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

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

How we compare providers

altRX logo

altRX

Affiliate partner

Best for low-cost compounded GLP-1s with brand-name Zepbound, Wegovy and Ozempic as options

semaglutide

$89/mo

Our score 7.4/10

MadeMed logo

MadeMed

Affiliate partner

Best for compounded GLP-1 in both injection and oral forms

semaglutide

$239/mo

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

Every dose and plan: altRX · MadeMed

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Which fits your priorities?

Only the points where these two differ, from the table above and each provider’s record.

altRX logo

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
MadeMed logo

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

Overall

MadeMed

7.4/10

Value25%

7.5A
vs
B
7.0

Effectiveness25%

8.0A
vs
B
8.0

User Experience15%

7.0A
vs
B
8.0

Trust & Safety15%

6.8A
vs
B
7.3

Accessibility10%

7.0A
vs
B
6.0

Support10%

7.4A
vs
B
7.5

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altRX vs MadeMed: FAQ

For compounded semaglutide, altRX costs less: about $1,800 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo). See Costs & coverage above for each medication side by side.
altRX and MadeMed tie at 7.4/10 overall, so the right pick comes down to your priorities — altRX for low-cost compounded GLP-1s with brand-name Zepbound, Wegovy and Ozempic as options, MadeMed for compounded GLP-1 in both injection and oral forms.
Both altRX and MadeMed are affiliate partners, meaning we may earn a commission if you sign up through our links. Our scores are assigned editorially using the same six-dimension framework for every provider — partnership never changes a score. We disclose every commercial relationship.
altRX: $89, about $1,068 a year. MadeMed: $239, about $2,868 a year. altRX costs about $1,800 less a year at these prices.
altRX doesn't publish a state list. MadeMed doesn't publish a state list. Where a list isn't published, confirm your state during sign-up before paying.
altRX: cancel anytime — yes; minimum commitment — Single-month and multi-month plans; multi-month plans are a single, non-refundable purchase for the full term; early-cancellation fee — not disclosed. MadeMed doesn't state its cancellation terms. Check the provider's own terms before you buy.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Continue exploring altRX and MadeMed head-to-heads in the same category.

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.