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altRX vs SkinnyRx

In our scoring, SkinnyRx edges ahead overall (7.6 vs 7.4 out of 10), and altRX costs less for compounded semaglutide (about $723 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 SkinnyRx $149.25/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $723 a year less with altRX)
Included
altRX: medication, clinician visits, shipping; SkinnyRx: medication, clinician visits, shipping

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

SkinnyRx logo

SkinnyRx

Affiliate partner

Best for compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price

semaglutide

$149.25/mo

Our score 7.6/10

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

SkinnyRx

Price

Semaglutide / month

Better on this row: $89/mo

$149.25/mo

Semaglutide / year (modeled)

Better on this row: $1,068

$1,791

Tirzepatide / month

Better on this row: $149/mo

$224.25/mo

Tirzepatide / year (modeled)

Better on this row: $1,788

$2,691

Brand Wegovy / Ozempic / month

Better on this row: $1,149/mo

$1,400/mo

Brand Wegovy / Ozempic / year (modeled)

Better on this row: $13,788

$16,800

Brand Zepbound / Mounjaro / month

Better on this row: $1,249/mo

$1,400/mo

Brand Zepbound / Mounjaro / year (modeled)

Better on this row: $14,988

$16,800

Oral semaglutide / month

Not listed

$199/mo

Coverage

Oral option listed

Not listed

Yes

Brand-name access listed

Wegovy / Ozempic, Zepbound / Mounjaro

Wegovy / Ozempic, Zepbound / Mounjaro

Included in the price

Medication, clinician visits, shipping

Medication, clinician visits, shipping

Terms & safety

Price shown

Before intake

Plan quoted after intake; a price is published

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.

90-day money-back guarantee

FDA warning letters

1 warning letter

1 warning letter

Provider facts checked

October 2026

August 2026

Every dose and plan: altRX · SkinnyRx

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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 $723 a year less than SkinnyRx for compounded semaglutide at standing prices
  • 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
  • All payments are final: no refund once you pay, except a medical disqualification minus services already used
SkinnyRx logo

Choose SkinnyRx if…

  • Lists oral compounded semaglutide, which altRX doesn't price
  • Licensed US clinicians on every prescription
  • Discreet shipping included; cancel anytime

What to weigh up

  • 1 FDA warning letter on record
  • About $723 a year more than altRX for compounded semaglutide

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

SkinnyRx

7.6/10

Value25%

7.5A
vs
B
8.0

Effectiveness25%

8.0A
vs
B
8.5

User Experience15%

7.0A
vs
B
7.5

Trust & Safety15%

6.8A
vs
B
5.8

Accessibility10%

7.0A
vs
B
6.5

Support10%

7.4A
vs
B
8.4

Ready to start? Vetted GLP-1 providers

Vetted telehealth providers that prescribe GLP-1 online.

No insurance needed · vetted by our editors

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8.3

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 →
7.9

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 →
7.7

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 SkinnyRx: FAQ

For compounded semaglutide, altRX costs less: about $723 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.
SkinnyRx scores higher overall at 7.6/10 versus 7.4/10, and is particularly strong for compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price. That said, altRX is a better fit if you want low-cost compounded GLP-1s with brand-name Zepbound, Wegovy and Ozempic as options.
Both altRX and SkinnyRx 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. SkinnyRx: $149.25, about $1,791 a year. altRX costs about $723 less a year at these prices.
altRX doesn't publish a state list. SkinnyRx 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. SkinnyRx 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 SkinnyRx 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.