finally refund my subscription. I would not deal with this company. Even though the medication was supposed to be monthly, the dosage that I was prescribed was two injections weekly. The dosage amount and the amount that they sent did not last for 8 injections for the month.”

M

Margaret 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.

Semaglutide price
altRx

altRx: $89/mo (compounded). Medvi: Compounded (plan-dependent).

Medication range
altRx

altRx offers both; Medvi offers compounded.

Shipping
Toss-up

altRx: Included. Medvi: Included.

Pharmacy credentials
Toss-up

Comparable pharmacy disclosures.

Insurance coordination
Toss-up

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

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

Questions

altRx vs Medvi: 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 Medvi only if its strength (a simple, no-friction path to compounded GLP-1) 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.

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