Compounded semaglutide
altRX review
Compounded semaglutide through altRX runs $89 a month. That figure doesn't change between the 0.25 mg starting dose and a 2.4 mg maintenance dose. Provider care and delivery are bundled in. The weak spot is the refund policy, which makes every payment final.
Is it right for you?
Worth a look if
- You want a low monthly semaglutide bill that holds as the dose rises.
- You'd rather have prescribers and pharmacies named up front.
- You live anywhere in the U.S., since the membership covers all 50 states.
Skip it if
- You might want your money back after checkout for any reason other than being declined.
- The FDA warning letter sent to the operator in June 2026 worries you.
What's included
One monthly charge of $89 pays for telehealth visits with a licensed provider, a personalized care plan, the semaglutide itself and shipping. No membership fee is added. The site pitches the rate as locked in for as long as you stay on the same plan.
The semaglutide comes as a multi-dose vial for a weekly injection under the skin. The product page lays out a start at 0.25 mg a week for four weeks, then gradual increases toward 1.0 mg to 2.4 mg. Opened vials last up to 56 days at room temperature.
OpenLoop Healthcare Partners, PC supplies the prescribers; Trinity HealthCare Supply, LLC handles the technology and admin. Prescriptions go to independent 503A compounding pharmacies such as RedRock Pharmacy in St. George, Utah and Health Warehouse in Florence, Kentucky.
From sign-up to refills
- Start the free assessment, which takes about two minutes and carries no obligation.
- Check out. Membership begins at payment, so the charge comes before the medical review.
- A provider licensed in your state reviews the intake and consults with you by video or through an asynchronous review.
- If semaglutide is right for you, the pharmacy ships it to your door. Expect roughly 4 to 5 business days.
- Each month the plan renews at the same price. Message your care team at any time to adjust the dose.
What's good, what isn't
What's good
- At $89 a month, altRX semaglutide costs the same at 0.25 mg as at 2.4 mg.
- The FAQ lists partner pharmacies by name and address, including Precision Medicine in Bellmore, New York.
- Available in all 50 states, with a prescriber licensed where you live.
What isn't
- Under the “All Sales Are Final” policy, even a paid month you never used is not refunded.
- Canceling inside 72 hours of the billing date still triggers one more charge under the altRX policy.
- Trinity HealthCare Supply, LLC, which operates altRX, received an FDA warning letter in June 2026.
Read these terms first
- FDA warning letter
- The FDA's June 2026 letter to Trinity HealthCare Supply, LLC, doing business as altRX, cited false or misleading claims and misbranding in telehealth marketing.
- What a denial costs
- Being declined on medical grounds cancels the plan and refunds the unused portion, minus any consultation and review already completed.
- Bundles are final
- Plans longer than a month are one indivisible purchase. No part is refunded, even if you stop early.
- FDA warning letter
- FDA sent altRX a warning letter in June 2026. Read what it covers.
Price
altRX costs $89 a month for compounded semaglutide.
How we got $89
The arithmeticOne month = 30.4375 days
altRX advertises
Read on altRX's own site
$89.00
The card is charged $89.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$89.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$54median $199$325+
9 cheaper · 2%369 dearer · 97%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- altRX$89
Another 4 sellers are cheaper than altRX. The whole cheapest list →
Where it says it operates
The altRx membership is available to residents of all 50 U.S. states.
Read on its own site in August 2026. That is the seller’s own promise for the whole country, so confirm your state when you sign up.
State pages this seller appears on: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
altRX against other sellers
Side by side on what each one bills over a calendar month.
- altRX vs Fella Health — $236 a month apart.
- altRX vs He & She MD — $160 a month apart.
- altRX vs boostAGErx — $136 a month apart.
- altRX vs TrimRx — $90 a month apart.
- altRX vs NewSelf — $81 a month apart.
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $149 a month
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
FDA has written to this seller
In , FDA sent warning letter 728236 to Trinity HealthCare Supply, LLC dba altRx (Miami, FL). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names altrx.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →
Common questions about altRX
- Is altRX legit?
- Yes, it is a working telehealth membership with named partners. OpenLoop Healthcare Partners, PC prescribes and state-licensed 503A pharmacies fill the orders. In June 2026 the FDA sent a warning letter to its operator, Trinity HealthCare Supply, LLC, about misleading claims. Compounded semaglutide is not Wegovy or Ozempic and has no FDA approval.
- How much does altRX semaglutide cost per month?
- $89 a month at every dose, with provider visits and delivery included. Tirzepatide from the same service is $149 a month.
- Does altRX accept insurance?
- No insurance is needed or billed. HSA and FSA cards work.
- How do you cancel altRX?
- Contact support by email or phone, or cancel in the patient portal. Do it more than 72 hours before the next billing date. Canceling ends future charges but refunds nothing already paid.