altRX vs TrimRx
In our scoring, TrimRx edges ahead overall (7.7 vs 7.4 out of 10), and altRX costs less for compounded semaglutide (about $1,080 a year less).
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Key differences
- Price
- altRX $89/mo vs TrimRx $179/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,080 a year less with altRX)
- Included
- altRX: medication, clinician visits, shipping; TrimRx: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: altRX 1, TrimRx 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
TrimRx
Affiliate partnerNo FDA warning letters on record
semaglutide
$179
$149 first month
Our score 7.7/10
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
TrimRx
Price
Semaglutide / month
Better on this row: $89/mo
$179/mo
$149 first month
Semaglutide / year (modeled)
Better on this row: $1,068
$2,148
Tirzepatide / month
Better on this row: $149/mo
$259/mo
Tirzepatide / year (modeled)
Better on this row: $1,788
$3,108
Brand Wegovy / Ozempic / month
Better on this row: $1,149/mo
$1,579/mo
Brand Wegovy / Ozempic / year (modeled)
Better on this row: $13,788
$18,948
Brand Zepbound / Mounjaro / month
$1,249/mo
$1,249/mo
Brand Zepbound / Mounjaro / year (modeled)
$14,988
$14,988
Coverage
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
Before intake
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 $1,080 a year less than TrimRx 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
Choose TrimRx if…
- No FDA warning letters on record (altRX has 1)
- Free shipping with medication delivered to your door monthly — can start as soon as the next day
- Price-stability promise: "switch and keep your current dose," with no advertised mid-program price hikes
What to weigh up
- About $1,080 a year more than altRX for compounded semaglutide
- Async, questionnaire-based intake — no mandatory video visit with a clinician before prescribing
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
TrimRx
7.7/10
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 TrimRx: 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.