Comparing TelosRX and Alt Rx for GLP-1 weight loss comes down to price, medication range, and clinical support. TelosRX starts at $49/mo and includes needle-free options and quarterly labs. Alt Rx also publishes pricing and offers brand-name GLP-1s alongside compounded plans.
For the lowest entry price, needle-free delivery options, and built-in quarterly labs, TelosRX is the more complete starting point. Alt Rx is a solid pick if you want brand-name GLP-1s like Wegovy or Ozempic available in the same program.
Start your intake →Quick comparison: TelosRX vs Alt Rx
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, LegitScript-certified telehealth pharmacy that specializes in GLP-1 weight management. The program offers compounded tirzepatide and semaglutide, including needle-free oral tirzepatide and a microdosed tirzepatide option for those who want a gentler start.
The service is fully asynchronous. You complete a short online intake — no appointment needed — and a US-licensed provider reviews it, typically within a few hours. If approved, medication ships free with 48-hour delivery from licensed US compounding pharmacies. Care-team messaging, dose adjustments, and quarterly labs are built in, and you can cancel anytime. HSA and FSA payments are accepted.
Explore the tirzepatide and semaglutide program pages for full details.
What is Alt Rx?
Alt Rx is an online, LegitScript-certified telehealth service focused exclusively on GLP-1 weight-loss medication management. Its standout feature is breadth of medication choice: alongside compounded semaglutide (starting at $89/mo, promotional) and compounded tirzepatide (starting at $129/mo, promotional), Alt Rx also offers brand-name options — Wegovy, Ozempic, Zepbound, and Mounjaro — priced at $1,149–$1,579/mo, typically using insurance or manufacturer savings programs.
The intake process starts with a short online quiz. A licensed clinician from CareValidate Health then reviews your information and builds a plan. Alt Rx advertises 24/7 support and unlimited check-ins via messaging. Free shipping is listed at 5–7 business days. Pricing is published publicly, with no hidden membership fees.
Medications: what each program offers
Both programs are built around the same two drug classes. Semaglutide is a GLP-1 receptor agonist. Tirzepatide is a dual GLP-1 and GIP agonist, which is the basis of FDA-approved brands like Wegovy and Zepbound. The compounded versions offered by both TelosRX and Alt Rx are not FDA-approved — they are prepared under federal compounding regulations at licensed US compounding pharmacies.
Where the two programs diverge is at the edges. TelosRX adds needle-free formats: oral tirzepatide dissolves under the tongue, while the microdosed tirzepatide plan starts at just $49/mo. Alt Rx goes in the other direction by also carrying FDA-approved brand-name GLP-1s at cash-pay prices for patients who prefer them.
For background on GLP-1 medications and obesity treatment, see the NIH NIDDK overview of prescription weight-loss medications and the FDA announcement on tirzepatide for chronic weight management.
Key takeaway: Both programs are LegitScript-certified and publish their pricing. TelosRX starts lower at $49/mo, adds needle-free delivery formats, and bundles quarterly labs. Alt Rx is worth considering if brand-name GLP-1 availability in a single program matters to you.
Pricing and transparency
Both TelosRX and Alt Rx publish their prices publicly — a meaningful baseline of transparency in a space where pricing is often gated behind consultations.
TelosRX pricing (all plans listed before signup):
- From $49/mo — microdosed tirzepatide, 12-month plan
- $99 your first month — standard tirzepatide, 12-month plan
- $149 first month — 6-month plan
- $249 first month — 3-month plan
- $449 first month — single-month plan
Alt Rx pricing (publicly displayed):
- $89/mo promotional — compounded GLP-1 (semaglutide); standard rate $199/mo
- $129/mo promotional — compounded GLP-1 + GIP (tirzepatide); standard rate $299/mo
- $1,149–$1,579/mo — brand-name Ozempic, Mounjaro, Wegovy, or Zepbound at cash-pay prices
Both accept HSA and FSA payments, and neither charges a separate membership fee. Start your TelosRX intake to see your personalized plan price in minutes.
How the process works
Both programs are asynchronous, so there is no appointment to book. TelosRX intake takes about five minutes online. A US-licensed provider reviews it — typically within hours — and if approved, medication ships free with 48-hour delivery from licensed US compounding pharmacies.
Alt Rx begins with a short online quiz, followed by clinician review through CareValidate Health. Approved medication ships free in 5–7 business days. Neither service prescribes automatically: any medication is subject to medical approval by a licensed provider, and approval is not guaranteed.
Coaching and ongoing support
TelosRX builds clinical touchpoints directly into the program. You have access to unlimited care-team messaging, dose adjustments as your body responds, and quarterly labs to monitor your progress over time.
Alt Rx advertises 24/7 support with unlimited check-ins and messaging. Labs are not mentioned on the public site as an included component. For people who want check-ins but don't need the lab monitoring layer, Alt Rx's support model is straightforward.
Safety and medical oversight
Both programs gate access behind a licensed provider review. No one receives a prescription automatically, and both use US-licensed clinicians.
GLP-1 medications are not appropriate for everyone. Providers screen for contraindications including a personal or family history of medullary thyroid cancer, active pancreatitis, and pregnancy. Common early side effects include nausea and gastrointestinal changes. TelosRX's quarterly labs provide an ongoing safety check beyond the initial intake, which is an advantage for people managing longer treatment courses.
Share a complete and accurate health history during intake, as approval is subject to medical evaluation by a licensed provider.
Which service is right for you?
Best for people who want the lowest entry price, needle-free or microdosed delivery options, built-in quarterly labs, and responsive care-team messaging from a LegitScript-certified telehealth pharmacy.
Best if you want brand-name GLP-1 medications like Wegovy, Zepbound, Ozempic, or Mounjaro available in the same program alongside compounded options.
For most people starting a compounded GLP-1 program, TelosRX offers the lower cost floor, faster shipping, needle-free formats, and included labs. If brand-name medication access in one program is your priority, Alt Rx is the more natural fit.
Frequently Asked Questions
Is TelosRX legitimate?
Yes. TelosRX is LegitScript-certified, which means it meets verified standards for online pharmacy and telehealth practice. Medications are compounded by licensed US compounding pharmacies, and every prescription is subject to medical approval by a licensed provider.
Are the compounded GLP-1 medications FDA-approved?
The compounded semaglutide and tirzepatide offered by both TelosRX and Alt Rx are not FDA-approved. They are prepared under federal compounding regulations at licensed US compounding pharmacies. Alt Rx also carries FDA-approved brand-name options like Wegovy and Zepbound at cash-pay prices.
How does TelosRX pricing compare to Alt Rx?
TelosRX starts at $49/mo for microdosed tirzepatide on a 12-month plan, with standard tirzepatide from $99 your first month. Alt Rx's promotional compounded GLP-1 plans start at $89/mo (semaglutide) and $129/mo (tirzepatide). Both publish pricing publicly before you sign up.
Does Alt Rx offer brand-name GLP-1 medications?
Yes. Alt Rx carries Wegovy, Ozempic, Zepbound, and Mounjaro at cash-pay prices ranging from $1,149 to $1,579/mo. TelosRX focuses on compounded tirzepatide and semaglutide, including needle-free oral and microdosed options, which keeps costs significantly lower for most patients.
How fast does TelosRX ship compared to Alt Rx?
TelosRX ships approved medication free with 48-hour delivery. Alt Rx lists free delivery in 5–7 business days. Both ship only after a licensed provider has reviewed and approved the prescription — neither ships automatically.
Is TelosRX fully online with no appointments?
Yes. TelosRX is online-first and asynchronous. You complete a short intake form, a licensed provider reviews it typically within hours, and if approved, medication ships directly to you. No video call or phone appointment is required. Alt Rx also uses an asynchronous online intake process.
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. TelosRX operates as an online-first, asynchronous telehealth service.
Start your private evaluation at TelosRX.