altRX vs MEDGm
In our scoring, altRX edges ahead overall (7.4 vs 7.3 out of 10), and altRX costs less for compounded semaglutide (about $2,520 a year less).
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Key differences
- Price
- altRX $89/mo vs MEDGm $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $2,520 a year less with altRX)
- Coverage
- MEDGm 50 states + DC (altRX doesn't publish a state list)
- Included
- altRX: medication, clinician visits, shipping; MEDGm: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: altRX 1, MEDGm 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
MEDGm
Affiliate partnerAlso prices oral compounded semaglutide
semaglutide
$299
$179 first month
Our score 7.3/10
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
MEDGm
Price
Semaglutide / month
Better on this row: $89/mo
$299/mo
$179 first month
Semaglutide / year (modeled)
Better on this row: $1,068
$3,588
Tirzepatide / month
Better on this row: $149/mo
$399/mo
$279 first month
Tirzepatide / year (modeled)
Better on this row: $1,788
$4,788
Oral semaglutide / month
Not listed
$369/mo
$249 first month
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 + DC
Oral option listed
Not listed
Yes
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
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
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
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.
'The Subscription Service fee is charged upfront for the contracted term you selected and is non-refundable' — the only exception is a documented medical disqualification, refunded for the months that can no longer be delivered
Early-cancellation fee
Not disclosed
None
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
October 2026
September 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 $2,520 a year less than MEDGm for compounded semaglutide at standing prices
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which MEDGm 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 MEDGm if…
- Lists oral compounded semaglutide, which altRX doesn't price
- Publishes its full state list (50 states + DC)
- No FDA warning letters on record (altRX has 1)
What to weigh up
- About $2,520 a year more than altRX for compounded semaglutide
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
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
MEDGm
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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altRX vs MEDGm: 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.