altRx vs Sprout: Which GLP-1 Provider Wins in 2026?
The only two providers in our ranking that stock brand-name medication, compared on price, range and delivery speed.
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · Medical Content Reviewer
Clinically checked Checked · Author: Top Weight Loss Research Team · Our review process
Some links on this page earn us a commission, which has no effect on how providers rank (our editorial independence).
Our recommendation
9.7/10 vs 8.5/10
altRx is the provider we recommend to most readers. The main reason: $89/mo semaglutide, $149 tirzepatide, flat at every dose. Scroll down for the full reasoning, the prices, and the situations where Sprout is the better pick.
What do Reddit users say about altRx?
Real public Reddit posts and comments, quoted in each user’s own words, covering what went well and what did not. Only providers with verified Reddit material are included, so some contenders do not appear.
Excerpts come from public Reddit posts and are trimmed for length; vote and comment counts are as they stood when we reviewed each thread. Every post is one person’s experience, so any weight-loss result mentioned is individual, not typical, and yours may differ. Reddit is a trademark of Reddit, Inc., which has no affiliation with Top Weight Loss.
What Reddit users keep saying
altRx: Both r/tirzdeals threads describe the same altRx process: an asynchronous sign-up with no video visit, approval in about 4 hours to one day, a nurse practitioner's portal message listing the approved doses, and vials shipped in a cooler by UPS Next Day Air. One poster rated altRx 10/10; the other, who paid $780 for six months through AfterPay, called it 'probably the best deal I've seen.' The downsides come from the same threads: one customer had dehydration and arthritis-type pain from the compounded glycine/B12 blend that faded as levels dropped, a new signup still had no prescription a day after ordering, one cooler arrived with melted ice packs, and the six-month poster says the concern she sees most from others is protecting your payment method.
| Key facts | altRx | Sprout |
|---|---|---|
| Price from | $89/mo semaglutide · $149 tirzepatide | $149/mo semaglutide · $199 tirzepatide |
| Prescription needed? | Yes - a licensed clinician reviews your intake online | Yes - a licensed clinician reviews your intake online |
| Shipping | Free, about 5-7 days | Ships within 2 days |
These are the published prices from our most recent check. Offers change, so confirm the final amount at checkout. Our price-checking method
Low-cost GLP-1 care: semaglutide from $89/mo
- Semaglutide from $89/mo; GLP-1 + GIP from $149/mo
- Brand-name Zepbound and Wegovy also offered
- Self-pay with Buy Now, Pay Later; no insurance needed
$200 off your first month of GLP-1 care
- GLP-1 plans personalized to you
- Prescriptions ship within 2 days
- Built around your own health goals
Provider profiles
What do altRx and Sprout each offer?
altRx and Sprout are both reputable GLP-1 weight loss providers, so neither is a bad choice. Below, each one gets its own profile: what is included, the real monthly cost and what paying customers report, so you can match the provider to your priorities.
How does altRx work?
altRx is one of the cheapest ways to start GLP-1 treatment online: compounded semaglutide (GLP-1) costs from $89/month and compounded tirzepatide (GLP-1 + GIP) from $149/month, and neither price rises as your dose goes up. The company markets itself as "the #1 most affordable GLP-1 program," and its published price list mostly supports the claim. altRx also keeps a real brand-name shelf, which few rivals do: Ozempic at $1,149, Zepbound at $1,249 and Wegovy at $1,579 per month.
More about altRx▾
How it works: you take a short online assessment, a licensed provider (a physician, PA or nurse practitioner) reviews it, and if treatment is appropriate the prescription goes to a licensed US pharmacy. Shipping is free and takes about 5-7 days.
You do not need insurance, Buy Now, Pay Later is offered, and you can pause or cancel at any time. Two caveats before you decide.
First, delivery is slower than at 1-2 day providers such as embody and DirectMeds. Second, altRx's Trustpilot profile does not currently show an overall score.
The individual reviews we quote here are genuine, but there is no independent average to compare with Medvi (4.3 from 14,987 reviews) or embody (3.8 from 9,604). One of the 4-star reviews we found mentions a refill 'yet to be fulfilled with zero reason as to why', which is worth weighing against the low price.
Included with altRx
- Semaglutide from $89/mo; tirzepatide from $149/mo
- Brand-name Ozempic, Zepbound and Wegovy available
- Reviewed by a physician, PA or nurse practitioner
- Free shipping, arriving in about 5-7 days
- Self-pay with Buy Now, Pay Later; no insurance needed
altRx suits you if
- Budget-focused patients who want low-cost GLP-1 treatment
- Anyone who may want brand-name Zepbound or Wegovy later
- People who like to spread payments with Buy Now, Pay Later
How much does altRx cost?
altRx charges one flat price at every dose: from $89/month for compounded semaglutide (GLP-1) and from $149/month for compounded tirzepatide (GLP-1 + GIP).
See all pricing details▾
Brand-name medication costs more: Ozempic $1,149, Zepbound $1,249 and Wegovy $1,579 per month. Payment is self-pay with no insurance required, Buy Now, Pay Later is available, and you can pause or cancel whenever you like.
GLP-1
Compounded Semaglutide
Weekly
- Once-weekly injection
- In stock, no insurance needed
GLP-1 + GIP
Compounded Tirzepatide
Weekly
- Once-weekly injection
- In stock, no insurance needed
Zepbound
Brand-name tirzepatide injection
Ozempic
Brand-name semaglutide injection
Wegovy
Brand-name semaglutide injection
altRx strengths
- Low entry price: from $89/mo, unchanged as your dose rises
- Wide selection, including brand-name Zepbound and Wegovy
- No insurance needed; Buy Now, Pay Later offered
- Clinician oversight, with pause or cancel at any time
- Supplies included: vials, syringes, prep pads and instructions
Possible drawbacks
- Slower delivery: about 5-7 days, versus 1-2 days at embody or DirectMeds
- No overall Trustpilot score is shown, only individual reviews
- Some visible reviews mention delayed refills
- Entry price is for compounded medication; brand-name starts at $1,149/mo
- Injections only, with no oral or drops option
altRx reviews from Trustpilot customers
altRx customer reviews on
TrustpilotShowing all 16 reviews we saved, every 4-star review included.
Best customer experience I've had in a long while
“I'm just starting out with AltRx and the rep who really, really helped me, Natalie, was so wonderful. She gave me info on the plan and answered all of my questions and concerns. I hope everyone at AltRx is this helpful. Wish me luck. I was able to join the plan with no hassles.”
Cindi P.
US
I am going on 3 months with Altrx
“I am going on 3 months with Altrx and it hasn't been bad. I read these negative reviews and I find it hard to believe that we are all with the same company. They always respond to my messages with in 24 hours. I receive my shipment of tirzepatide with in a couple days after I follow up. Plus they haven't bumped my price it's been $148 since I started. I like Altrx. Plus I've lost 10 pounds. The only side effect I have is being sleepy but it's getting better.”
melissa A.
US
Would recommend!
“I do not understand how everyone has all of these “negative” reviews. I was skeptical at first due to reading through these but I am very happy with this company. 3 of my other coworkers use them as well and they are happy as well.”
Angela
US
Great company that takes care of my needs
“Great company that takes care of my needs promptly. I'm seeing a lot of negative reviews but I can't help but think they may be coming from another provider. This company is great and takes care of me and my family quickly and they are very customer service oriented. My order came in correct and even after taking a break, was able to use the medication at have at a different dose. They didn't try to sell me another beginner dose. A+”
Tammy D.
US
1 / 16
Each review is quoted word for word from a public Trustpilot page, with the reviewer’s name shortened. It reflects one customer’s experience: a weight-loss result someone mentions is personal, not typical, and your results may differ. Trustpilot is a trademark of Trustpilot A/S, which has no affiliation with Top Weight Loss.
How does Sprout work?
Sprout is a mid-priced GLP-1 telehealth program that competes on speed and personalization: prescriptions ship within 2 days of approval, and each treatment plan is built around your health goals. The menu covers compounded and brand-name medication.
More about Sprout▾
Compounded semaglutide starts at $149/month and compounded tirzepatide at $199/month, while brand-name Wegovy is available from $1,799/month for anyone who wants the branded pen. A standing offer takes $200 off the first month.
Sprout averages 4.1 from 188 Trustpilot reviews. That is a small sample compared with Medvi or embody, but it is real.
Recent reviews regularly praise the support team: one customer was 'immediately answered by a LIVE CS rep. No bots,' and several others name individual reps who solved their issues quickly.
The negative reviews mention missing tracking notifications, a charge with no shipment after a skipped monthly check-in, sparse injection instructions and one report of hair loss on compounded tirzepatide. On price, Sprout sits in the middle: above the $49-$99 value tier and below TrimRx and SHED.
Included with Sprout
- Semaglutide from $149/mo
- Tirzepatide from $199/mo
- Brand-name Wegovy from $1,799/mo
- Prescriptions ship within 2 days
- $200 off the first month (check the current offer on Sprout's site)
Sprout suits you if
- Patients who want their prescription shipped within 2 days
- People who want brand-name Wegovy available alongside compounded plans
- Anyone who values a personalized plan over the lowest price
How much does Sprout cost?
Sprout's compounded semaglutide starts at $149/month and compounded tirzepatide at $199/month.
See all pricing details▾
Brand-name Wegovy is available from $1,799/month. A standing promotion takes $200 off your first month.
That makes Sprout a mid-market option: the value tier (welludr at $49, embody at $69, Medvi's $99 promotion) costs less for compounded medication, but few mid-priced competitors also stock a brand-name option. Check Sprout's current plan terms and first-month offer at checkout.
GLP-1
Compounded Semaglutide
Weekly
- One injection a week
- Starting price, with $200 off month one
GLP-1 + GIP
Compounded Tirzepatide
Weekly
- One injection a week
- Starting price, with $200 off month one
Wegovy
Brand-name semaglutide pen
- FDA-approved brand-name pen
- Starting price
Sprout strengths
- Quick turnaround: prescriptions ship within 2 days
- Compounded semaglutide and tirzepatide, plus brand-name Wegovy
- $200 off the first month
- Customer reviews repeatedly praise responsive support
- Plans tailored to your goals
Possible drawbacks
- Small Trustpilot sample: 4.1 from 188 reviews, versus far larger records at Medvi and embody
- Some reviewers report missing tracking updates and a charge without a shipment after a skipped monthly check-in
- Mid-market price: $149 semaglutide vs $49-$99 in the value tier
- Public plan terms are less detailed than competitors', so confirm them at checkout
Sprout reviews from Trustpilot customers
Sprout customer reviews on
TrustpilotShowing all 19 reviews we saved, every 1-star review included.
Great service
“Great service”
Ken
US
I already loved Sprout
“I already loved Sprout and have had great success, however I started to notice there were cheaper options, emailed with customer service and they quickly and efficiently reduced my cost and update my plan. 100 percent recommended.”
Victoria L.
US
Sprout customer service is stellar
“Sprout customer service is stellar. Everyone of my questions or concerns have been immediately answered by a LIVE CS rep. No bots. I am a life long customer because of the service they provide.”
Lisa M.
US
I lost 20 pounds
“I lost 20 pounds, and the team made me feel listened to. Their support team always replied to me right away. It's a good program for anyone looking into better life choices.”
Isabel M.
US
1 / 19
Each review is quoted word for word from a public Trustpilot page, with the reviewer’s name shortened. It reflects one customer’s experience: a weight-loss result someone mentions is personal, not typical, and your results may differ. Trustpilot is a trademark of Trustpilot A/S, which has no affiliation with Top Weight Loss.
altRx and Sprout plans and prices
Every published plan from both providers, lowest price first, with the terms listed under each price.
How are altRx and Sprout different?
A feature-by-feature table. Rows where the two providers match are grayed out, so the real differences stand out.
| altRx | Sprout | |
|---|---|---|
| Starting price | $89/mo semaglutide · $149 tirzepatide | $149/mo semaglutide · $199 tirzepatide |
| Brand-name options | Ozempic $1,149 · Zepbound $1,249 · Wegovy $1,579 | Wegovy from $1,799 |
| Delivery | Free, about 5-7 days | Ships within 2 days |
| First-month deal | Promo pricing (reg. $199/$299) | $200 off the first month |
| Payment | Buy Now, Pay Later; pause any time | Standard monthly billing |
| Trustpilot | No published aggregate | 4.1 across 188 reviews |
altRx or Sprout: which fits you?
Pick the statement that matches your situation, and the provider beside it is your best fit.
Overview
altRx is the better buy in the brand-name matchup: compounded semaglutide is $89 per month and tirzepatide $149, flat at every dose, with Buy Now, Pay Later and pause-any-time terms, plus brand-name Ozempic ($1,149), Zepbound ($1,249) and Wegovy ($1,579). altRx and Sprout are the only providers in our ranking that offer brand-name medication next to compounded plans. Sprout competes on speed and personalization: prescriptions ship within 2 days (versus roughly 5-7 at altRx), the first month is $200 off, and Wegovy from $1,799 sits alongside $149/$199 compounded plans.
Summary by priority
Pick altRx for
- $89/mo semaglutide, $149 tirzepatide, flat at every dose
- Three brand-name options; Wegovy $220/mo below Sprout's price
- Buy Now, Pay Later, plus pause or cancel any time
Pick Sprout for
- Prescriptions shipped within 2 days (vs 5-7)
- $200 off the first month
- Plans personalized to your goals
Our overall pick for most people: altRx. The prices and customer feedback on this page explain why, and when Sprout comes out ahead.
altRx vs Sprout: questions people ask
altRx vs Sprout: which GLP-1 provider is better?
altRx wins on price and range: compounded semaglutide is $60 per month cheaper, tirzepatide is $50 cheaper, and it stocks three brand-name drugs to Sprout's one, with Wegovy $220 per month lower. Add BNPL and pause-any-time terms. Sprout clearly wins on speed: 2-day fulfillment against altRx's 5-7 day shipping matters if you are starting or switching without spare doses. If timing matters more than cost, choose Sprout; otherwise altRx does the same job better.
altRx or Sprout: which wins on which has cheaper compounded glp-1??
altRx. It lists compounded semaglutide at $89 per month (regularly $199) and tirzepatide at $149 (regularly $299), the same at every dose. Sprout starts at $149 and $199. The $200 first-month discount improves Sprout's first-year cost, but from month two altRx stays $50-60 per month cheaper.
Is altRx or Sprout the longer-established company?
Both can prescribe brand-name medication, which is rare. altRx stocks three: Ozempic at $1,149, Zepbound at $1,249 and Wegovy at $1,579. Sprout lists Wegovy from $1,799. With more choice and lower prices, altRx takes this category.
Does altRx or Sprout deliver medication faster?
Sprout ships prescriptions within 2 days of approval. altRx's free shipping takes about 5-7 days, its one structural weak spot. If you are switching and timing it around your last brand-name pen, that difference alone can decide it.
Are altRx or Sprout plans easier to change or cancel?
altRx offers Buy Now, Pay Later, needs no insurance and lets you pause or cancel at any time. Sprout's $200 first-month discount is the better welcome offer, but altRx's ongoing terms are the most flexible in this matchup.
Read next
Where readers of this comparison usually go after this page.
Best tirzepatide online
Eight checked compounded tirzepatide prices starting at $89, plus each brand-name Zepbound option.
altRx review
Semaglutide at $89, tirzepatide at $149, and brand-name drugs sold alongside compounded plans.
GLP-1 provider support compared
How each provider handles support, shipping and billing, based on saved Trustpilot reviews.
Zepbound price online
Cash prices of $1,249 to $1,599 for brand Zepbound, the ro pen option and cheaper compounded tiers.
More Provider Matchups
How we researched this
This comparison of altRx and Sprout starts with each provider'spublished prices, plans and policies. We then compare those details with regulatory and peer-reviewed medical references and weigh them against what real customers report. Every price and plan detail was checked on the provider's own published information, because a provider's claims about itself are not accepted until we confirm them.
Provider data
Prices, plan terms, shipping and policies, confirmed on each provider's website.
Provider details confirmed October 2026
What customers and communities say
Outside sources cited here and in our reviews include verified Trustpilot ratings, public Reddit threads and independent YouTube reviews. We quote and summarize them, but their ratings are kept separate from our own scores.
Clinical & regulatory sources
- 1.Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1 trial) - New England Journal of Medicine, 2021
- 2.Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1 trial) - New England Journal of Medicine, 2022
- 3.FDA Approves New Drug Treatment for Chronic Weight Management (semaglutide / Wegovy) - U.S. Food & Drug Administration, 2021
- 4.FDA Approves New Medication for Chronic Weight Management (tirzepatide / Zepbound) - U.S. Food & Drug Administration, 2023
- 5.FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss - U.S. Food & Drug Administration
- 6.Human Drug Compounding (503A pharmacy standards) - U.S. Food & Drug Administration
- 7.Semaglutide Injection - drug information - MedlinePlus, U.S. National Library of Medicine (NIH)
Last reviewed October 2026. When a provider changes its prices or policies, we update this comparison. The content here is for general information, not medical advice: talk to a licensed clinician before you begin any treatment.