# TelosRX vs AltRx: GLP-1 Weight Loss Compared

**By TelosRX Editorial Team** · 2026-06-21

**TelosRX vs AltRx for GLP-1 weight loss comes down to what you value. [TelosRX](https://telosrx.com) lists every plan price upfront and runs a fast, fully online intake reviewed by a licensed provider. AltRx leans on a quick quiz, subscription pricing, and ongoing clinician support through its portal. Both require approval by a licensed provider.**

The short answer

AltRx is cheaper on semaglutide, at $89 a month against $99. **TelosRX** is cheaper on tirzepatide, at $139 against $149, and adds needle-free and microdosed options AltRx does not carry. Both publish prices, and both are LegitScript certified.

[Start your intake →](https://start.telosrx.com/start-online-visit/weightloss)

## Quick comparison: TelosRX vs AltRx

Feature

TelosRX

AltRx

Compounded semaglutide

From $99/mo

**From $89/mo**

Compounded tirzepatide

✓ **From $139/mo**

From $149/mo

Needle-free option

✓ Oral GLP-1, from $9 a day

Not offered

Microdosed option

✓ From $116/mo

Not offered

Brand-name options

Not offered

**Ozempic, Wegovy, Mounjaro, Zepbound**

Provider review

✓ Asynchronous, often within hours

Clinician review after quiz; portal replies up to 48 hours

Shipping

✓ Free 48-hour shipping if approved

Free delivery, about 5 to 7 days

Compounded medications are not FDA-approved. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed.

## What is TelosRX?

TelosRX is an online-first, asynchronous telehealth pharmacy for GLP-1 weight management. You fill out a short intake online. A US-licensed provider reviews it on their own time, often within hours. There's no appointment to book and no video call to schedule.

The program centers on compounded GLP-1 medications prepared by licensed US pharmacies. Compounded options include tirzepatide and semaglutide, plus a needle-free Oral GLP-1 programme and microdosed tirzepatide. Compounded medications are not FDA-approved.

Pricing is published upfront, and TelosRX is LegitScript-certified. If approved, you get free 48-hour shipping, unlimited care-team messaging, dose adjustments, and quarterly labs. You can cancel anytime, and plans are FSA/HSA eligible.

You can read more about compounded [tirzepatide](https://www.telosrx.com/pages/tirzepatide) and [semaglutide](https://www.telosrx.com/pages/semaglutide) on the product pages. When you're ready, you can [start your treatment](https://start.telosrx.com/start-online-visit/weightloss) with a quick online intake.

## What is AltRx?

AltRx is a telehealth platform focused on GLP-1 weight loss through a subscription model. You begin with a short quiz, and a licensed clinician reviews your information to build a personalized plan. Support runs through a patient portal with email replies, plus 24/7 help.

AltRx offers compounded semaglutide starting at $89 per month and compounded tirzepatide starting at $149 per month. It also lists brand-name options like Ozempic, Wegovy, Mounjaro, and Zepbound at much higher monthly prices, which is something TelosRX does not offer at all. Delivery is free and typically arrives in about 5 to 7 days.

AltRx's strengths are its simple quiz-led onboarding, unlimited check-ins, and ongoing clinician messaging. There are no membership fees, no insurance is required, and buy-now-pay-later options are available. They state clearly that compounded medications are not FDA-approved, and they are LegitScript certified. If you want brand-name GLP-1 access alongside compounded options, AltRx carries both and TelosRX does not.

## Medications: what each program offers

Both programs offer two main GLP-1 medications. Semaglutide is a GLP-1 receptor agonist. Tirzepatide works on two pathways, GLP-1 and GIP. Both are used for weight management under medical supervision.

TelosRX also offers a needle-free [Oral GLP-1](https://www.telosrx.com/pages/oral-tirzepatide) programme, covering oral semaglutide and oral tirzepatide under one intake, and a lower-dose [microdosed](https://www.telosrx.com/pages/microdosed-tirzepatide) option. AltRx offers compounded semaglutide and tirzepatide as injections, plus brand-name versions. Compounded versions of these medications are not FDA-approved.

For background on how these medications work, see the [NIH NIDDK](https://www.niddk.nih.gov/health-information/weight-management/prescription-medications-treat-overweight-obesity) overview of prescription weight-management medications and the [FDA](https://www.fda.gov/news-events/press-announcements/fda-approves-new-medication-chronic-weight-management) announcement on chronic weight-management medication.

**Key takeaway:** Neither company wins outright on price. AltRx is $10 a month cheaper on semaglutide; TelosRX is $10 a month cheaper on tirzepatide and is the only one of the two with a needle-free or microdosed option.

## Pricing and transparency

Both companies publish prices, which puts them ahead of much of this category. Here are the core TelosRX GLP-1 plans:

-   As low as $99/mo for compounded semaglutide.
-   As low as $139/mo for compounded tirzepatide.
-   From $9 a day for Oral GLP-1, covering oral semaglutide and oral tirzepatide.
-   As low as $116/mo for microdosed tirzepatide.

AltRx prices its compounded plans from $89 per month for semaglutide and $149 per month for tirzepatide, with brand-name options priced much higher. One thing to note on their site: the pricing banner runs alongside a countdown reading "offer ends August 31st at midnight" while also stating "same price every month." Both can be true, since your own rate is presumably locked once you enrol while the promotional entry price expires for new customers, but the page does not explain the distinction. With TelosRX, you can review every plan price first and then [start your intake](https://start.telosrx.com/start-online-visit/weightloss).

## How the process works

With TelosRX, you complete a roughly 5-minute online intake. A US-licensed provider reviews it asynchronously, often within hours. If approved, your medication ships with free 48-hour delivery. There's no appointment and no waiting room.

With AltRx, you start with a short quiz. A licensed clinician reviews your information and builds a plan. Medication ships free and usually arrives in about 5 to 7 days, with portal support along the way. Any medication is subject to medical approval by a licensed provider. Ready to begin? You can [start your intake](https://start.telosrx.com/start-online-visit/weightloss) in about five minutes.

## Coaching and ongoing support

AltRx puts real focus on ongoing support. You get unlimited check-ins, 24/7 help, and clinician messaging through the patient portal. That guided structure is a genuine strength for people who want regular touchpoints.

TelosRX takes a streamlined, medication-first approach. You get unlimited care-team messaging, dose adjustments as needed, and quarterly labs. The support is there when you need it, without extra steps between you and your provider.

## Safety and medical oversight

Both programs are provider-gated. A licensed provider reviews your intake, and approval is not automatic. GLP-1 medications are not right for everyone.

Providers screen for risks like a personal or family history of medullary thyroid cancer, a history of pancreatitis, and pregnancy. Common side effects include nausea and other digestive symptoms. TelosRX includes quarterly labs to support monitoring. Approval is subject to medical review.

## Which service is right for you?

Recommended

TelosRX

Best if you want tirzepatide at a lower price, a needle-free or microdosed option, and a fast asynchronous start from a LegitScript-certified pharmacy.

AltRx

Best if semaglutide is your medication and price is the deciding factor, or if you want brand-name Ozempic, Wegovy, Mounjaro or Zepbound available alongside compounded options.

[Start your treatment →](https://start.telosrx.com/start-online-visit/weightloss)

## Frequently Asked Questions

### Is TelosRX legitimate?

Yes. TelosRX is a LegitScript-certified, online-first telehealth pharmacy. A US-licensed provider reviews every intake before any medication is approved. Medications are compounded by licensed US pharmacies. Compounded medications are not FDA-approved, and approval is subject to medical review by a licensed provider.

### Are the GLP-1 medications FDA-approved?

The compounded GLP-1 medications offered through TelosRX are not FDA-approved. Compounded medications are prepared by licensed US pharmacies under federal compounding regulations. Brand-name GLP-1 products are separate. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed.

### How much does TelosRX cost compared to AltRx?

TelosRX plans start from $99/mo for compounded semaglutide, $139/mo for compounded tirzepatide, $116/mo microdosed, and from $9 a day for Oral GLP-1. AltRx prices compounded semaglutide from $89 per month and tirzepatide from $149 per month. So AltRx is cheaper on semaglutide and TelosRX is cheaper on tirzepatide.

### Does either offer a needle-free GLP-1?

TelosRX does, through its Oral GLP-1 programme, which covers compounded oral semaglutide and oral tirzepatide as a daily under-the-tongue dose from $9 a day. AltRx lists injections and brand-name products, but no needle-free compounded option.

### Can I switch from AltRx to TelosRX?

Yes. You can start a new intake with TelosRX at any time. A licensed provider reviews your information and current medications before any approval. Bring details of your current plan so the provider can make an informed decision. Approval is subject to medical review and is not guaranteed.

### How fast is provider review?

TelosRX provider review is asynchronous and often happens within hours of completing your intake. There's no appointment to schedule. By comparison, AltRx reviews your quiz and offers portal support with email replies that can take up to 48 hours. Approval is always subject to medical review.

_TelosRX is LegitScript-certified. Compounded medications are not FDA-approved and are prepared under federal compounding regulations. Approval is subject to evaluation by a licensed provider; approval is not guaranteed. Individual results vary. Pricing for both companies reflects publicly available information as of this article's publish date and is subject to change._

Start your private evaluation at [TelosRX](https://telosrx.com).

**Tags:** AltRx alternative, compounded GLP-1, GLP-1, semaglutide, TelosRX vs AltRx, tirzepatide, weight loss

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> Source: [Telos RX](https://www.telosrx.com/blogs/glp1/telosrx-vs-altrx)
