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LifeMD vs altRx

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

LifeMD vs altRx: Overview

Choosing between LifeMD and altRx for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

LifeMD offers both semaglutide and tirzepatide at $199/month with a rating of 8.5/10. altRx also provides both semaglutide and tirzepatide at $149/month with a 6.5/10 rating.

With only a $50/month price difference, your choice will likely come down to features, support quality, and medication options.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$50/mo

Rating Difference

2.0

Winner

LifeMD

Best For

Quality

LifeMD

View full LifeMD review →

Rating

8.5/10Better

Monthly Price

$199

Medications

semaglutidetirzepatide

Pros

✓Prescribes FDA-approved branded GLP-1s - Zepbound and Wegovy - rather than compounded preparations, so you get the exact product the trials studied
✓Accepts insurance including Medicare, and advertises as low as $0 copay for branded GLP-1s where coverage applies
✓Publishes cash prices too: Wegovy Pen from $199/month and Zepbound Vial from $349/month (checked July 28, 2026)
✓Offers an outcome-based guarantee: 'lose 10% of your weight or your money back', which ties the promise to a result rather than a satisfaction survey
✓HSA and FSA eligible
✓Weight care sits inside a full telehealth service, so urgent care, labs and other specialties are available under the same account

Cons

✗The rotating banner on the weight-management page shows the Wegovy Pen at both '$199' and '$499' in the same carousel, which makes the real starting price unclear before you sign up
✗The money-back guarantee carries a footnote marker on site, so read the qualifying conditions before relying on it
✗Insurance coverage for obesity medication is patchy, so the '$0 copay' outcome will not apply to many people and the cash prices are what you should plan around
✗A 4.0 Trustpilot average is mid-range for this category
✗Branded GLP-1s at $199-$349/month are more expensive than compounded alternatives, which is the trade-off for using an FDA-approved product
✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy

altRx

View full altRx review →

Rating

6.5/10

Monthly Price

$149Cheaper

Medications

semaglutidetirzepatide

Pros

✓Flat pricing across doses is promised in the banner: "SAME PRICE EVERY MONTH"
✓Promotional rates published up front - GLP-1 from $89/month and GLP-1 + GIP from $149/month
✓24/7 support advertised, and no insurance required

Cons

✗The FDA has formally told altRx that its labelling and its "clinically proven" claims misrepresented its compounded products - see the warning letter above
✗The medication is compounded and therefore not FDA-approved - the agency has not reviewed it for safety, effectiveness or manufacturing quality
✗Compounded GLP-1 pricing in this tier is cheap partly because the product carries none of the trial programme, patent or distribution costs of the approved drug - and none of its regulatory review either
✗The headline rates are a dated summer promotion ("OFFER ENDS AUGUST 5TH AT MIDNIGHT") against a standing price of $199/month, so the advertised figure is not the ongoing one
✗No phone number, refund policy or pharmacy named on the site

Feature-by-feature comparison

Feature	LifeMD	altRx
Monthly Price	$199	$149
Rating	8.5/10	6.5/10
Medications	semaglutide, tirzepatide	semaglutide, tirzepatide
Insurance Accepted	Yes	No
Support Hours	Mon-Fri 8AM-8PM ET	Not published
Live Chat	Available	No
Free Shipping	Yes	Yes
Shipping Speed	3-5 days	Not published
Mobile App	Available	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Quarterly	Not published
Money-back Guarantee	Lose 10% of your weight or your money back (conditions apply)	None published
Cancellation Policy	Cancel anytime	Not published

Which should you choose?

Choose LifeMD if you:

→Prefer a higher-rated service (8.5/10 vs 6.5/10)
→Need insurance coverage for your treatment
→Value: prescribes fda-approved branded glp-1s - zepbound and wegovy - rather than compounded preparations, so you get the exact product the trials studied

Get started with LifeMD

Choose altRx if you:

→Want to save $50/month with a more affordable option
→Value: flat pricing across doses is promised in the banner: "same price every month"

Get started with altRx

Website previews

LifeMD

LifeMD website

altRx

altRx website

Our recommendation

LifeMD comes out ahead with a higher rating of 8.5/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with LifeMD

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