altRX vs MadeMed
In our scoring, both land at 7.4/10 overall, and altRX costs less for compounded semaglutide (about $1,800 a year less).
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Key differences
- Price
- altRX $89/mo vs MadeMed $239/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,800 a year less with altRX)
- Included
- altRX: medication, clinician visits, shipping; MadeMed: not stated
- Safety
- FDA warning letters on record: altRX 1, MadeMed 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

MadeMed
Affiliate partnerBest for compounded GLP-1 in both injection and oral forms
semaglutide
$239
Our score 7.4/10
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
MadeMed
Price
Semaglutide / month
Better on this row: $89/mo
$239/mo
Semaglutide / year (modeled)
Better on this row: $1,068
$2,868
Tirzepatide / month
Better on this row: $149/mo
$399/mo
Tirzepatide / year (modeled)
Better on this row: $1,788
$4,788
Oral semaglutide / month
Not listed
$219/mo
Oral tirzepatide / month
Not listed
$299/mo
Brand Wegovy / Ozempic / month
$1,149/mo
Not listed
Brand Zepbound / Mounjaro / month
$1,249/mo
Not listed
Coverage
Oral option listed
Not listed
Yes
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Not disclosed
Terms & safety
Price shown
Before intake
Before intake
Lab work
Not disclosed
Not required
Video visit
Not disclosed
Not required
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…
- About $1,800 a year less than MadeMed for compounded semaglutide at standing prices
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which MadeMed doesn't price
- Brand-name Zepbound, Wegovy and Ozempic available alongside compounded options
What to weigh up
- 1 FDA warning letter on record
- All payments are final: no refund once you pay, except a medical disqualification minus services already used

Choose MadeMed if…
- Lists oral compounded semaglutide and oral compounded tirzepatide, which altRX doesn't price
- No FDA warning letters on record (altRX has 1)
- LegitScript certification badge on the homepage
What to weigh up
- About $1,800 a year more than altRX for compounded semaglutide
- Pricing not shown publicly — gated behind product pages or checkout
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
MadeMed
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Ready to start? Vetted GLP-1 providers
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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 →From $247/mo
Get started →From $139/mo
Get started →altRX vs MadeMed: 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.