altRx semaglutide cost & review
By Sofia Mendez, Patient Education EditorPublished
Same monthly price at every dose, with brand-name pens on the menu too.
On this page
Is altRx worth it? The short answer
Our verdict
altRx is built for anyone tired of a bill that climbs with the dose: one monthly figure covers every step on the plan you pick, and brand-name pens are there if you want them. The trade-off is strict terms. Every payment is final, so screenshot the renewal price at checkout and set a cancel reminder three days early.
- Good for: You expect to move up through the doses and want the monthly bill to stay put while you do
- Look elsewhere if: You want a cooling-off period, because no payment is refundable once made; pick a service with a refund window
altRx at a glance
Price, as published
$89/mo
$89 a month for compounded semaglutide on the month-to-month plan, stated as the same at every dose and locked for as long as you stay on that plan, with the medication, injection supplies, visits and shipping included.
Full pricing details
The figure sits beside a crossed-out $199 under a fall promotion banner with a deadline, and three-, six- and twelve-month prepaid plans are also sold. Compounded tirzepatide is $149 a month; brand-name Ozempic is $1,149, Zepbound $1,249 and Wegovy $1,579 a month.
Pricing model
Flat at every dose
Consult
Included
Labs
Not required
Dietitian
Not included
Pharmacy
4 pharmacies named (503A)
Medication
Brand-name and compounded
Who makes your medication
RedRock Pharmacy
St. George, UT
503AHealth Warehouse
Florence, KY
503APrecision Medicine
Bellmore, NY
503ATriad Rx
Daphne, AL
503A
altRx doesn't say which of these fills your order, so ask the care team before you pay.
Where this comes from →altRx and the FDA
FDA warning letter
The FDA issued a warning letter to Trinity HealthCare Supply, LLC dba altRx in June 2026. It is on the public record in the FDA's warning-letter database, which we link rather than summarize. FDA warning-letter database ↗
What six months of altRx costs you
Semaglutide is long-term, so here is what six months adds up to, clinician visits included.
Month 1
$89
Months 2 to 6, each
$89
Six-month total
$534
Prices change, so check before you pay.
What it does well, and what to watch
What we like
- One monthly price at every dose, so moving up the dose ladder does not change the bill on the plan you start
- Names all four compounding pharmacies that fill its prescriptions, each with a street address and phone number, and says they are 503A
- Brand-name Wegovy, Ozempic and Zepbound are on the same menu if you would rather stay with an FDA-approved pen
- Medication, syringes and swabs, provider visits and shipping are all inside the monthly price, with no separate membership fee
What to watch
- Every payment is final: the refund policy gives no refund once you pay unless a provider finds you medically ineligible, and even then the cost of the review is deducted. Be sure before you check out
- Its terms ask for 48 hours' notice to cancel and its refund policy asks for 72, so cancel at least three days before your billing date
- The $89 sits under a fall promotion banner with a deadline and a crossed-out $199, so check that the renewal line at checkout shows the same figure before you pay
- Prepaid three-, six- and twelve-month plans cannot be refunded in whole or in part, even for months that have not shipped
Who altRx suits, and who should look elsewhere
A good fit if
- You expect to move up through the doses and want the monthly bill to stay put while you do
- You want to be able to look up the pharmacy that compounds your vial, since all four are named with addresses
- You might switch to brand-name Wegovy or Ozempic later and would like to keep the same care team
Look elsewhere if
- You want a cooling-off period, because no payment is refundable once made; pick a service with a refund window
- You are tempted by a prepaid bundle, since unused months are never refunded, even ones that have not shipped
- You need insurance to pay for care, because the membership is self-pay only
How altRx works, start to finish
Trinity HealthCare Supply, LLC d/b/a altRx, based in Miami, runs the platform; clinicians in the OpenLoop Healthcare Partners, PC network prescribe after a video visit or an asynchronous review, depending on your state.
More about how it works
It sells compounded semaglutide and tirzepatide in multi-dose vials with syringes, needles and alcohol swabs, plus brand-name Wegovy, Ozempic and Zepbound, to adults in all 50 states. Four state-licensed 503A compounding pharmacies are named in its FAQ, and processing and delivery take about four to five business days. Telehealth visits, unlimited messaging, 24/7 support and shipping are part of the membership, with no separate membership fee.
- Take the free two-minute assessment online; there is no cost to finish it.
- Choose a plan and pay; your membership starts the moment payment goes through.
- A licensed clinician reviews you by live video or a written review, depending on your state.
- If treatment fits, the prescription goes to one of four 503A compounding pharmacies.
- Processing and delivery take about four to five business days.
- Refills follow each billing cycle, with messaging and 24/7 support in between.
What altRx includes in the price
- Telehealth visits with a licensed provider
- The medication, at one price for every dose
- Syringes, needles and alcohol swabs in the kit
- Unlimited messaging and 24/7 support
- Free shipping from the pharmacy
- No separate membership fee
If you want to cancel or get a refund
Your plan renews each billing cycle until you cancel by email, phone or the patient portal, at least three days before billing (the policy asks for 72 hours, the terms 48). Every payment is final, prepaid bundles included. The only refund comes if a provider finds you ineligible, minus the cost of the review.
What customers say about altRx
Based on public customer reviews.
Customers praise
- Fast shipping and a clear tracking portal
- Responsive providers for some patients
Customers complain about
- Charges after canceling
- Renewals billed above the advertised price
- Missing months on prepaid bundles
Source: Trustpilot, October 2026; the platform withholds a rating for a guideline breach and says it removed fake reviews
Questions people ask about altRx
Does the altRx price change when my dose goes up?
Not on the plan you start. The site says you pay the same monthly price at every dose while you stay on that plan; switching plans or medications can change it.
Can I get my money back from altRx?
Almost never. Every payment is final, prepaid bundles included. The only refund is when a provider finds you medically ineligible, and the cost of that review comes out first.
Which pharmacies make altRx's compounded semaglutide?
Four state-licensed 503A compounding pharmacies, named with addresses in its FAQ, in Utah, Kentucky, New York and Alabama. Ask which one will fill your order if that matters to you.
Does altRx bill insurance?
No. The membership is self-pay, though HSA and FSA cards are accepted. Brand-name Wegovy and Ozempic are sold at self-pay prices far above the compounded vial.
How long until my first altRx shipment?
Plan on about a week. Processing and delivery take four to five business days once a provider approves you, and that review can be live or written depending on your state.
If altRx isn't the right fit
Close to altRx, but each does better on the thing altRx does least well.
More care included
CoreAge Rx
Featured partnerClinician visits and dietitian support come in the price.
$99/mo
Lower monthly price
yourEra
PartnerPublishes a lower monthly price than altRx.
From $79/mo
Partners pay us a commission if you start care through our link. How we make money
Before you pay for anything
Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as Wegovy or Ozempic. Go into your visit with real numbers and these reads:
How altRx stacks up against the others
Two minutes of comparing could save you money, or confirm altRx is the right pick.
Still weighing altRx?