altRX vs Midi Health
In our scoring, altRX edges ahead overall (7.4 vs 7.0 out of 10), and altRX costs less for compounded semaglutide (about $1,089 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).
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Key differences
- Price
- altRX $89/mo vs Midi Health $165.90/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,089 a year less with altRX · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Coverage
- Midi Health 50 states (altRX doesn't publish a state list)
- Included
- altRX: medication, clinician visits, shipping; Midi Health: not stated
- Safety
- FDA warning letters on record: altRX 1, Midi Health 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
Midi Health
Affiliate partnerBest for menopause-focused care with GLP-1 as a metabolic adjunct
semaglutide
$165.90
billed every 4 weeks
Our score 7.0/10
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
Midi Health
Price
Semaglutide / month
Better on this row: $89/mo
$165.90/mo
billed every 4 weeks
Semaglutide / year (modeled)
Better on this row: $1,068
$2,157
13 charges
Tirzepatide / month
Better on this row: $149/mo
$210/mo
billed every 4 weeks
Tirzepatide / year (modeled)
Better on this row: $1,788
$2,730
13 charges
Oral semaglutide / month
Not listed
$164/mo
billed every 4 weeks
Oral tirzepatide / month
Not listed
$209/mo
billed every 4 weeks
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
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
Plan quoted after intake; a price is published
Video visit
Not disclosed
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 · Midi 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 $1,089 a year less than Midi Health for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Midi 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 Midi Health if…
- Lists oral compounded semaglutide and oral compounded tirzepatide, which altRX doesn't price
- Publishes its full state list (50 states)
- No FDA warning letters on record (altRX has 1)
What to weigh up
- About $1,089 a year more than altRX for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Does not accept Medicare, Medicaid, or Medi-Cal
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
Midi Health
7.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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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 Midi 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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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.