Top GLP-1Independent GLP-1 reviews & research

altRx vs Noom

altRx vs Noom 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 8.8/10

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 Noom instead if its strength — the strongest behavior-change program of any GLP-1 option — matters more to you. The full reasoning, the numbers, and the cases where Noom is the better call are all below.

View Plan: altRx
At a glancealtRxNoom
Starting price$89/mo (compounded semaglutide)Membership + medication
MedicationsSemaglutide · TirzepatideSemaglutide · Tirzepatide
OfferingBothBranded
ShippingIncludedVia pharmacy

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
Noom logo
Licensed telehealth

Behavior-based weight loss with medical support

  • Personalized coaching and psychology-based program
  • Multiple medication options
  • Builds sustainable habits

The full breakdown

altRx vs Noom: a closer look at each

altRx and Noom 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.

Noom logo
8.8/10#14 of 23· Membership + medication

Best for: Best behavior-change program

Choose Noom if…

you want Noom's edge — the strongest behavior-change program of any GLP-1 option.

The money

Cost breakdown

The numbers that actually decide it, side by side.

altRx
Noom
Starting price$89/mo (compounded semaglutide)Membership + medication
Semaglutide$89/mo (compounded)Brand / plan-dependent
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Brand / plan-dependent
OfferingBothBranded
ShippingIncludedVia pharmacy
InsuranceCash; Buy Now, Pay Later availableVaries

On price, altRx lists $89/mo (compounded) for compounded semaglutide and From $149/mo (compounded GLP-1 + GIP) for tirzepatide, while Noom lists Brand / plan-dependent and Brand / plan-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.

Side by side

Full specs, compared

altRx
Noom
Why choose itLowest compounded entry price and brand-name options under one roofThe strongest behavior-change program of any GLP-1 option
Watch out forAs with any compounded product, quality rests on the pharmacyYou're paying for the program, not the cheapest medication
Starting price$89/mo (compounded semaglutide)Membership + medication
Compounded semaglutide$89/mo (compounded)Brand / plan-dependent
TirzepatideFrom $149/mo (compounded GLP-1 + GIP)Brand / plan-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 optionsMembership plus medication cost
What's includedOnline medical evaluation, Medication, Shipping, Dose adjustmentsPsychology-based program, Coaching, Medical support
Lab workOnline intake; labs may be requested for some patientsMay be required
ShippingIncludedVia pharmacy
RefillsMonthly refillsPer prescription
StatesMost US statesNationwide
PharmacyUS compounding pharmacies (503A); brand via licensed pharmaciesLicensed pharmacies
CliniciansUS-licensed prescribersUS-licensed clinicians + coaches
InsuranceCash; Buy Now, Pay Later availableVaries
ConsultationAsynchronous online medical intakeApp-based program + medical
Our rating9.6 · Excellent8.8 · Very Good

The medicine

Medications & formulations

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

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
Noom logo

Pros

  • Best-in-class behavior-change program
  • Large, trusted brand
  • Medication plus habit coaching

Cons

  • Membership on top of medication cost
  • Program-first, not lowest-price GLP-1

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.

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). Noom: Brand / plan-dependent.

Medication range
altRx

altRx offers both; Noom offers branded.

Shipping
Toss-up

altRx: Included. Noom: Via pharmacy.

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 Noom: 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 Noom only if its strength (the strongest behavior-change program of any GLP-1 option) 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 Noom legit? Read the full review