altRX vs Gala
In our scoring, Gala edges ahead overall (8.2 vs 7.4 out of 10), and both cost the same for compounded tirzepatide.
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Key differences
- Price
- Both $149/mo for compounded tirzepatide (standing prices, no prepay listed)
- Coverage
- Gala 50 states (altRX doesn't publish a state list)
- Included
- altRX: medication, clinician visits, shipping; Gala: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: altRX 1, Gala none
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
Gala
Affiliate partnerBest for compounded GLP-1/GIP combo on a yearly plan with free shipping
tirzepatide
$149
Our score 8.2/10
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
Gala
Price
Tirzepatide / month
$149/mo
$149/mo
Tirzepatide / year (modeled)
$1,788
$1,788
Brand Wegovy / Ozempic / month
Better on this row: $1,149/mo
$1,299/mo
Brand Wegovy / Ozempic / year (modeled)
Better on this row: $13,788
$15,588
Semaglutide / month
$89/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
Wegovy / Ozempic
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Not disclosed
Minimum commitment
Single-month and multi-month plans; multi-month plans are a single, non-refundable purchase for the full term
Not disclosed
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.
Not disclosed
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
October 2026
August 2026
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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…
- Lists compounded semaglutide and brand-name Zepbound / Mounjaro, which Gala doesn't price
- Brand-name Zepbound, Wegovy and Ozempic available alongside compounded options
- Names its four partner compounding pharmacies, with addresses and phone numbers
What to weigh up
- 1 FDA warning letter on record
- No published state list; confirm yours at signup
Choose Gala if…
- Publishes its full state list (50 states)
- No FDA warning letters on record (altRX has 1)
- Brand-name Ozempic available alongside compounded options
What to weigh up
- $179/mo requires a yearly subscription — the standalone monthly price isn't published
- Brand-name Ozempic at $1,299/mo is higher than peers (e.g., Found at $1,100/mo)
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
Gala
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Ready to start? Vetted GLP-1 providers
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Found
Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s
Read full review →From $169/mo
Get started →GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
Get started →altRX vs Gala: 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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Or see the full category ranking.
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.