altRX vs Belle Health
In our scoring, Belle Health edges ahead overall (7.6 vs 7.4 out of 10), and altRX costs less for compounded semaglutide (about $1,320 a year less).
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Key differences
- Price
- altRX $89/mo vs Belle Health $199/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,320 a year less with altRX)
- Coverage
- Belle Health 50 states (altRX doesn't publish a state list)
- Included
- altRX: medication, clinician visits, shipping; Belle Health: medication, clinician visits, shipping, coaching
altRX
Affiliate partnerBest for low-cost compounded GLP-1s with brand-name Zepbound, Wegovy and Ozempic as options
semaglutide
$89
Our score 7.4/10
Belle Health
Affiliate partnerBest for flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts
semaglutide
$199
Our score 7.6/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
altRX
Belle Health
Price
Semaglutide / month
Better on this row: $89/mo
$199/mo
Semaglutide / year (modeled)
Better on this row: $1,068
$2,388
Tirzepatide / month
Better on this row: $149/mo
$249/mo
Tirzepatide / year (modeled)
Better on this row: $1,788
$2,988
Brand Wegovy / Ozempic / month
$1,149/mo
Not listed
Brand Zepbound / Mounjaro / month
$1,249/mo
Not listed
Coverage
State availability
List not published
50 states
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping, coaching
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
Single-month and multi-month plans; multi-month plans are a single, non-refundable purchase for the full term
Plans come in 1-, 2-, 6- and 12-month lengths, and 'Every plan is billed monthly.' The FAQ says 'Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.' The site doesn't say whether leaving a longer plan early changes your rate
Refunds
Refund policy (Aug 25, 2026): 'ALL PAYMENTS FOR THE SUBSCRIPTION SERVICES ARE FINAL AND NON-REFUNDABLE AT THE TIME OF PURCHASE.' A medical disqualification refunds the unused portion minus consultations, provider review and other services already rendered.
'Federal health and safety regulations don't allow returns or refunds on prescription medications or compounded products once they've shipped.' Wrong or damaged shipments must be reported within 7 days of delivery
Early-cancellation fee
Not disclosed
None
FDA warning letters
1 warning letter
1 warning letter
Provider facts checked
October 2026
October 2026
Every dose and plan: altRX · Belle Health
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose altRX if…
- About $1,320 a year less than Belle Health for compounded semaglutide at standing prices
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Belle Health doesn't price
- Brand-name Zepbound, Wegovy and Ozempic available alongside compounded options
What to weigh up
- 1 FDA warning letter on record
- No published state list; confirm yours at signup
Choose Belle Health if…
- Publishes its full state list (50 states)
- Flat pricing that doesn't rise as your dose goes up, with no membership or consultation fee
- Weekly check-ins with a registered dietitian are included in weight-loss plans
What to weigh up
- 1 FDA warning letter on record
- About $1,320 a year more than altRX for compounded semaglutide
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
altRX
7.4/10
Belle Health
7.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $139/mo
Get started →From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →altRX vs Belle Health: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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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.