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10rx vs AlyveRx

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
10rx logo

10rx

7.1
★★★3.6/5

Best for: budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons

Visit 10rx
VS

AlyveRx

6.8
★★★☆☆3.4/5

Best for: people who want needle-free sublingual GLP-1 options alongside standard compounded injections

Visit AlyveRx

10rx and AlyveRx are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, 10rx starts lower at $99.67/mo versus $183/mo, and 10rx edges ahead overall (7.1 vs 6.8 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

10rx

Injectablecompounded injection
$99.67/mo
semaglutide

Compounded; GLP-1 options as low as under $100/mo

Injectablecompounded injection
$149.67/mo
tirzepatide

Compounded GLP-1 + GIP

AlyveRx

All doses (flat)Compounded
$183/mo
semaglutide

Compounded injection, from 183/mo; billed monthly, lower on longer plans

All doses (flat)Compounded
$329/mo
tirzepatide

Compounded injection, standing month-to-month price; from 283/mo on multi-month plans

All doses (flat)Compounded
$203/mo
semaglutide

Needle-free sublingual drops, from 203/mo

All doses (flat)Compounded
$249/mo
tirzepatide

Needle-free sublingual drops, from 249/mo

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What’s included

10rx

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

AlyveRx

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

10rx

7.1/10

Overall

AlyveRx

6.8/10

Value25%

8.5A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
7.0

User Experience15%

7.0A
vs
B
7.5

Trust & Safety15%

5.3A
vs
B
6.0

Accessibility10%

7.5A
vs
B
6.5

Support10%

6.4A
vs
B
6.5

Features & Coverage

Feature10rxAlyveRx
Starting Price$99.67/mo$183/mo
Features8 features8 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About 10rx

10rx is a nationwide GLP-1 telehealth program offering compounded weight-loss medication at low flat monthly rates: semaglutide at $99.67/month and tirzepatide at $149.67/month, with NAD+ and sermorelin also offered for energy and recovery. You take a free online health quiz, a board-certified telehealth doctor reviews your history and prescribes if appropriate, and licensed pharmacy partners ship discreetly. 10rx says it ships to all 50 states, but it doesn't publish its operating company, name its pharmacies, or post a terms page.

Read our full 10rx review →

About AlyveRx

AlyveRx (Alyve, Inc.) is a US online telehealth platform connecting patients with licensed providers for GLP-1 weight loss care, no insurance required, with free discreet delivery. It offers compounded semaglutide and tirzepatide as injections and as needle-free sublingual drops using its proprietary PermeAct delivery tech, and also carries brand Ozempic, Wegovy, and Mounjaro. Month-to-month pricing starts near 183 dollars for compounded semaglutide and 329 dollars for compounded tirzepatide, with lower rates on longer plans. Care is fully online after a telehealth assessment.

Read our full AlyveRx review →

Pros & Cons

10rx

What we like

  • Very low pricing — compounded semaglutide $99.67/month and tirzepatide $149.67/month
  • Free online health quiz with board-certified telehealth doctors reviewing eligibility
  • Offers NAD+ and sermorelin alongside GLP-1, for energy and muscle recovery
  • Says it ships to all 50 states with discreet delivery from licensed pharmacy partners

Watch-outs

  • Doesn't publish its legal operating entity, so accountability is hard to verify
  • Pharmacy partners are described as licensed but none are named
  • No terms-of-service page is posted, and FAQ answers load only via script
  • Compounded semaglutide and tirzepatide only — no brand-name or oral options
  • No LegitScript or third-party accreditation is shown on the site

AlyveRx

What we like

  • Offers compounded semaglutide and tirzepatide as both injections and needle-free sublingual drops for people who dislike needles
  • Transparent monthly pricing shown upfront, no insurance required, and free discreet delivery
  • Also carries brand-name Ozempic, Wegovy, and Mounjaro through its provider network

Watch-outs

  • Does not publicly name its dispensing pharmacy or display a LegitScript seal, so third-party accreditation is unverified
  • Sublingual GLP-1 absorption relies on the company proprietary PermeAct technology and is not FDA-reviewed for weight loss
  • State availability is not published on the site

Our Verdict

Winner: 10rx

10rx edges out AlyveRx with a higher overall score of 7.1/10 and is particularly strong for budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons. AlyveRx remains a solid alternative, especially if you're looking for people who want needle-free sublingual GLP-1 options alongside standard compounded injections.

Choose 10rx if…

You want budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons and a starting price around $99.67/mo.

Choose AlyveRx if…

You want people who want needle-free sublingual GLP-1 options alongside standard compounded injections and a starting price around $183/mo.

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6.9

Try Ageless

Lowest-tier compounded GLP-1 in injection, troche and sublingual forms

7.3

Sunlight

Compounded GLP-1 with unlimited telehealth visits and free shipping

7.4

MadeMed

Compounded GLP-1 in both injection and oral forms

10rx vs AlyveRx: FAQ

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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.