AltRx starts at $89/mo (all-in, includes medication); MEDVi at $179/mo (all-in, includes medication). Both prescribe GLP-1 medication — AltRx offers compounded semaglutide & tirzepatide, MEDVi compounded semaglutide & tirzepatide. Here's how they compare on price, medications, support and transparency.
Bottom line: AltRx wins
It's a near-tie at 8.2/10 — AltRx takes it on the lower starting price. MEDVi is a close alternative if you want a clean, guided choice between semaglutide and tirzepatide.
Round by round
We scored both programs on the four factors in our methodology — value, support, medications and transparency. AltRx takes 3, MEDVi takes 1. Here's how each shook out.
Value
What you get for the price — not just the lowest sticker. A premium program that includes FDA-approved medication, insurance help and real support can be good value. AltRx scores 9.4 to 7.8 — clearly ahead.
Support
Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only. AltRx scores 8.7 to 8.0 — ahead.
Medications
Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points. AltRx scores 8.8 to 8.4 — ahead.
Transparency
How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags. MEDVi scores 8.4 to 6.6 — clearly ahead.
Where they differ most
The clearest daylight is in transparency, where MEDVi leads 8.4 to 6.6 and value, where AltRx leads 9.4 to 7.8. On price, AltRx starts lower ($89 vs $179 per month).
Pricing: AltRx vs MEDVi
AltRx has the lower advertised starting price — $89/mo vs $179/mo for MEDVi. But read the fine print: AltRx is all-in, includes medication and MEDVi is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline. We unpack how these plans are structured in how much compounded semaglutide costs.
AltRx: Promo starting rate (semaglutide); tirzepatide from $149/mo; post-promo pricing undisclosed (as of Sep 2026, altrx.com). MEDVi: On 12-month prepay; month-to-month is $299/mo; tirzepatide higher (as of 2026, health.usnews.com).
The specs, side by side
| AltRx | MEDVi | |
|---|---|---|
| Editor rating | 8.2/10 · Very good | 8.2/10 · Very good |
| Starting price | $89/mo | $179/mo |
| Pricing | All-in, includes medication | All-in, includes medication |
| Medications | Compounded semaglutide & tirzepatide | Compounded semaglutide & tirzepatide |
| Medication form | Weekly injection | Weekly injection |
| Visit type | Async, video when needed | Async, ~24h provider review |
| Insurance | Cash-pay | Cash-pay (HSA/FSA) |
| Availability | Not stated | All 50 states |
Which should you pick?
Choose MEDVi if…
You want a clean, guided choice between semaglutide and tirzepatide.
View MEDVi plans →Common questions
Is AltRx better than MEDVi?
They're line-ball on our rubric at 8.2/10, and AltRx edges it on the lower starting price. It's our pick for most people; MEDVi is the better choice if you want a clean, guided choice between semaglutide and tirzepatide.
Which is cheaper, AltRx or MEDVi?
AltRx has the lower advertised starting price — $89/mo vs $179/mo for MEDVi. But read the fine print: AltRx is all-in, includes medication and MEDVi is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline.
Do AltRx and MEDVi prescribe the same medications?
AltRx offers compounded semaglutide & tirzepatide (weekly injection); MEDVi offers compounded semaglutide & tirzepatide (weekly injection). On breadth of options, AltRx scores higher. Compounded GLP-1s aren't FDA-approved finished products, and availability shifts — confirm current options with each provider.
Which gives you more support, AltRx or MEDVi?
AltRx scores higher on support — real clinician access, coaching and follow-up. For visits, AltRx is async, video when needed and MEDVi is async, ~24h provider review.
Are AltRx and MEDVi legit?
Both require a licensed clinician to review your intake before prescribing. Confirm each provider's credentials, state availability (AltRx: not stated; MEDVi: all 50 states) and current pricing before you sign up — and note that compounded medications aren't FDA-approved.
Can I switch between AltRx and MEDVi?
Generally yes — neither locks you into a long contract, though the lowest prices often require a prepaid plan. Never stop or change a GLP-1 medication without talking to your clinician first.
Both programs are scored with the same independent methodology. We may earn a commission from either provider — it changes nothing about the scores or the verdict. Prices are advertised starting rates as of September 2026; confirm current pricing with each provider. Nothing here is medical advice.