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Medvi vs altRx: Online GLP-1 Care Compared (2026)

Medvi and altRx side by side on personal attention, follow-up care, medication options and what you actually pay.

Written by The Top Weight Loss Research Team·

Last updated: Sep 2, 2026

Francheska Capistrano, Medical Content Reviewer

Francheska Capistrano, RMT, MPH

Clinically checked · 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

Medvi is the provider we recommend to most readers. The main reason: Personal, attentive service that reviewers single out. Scroll down for the full reasoning, the prices, and the situations where altRx is the better pick.

What do Reddit users say about Medvi and altRx?

Real public Reddit posts and comments, quoted in each user’s own words, covering what went well and what did not.

r/r/telehealth·u/marlsygarlsy·6mo agoabout Medvi

Topic: Results, provider messaging and cost

Medvi GLP-1 telehealth experience breakdown

“Within a few days, I heard back from a licensed provider... Most of the communication happened through secure messaging.”

“I did have some mild nausea when my dose increased, but it was manageable and improved after a short time... Around the middle of the year, progress slowed and I hit a plateau. I reached out through the messaging system, and my provider adjusted my dose, which helped me start moving again.”

u/Canadian_Insulin

“Clinically speaking, losing around 10 to 15 percent of starting body weight over a year is very much within the expected and healthy range for semaglutide treatment.”

r/r/tirzdeals·u/nurse-emc4527·3mo agoabout altRx

Topic: Sign-up, approval and delivery

AltRx Experience :)

Okay, so I am new to GLP and was really just waiting to find a more affordable option to start and AltRx came up. I have never posted a Reddit thread until now and I felt the need to share my experience because I know there's a lot of negative reviews about this telehealth platform and wanted to give other people hope!! Lol. So I live in Ohio and everything was asynchronous meaning no video appointment was needed. I signed up and requested treatment 7/11 (chose 6 month option and paid with AfterPay with my first payment not being due until August which was great!! Total was $780 so payments with a little interest comes out to ~$140 a month for 6 months) and got approved next day 7/12. The NP sent a long message thru my portal including what she approved me for (three month supply of Tirz/b12 2.5 mg, 5 mg, and 7.5 mg increasing dose every 4 weeks from Evoluciona) and risks/benefits which I appreciated. After three months I am expected to check in and request a refill for another 3 months that I paid for. Anyway, I didn't get shipping notification until Friday that same week 7/17 and it was by UPS Next Day Air Saver. Being that it was the weekend, it arrived 7/20 which I'm not mad about because I've read that 3-day shipping is standard. I received my package in a cooler with ice packs which were melted and meds were room temperature but I'm assuming not for too long. Everything was well-packaged!! Placed them in the fridge right away and waiting until tonight to administer first dose! I'll continue posting my updates on this thread :)

u/Goats-n-Hens

Yes, AltRX has been good to deal with every single time. I like them!!!

r/r/productreview·u/External-Neck-7278·6mo agoabout Medvi

Topic: One-year results

My 2026 MEDVI review after using it for a full year

“The first thing I noticed was that my appetite felt different in a calm manageable way rather than feeling like I was constantly fighting hunger.”

“Over the course of the year I lost just over 40 pounds and more importantly I've been able to maintain that loss without feeling burnt out.”

u/Decent_Feature_9060

“medvi is the best triz provider i ever had (changed 3 providers so far)”

r/Reddit·u/Any_Style_4939·3mo agoabout altRx

Topic: Delivery speed and first-month price

MY ALTRX EXPERIENCE!!

On June 1st I signed up with AltRX for their 1st month offer of $129. I was approved for highest dose of 15mg about 4 hours after filling out the form. I was prescribed Tirzepatide with Glycine & B12. It was sent to Strive Pharmacy the same day (Monday). Yesterday (Tuesday June 2) it shipped with UPS Next Day Air Delivery!! I received it this morning!! It came in a cooler with 4 frozen ice packs. I got 2 30mg vials for a total of 60mg!! The BUD on both is August 9, 2026. I'm so happy with this order!! I wish their monthly price was cheaper!! I give them a 10/10 for sure!!

u/Spawnofkitty

Awww some strive i love that for you! Glad it went well 💪

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

Medvi: These Medvi threads are full-year accounts rather than first impressions: steady results (just under 15% of body weight in one case, 40 pounds in another), a dose adjustment when progress stalled, and support that responded. The drawback the posters name themselves is the ongoing monthly cost.

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 factsMedvialtRx
Price fromAll-inclusive, no surprise charges$89/mo GLP-1 · $149/mo GLP-1 + GIP
Medications offeredPrescription GLP-1 treatmentCompounded plus brand-name Zepbound and Wegovy
Prescription needed?Yes - a licensed clinician reviews your intake onlineYes - a licensed clinician reviews your intake online

These are the published prices from our most recent check. Offers change, so confirm the final amount at checkout. Our price-checking method

Medvi logo
14,987 reviews onTrustpilot
Licensed US telehealth

Prescription weight loss without the hassle

  • Treatment options backed by a prescription
  • Provider support for the length of the program
  • Quick, simple online sign-up
Visit Medvi
VS
altRx logo
Licensed US telehealth

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
Visit altRx

Provider profiles

What do Medvi and altRx each offer?

Medvi and altRx 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.

Medvi logo
14,987 reviews onTrustpilot
Licensed US telehealth
Visit Medvi

How does Medvi work?

Medvi is an all-inclusive GLP-1 program with one of the two largest verified review records in our ranking: 4.3 from 14,987 Trustpilot reviews, a volume few telehealth weight loss brands come close to. Everything is billed as one flat price, and a current promotion cuts it roughly in half.

More about Medvi▾

Weekly semaglutide (GLP-1) injections start at $99/month (normally $199), and weekly tirzepatide (GLP-1/GIP) injections start at $166/month (normally $299). For patients who would rather avoid needles, daily oral dissolving tablets cost $249/month.

There is no membership fee and there are no hidden charges, shipping is free, and dietitian access and care coaching are included at no extra cost. Plans are HSA/FSA approved.

Care is hands-on. Recent Trustpilot reviews describe video visits that start on time ('Video visit was made very easy and reminders were sent right before my visit'), providers who 'took her time, answered any questions,' and follow-up through secure messaging.

At $99, Medvi's bundle now competes with the budget tier. The one caveat is that promotions end, and the standard prices are $199 and $299.

HSA/FSA approvedNo membership or hidden feesFree shippingFree dietitian and care coaching

Included with Medvi

  • Semaglutide (GLP-1) injections from $99/month (normally $199)
  • Tirzepatide (GLP-1/GIP) injections from $166/month (normally $299)
  • Needle-free daily dissolving GLP-1 tablets at $249/month
  • Video visits, free dietitian access and care coaching
  • HSA/FSA approved; no membership or hidden fees

Medvi suits you if

  • Patients who want a provider with a large, verifiable review history
  • People who want dietitian and coaching support included, not sold separately
  • Anyone who dislikes needles and prefers a daily dissolving tablet

How much does Medvi cost?

Medvi charges one all-inclusive price, currently discounted: weekly semaglutide (GLP-1) injections from $99/month (normally $199), weekly tirzepatide (GLP-1/GIP) from $166/month (normally $299), and daily oral dissolving GLP-1 tablets at $249/month.

See all pricing details▾

That price includes provider visits, medication, free shipping, and free dietitian access and care coaching. There is no membership fee and no hidden charge, and plans are HSA/FSA approved.

At the promotional rate, only a handful of providers list semaglutide lower (welludr at $49, embody at $69 and altRx at $89), and none of them include dietitian access and coaching in that price.

GLP-1 Injections

Prescription GLP-1 (semaglutide)

$99$199/month

Weekly

  • One injection a week
  • All costs included, no membership fee

GLP-1 + GIP Injections

Prescription GLP-1/GIP (tirzepatide)

$166$299/month

Weekly

  • One injection a week
  • Visits, coaching and shipping included

GLP-1 Tablets

Oral dissolving GLP-1

$249/month

Daily

  • One dissolving tablet a day
  • No needles needed

Medvi strengths

  • Trustpilot: 4.3 from 14,987 reviews, one of the two largest verified records we rank
  • Current promotion roughly halves the price: $99 semaglutide / $166 tirzepatide
  • Truly all-inclusive: visits, medication, shipping and coaching
  • Needle-free choice with daily dissolving tablets
  • HSA/FSA approved; no membership or hidden fees

Possible drawbacks

  • $99/$166 are promotional prices; the standard rates are $199/$299
  • The needle-free tablets cost more, at $249/month
  • No brand-name Ozempic, Wegovy or Zepbound
  • A recurring monthly cost, which reviewers themselves name as the main drawback

Medvi reviews from Trustpilot customers

Medvi logo

Medvi customer reviews on

Trustpilot
(14,987 reviews)

Showing all 40 reviews we saved, every 1-star review included.

Sort
Sep 25, 2026

Keep your appointment

“Very helpful information. Theresa was thoughtful and explained all of her observations.”

E

Eric B.

US

Sep 25, 2026

Nurse was very informative and pleasant

“Nurse was very informative and pleasant to talk with.”

S

Stephen V.

US

Sep 25, 2026

This journey has been great

“This journey has been great . Talking with Jessica certainly has answered my questions and concerns.”

L

Linda H.

US

Sep 24, 2026

My provider was very helpful

“My provider was very helpful. She listened to my concerns and made proper adjustments.”

C

Crystal C.

US

Sep 24, 2026

Tomica

“Tomica, the company rep was outstanding.”

J

John W.

US

Sep 24, 2026

I was able to ask any questions

“I was able to ask any questions, she was very informative.”

M

Maria A.

US

Sep 23, 2026

MedVi support and their affordable...

“MedVi support and their affordable access to these truly life saving medicines is wonderful. I'm beyond grateful.”

K

Kelly G.

US

Sep 23, 2026

They really care about my needs and...

“They really care about my needs and goals.”

S

Sandra C.

US

Sep 23, 2026

Great support and program works fantastic!!!

“The doctor reviewed my history of orders and saw the mistake previously made and said she would correct my prescription order. All was great and can't think of any improvements. The program has been working fantastic for me and highly recommend.”

N

Nan

US

Sep 23, 2026

That you meet with a real provider or nurse practitioner via video call I think is more important than a phone call

“That you meet with a real provider or nurse practitioner via video call I think is more important than a phone call. Things are cleared in your visit. Much better. They're always available, easy to make appointments”

M

Michele S.

US

Sep 22, 2026

Professional

“Uneventful, went as hoped”

S

Stev H.

US

Sep 22, 2026

Experience was handled professionally...

“Experience was handled professionally and I was given well informed information on my weight loss medication and journey and what to expect. I was very comfortable knowing I can contact medical personnel at anytime with any questions or concerns. Overall I am very happy”

M

May L.

US

Sep 22, 2026

The RN was very helpful with my medical...

“The RN was very helpful with my medical questions as well as assuring me that things will be taken care of.”

S

Stephanie N.

US

Sep 22, 2026

Very helpful and cooperative

“Very helpful and cooperative. I'm very satisfied.”

A

Alfred J.

US

Sep 22, 2026

Great Check In Appointment

“Today I had a great follow up, check-in appointment with a nurse practitioner after having a surgical procedure done. We went over expectations, where I met with my dosages, how to continue with my dosages now that I have recovered from surgery. All in all it was a great experience; so far everything has gone really well with this MedVi tirzepatide health adventure I have undertaken.”

J

Jennifer P.

US

Sep 22, 2026

Helpful and thorough

“Helpful and thorough”

T

Tracy H.

US

Sep 22, 2026

The nurse was very kind

“The nurse was very kind, professional and helpful. Thank you and keep up the good work. Unfortunately this company dosage peaks out at 11.125mg unlike some other companies that go to a max dosage of 15mg”

M

Maurice R.

US

Aug 10, 2026

Positive provider experience

“My provider was very friendly. She answered all my questions very thoughtfully and thoroughly.”

A

Ashley

US

Aug 10, 2026

Timely and helpful video call

“Timely and helpful video call resolving my issues.”

S

Scott C.

US

Aug 10, 2026

The nurse paid close attention

“The nurse paid close attention to my questions and responded in ways that were very helpful. Great job!”

R

Rena

US

Aug 7, 2026

Very quick and questions answered fully

“Video visit was made very easy and reminders were sent right before my visit”

M

Martin

US

Aug 7, 2026

Friendly and helpful

“The person who helped me listened and helped me with my problems”

R

Richard

US

Aug 7, 2026

The phone call was very thorough

“The phone call was very thorough and everything went smoothly”

R

Randy B.

US

Aug 7, 2026

The feedback has been overwhelmingly positive

“My experience was highly satisfactory, and all my inquiries were addressed to my complete satisfaction.”

T

Traci F.

US

Aug 7, 2026

The teams at Medvi always help

“The teams at Medvi always help to assist with my concerns and have been supportive and positive through my weight-loss journey.”

V

Veronica

US

Jul 28, 2026

She was very professional

“She was very professional and considerate. The video call was on time and straightforward.”

G

Greg R.

US

The personal service

“The personal service”

D

DB

US

She took her time

“She took her time, answered any questions. Very satisfied thank you”

R

Raymond S.

US

Friendly, prompt questions answered

“Friendly professional answered my questions. Thank you!”

l

lisa E.

US

Professional and helpful

“Professional summary, courtesy, thoroughly recommended and helpful information for my case.”

B

Brian

US

Sep 22, 2026

Very personal

“Very personal, communicated all needs and supported me with advice”

R

Roxanne C.

US

Sep 21, 2026

Quick

“Quick, easy, to the point.”

S

Shawn E.

US

Sep 5, 2026

Helpful personnel

“Helpful personnel.”

V

Vivian H.

US

Sep 4, 2026

At first had a hard time canceling my monthly subscription

“At first had a hard time canceling my monthly subscription, but they did finally get that taken care of. The product is great, I just didnt need/want a monthly prescription. I wish they had more flexibility in that regard. Maybe an every other month, or just buy as needed.”

C

Chris W.

US

Aug 31, 2026

GLP-1 (Compounded)

“MEDVi offers a lot of assistance with the RN, Provider. and Coaching Support - I like that assistance. However, they need to ensure for a solid audio-video connection to see whom you're speaking with (there's too much FRAUD going on today) especially when it comes to your health. It's very important to see and get there credentials/whom you're speaking with about your health - you know, the HIPPA ACT Policy. Otherwise, I really enjoy this Rx, it really curves your appetite. My PRAYER is NO side effects so that I can continue and accomplish my goal. I started this program in March 2026. It cost too much not to receive stellar service.”

A

A Concerned First Time Consume

US

Sep 23, 2026

Caution is advised

“Caution is advised. The operational efficiency of this company is significantly lagging, causing an impediment to my regular medication intake schedule. Regrettably, their customer support inadequacies persist, coupled with a lack of responsibility for service deficiencies. In addition, their pricing surpasses that of competitors. It is my recommendation to refrain from engaging with this establishment due to their unreliability in ensuring timely delivery of essential medications for weekly GLP-1 dosages.”

K

Kearsley R.

US

Sep 22, 2026

Started great, ended poorly

“For the first 5 months, they were great. Good service. Good communication. Then, all communication stopped: no emails, no text. I called and canceled. But they would not send me a cancellation email. In three additional calls.”

A

Andy W.

US

Sep 16, 2026

Lots of confusion and delays

“I transitioned to Medvi from another company and have been using GLP-1s for over a year. Medvi didn't review my history and continuously sent me a level 1 prescription when I needed a level 5. It took weeks to get each one resolved, including multiple calls/emails with customer service, and having to explain why I didn't want to pay more money for the "extra prescriptions". I paid for three months, but will not be renewing after these months are over.”

N

N R

US

Sep 11, 2026

I signed up for medication and was...scammed

“I signed up for medication and was charged without ever having spoken to a medical professional. They ordered medication that was an incorrect dose. I met with their medical provider and she agreed to change to the correct dose. The change was never made. I called numerous times to correct the problem, I was assured that it was corrected. It never was. I called to cancel the order and request a refund. I was told I would have a refund in 5-10 days. I didn't receive confirmation of the refund and was getting notified that the prescription was being processed. I called again and was told to ignore the notification that it was cancelled and I would receive a refund. The order was shipped to me. It is not labeled with the correct dosage and the company is now refusing the refund I was promised. I have been on the phone and in email communication almost daily. DO NOT DO BUSINESS with MEDVI. They are not trustworthy. They will lie to you and refuse to honor their word.”

D

Deborah D.

US

Sep 1, 2026

Medvi shady practices.

“Medvi promised GLP 1 medication for $179.00 monthly with a prepaid yearly subscription. Unfortunately the term was not a complete year. After just 11 shipments they renewed my subscription without any advance notice. They did not give me a choice. The amount I was charged previously was $2,148.01. If you divide this amount by 11 it does not come out to $179.00. When I did discover the charge applied to my card, I contacted Medvi that same day to cancel my subscription. They replied that they have cancelled it the following August in 2027. They would not allow me to cancel the current subscription. Not until I filed complaints with the Better Business Bureau, the FTC, and my State Attorney General did they finally refund my subscription. I would not deal with this company. Even though the medication was supposed to be monthly, the dosage that I was prescribed was two injections weekly. The dosage amount and the amount that they sent did not last for 8 injections for the month.”

M

Margaret D.

US

1 / 40

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.

Start your Medvi assessment
altRx logo
Licensed US telehealth
Visit altRx

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.

Clear, flat pricingNo insurance neededBuy Now, Pay LaterClinician oversight

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

$89$199/month

Weekly

  • Once-weekly injection
  • In stock, no insurance needed

GLP-1 + GIP

Compounded Tirzepatide

$149$299/month

Weekly

  • Once-weekly injection
  • In stock, no insurance needed

Zepbound

Brand-name tirzepatide injection

$1,249/month

Ozempic

Brand-name semaglutide injection

$1,149/month

Wegovy

Brand-name semaglutide injection

$1,579/month

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 logo

altRx customer reviews on

Trustpilot
Source: Trustpilot

Showing all 16 reviews we saved, every 4-star review included.

Sort
Sep 7, 2026

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.”

C

Cindi P.

US

Sep 3, 2026

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.”

m

melissa A.

US

Sep 2, 2026

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.”

A

Angela

US

Sep 1, 2026

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+”

T

Tammy D.

US

Sep 1, 2026

I have been with altrx for few months

“I have been with altrx for few months. I take tirzepatide from them. I always get everything on time! I just felt they needed a good review since other companies I used suck and scam me.”

S

Shannon R.

US

Aug 31, 2026

Ive be been using AltRx for 4 months

“Ive be been using AltRx for 4 months (out of a 6 mo subscription) after switching from another company. Not a single problem. Ive communicated with customer service multiple times and received prompt responses. Ive continually lost 4-5 pounds a month. They accidentally billed me once but after contacting them, I was refunded immediately. Ive been really happy with my experiences using them.”

A

Alicia V.

US

Aug 26, 2026

Great experience so far!

“I don't understand all of the bad reviews because I've had a great experience so far! Paige my care consultant (maybe AI but idk) helped me get a discounted rate and answered all of my questions! I had previously been taking GLP1 from a Medspa and they were great but the price was Insane and it stopped working for me there. With AltRX I've lost 8 lbs and it hasn't even been a month yet since I started.”

T

Tori W.

US

Aug 14, 2026

I signed up on a Friday night at 8pm

“I signed up on a Friday night at 8pm. A doctor called me at 1045 Saturday morning and we talked for about ten minutes. She ordered the dose and medicine I wanted and I received it by FedEx overnight delivery on Thursday. So far so good.”

C

Carlton L.

US

Jun 16, 2026

So far so good!

“I joined in June 2026. At first I was worried cause the ad I saw said $129 a month for tirzepatide but when I signed up they said it was an error and it would be $149 a month forever. And so far it's been great. My dose has increased but my price hasn't. I haven't had any trouble with communication via messaging them. My experience so far has been great, but I am not a social person I appreciate them checking up on me monthly and not annoying me with weekly check ins.”

Z

ZC

US

Aug 26, 2026

pretty good experience

“I've had a pretty good experience with them. The shipping can take a tad bit longer but they respond when I reach out and the process is seamless in my opinion. Currently on level 2 and no issues”

B

B L.

US

Aug 13, 2026

So far so good

“So far so good. The med arrived promptly in good packaging to keep the med cold. No surprise costs at this time. I'm happy.”

M

Marni G.

US

Jun 10, 2026

I spoke to someone at Altrx last week

“I spoke to someone at Altrx last week. I told her I wanted a high dose of Triz since I have been on Triz for one year. My order arrived today, a week after ordering. Everything went very smoothly. The only concern was the tiny vial in comparison to other companies I previously ordered from. I just hope it works as it should.”

P

Paula L.

US

May 12, 2026

I was very skeptical about ordering...

“I was very skeptical about ordering with this company but thankfully I was proven wrong for the most part. Once I was approved I received email stating that my prescription had been sent to the pharmacy for compounding. It took about 5 days but I finally received an email that it had been shipped & I received it the next day. Total process took about 8 days total. Paige was great about texting me back if I had questions but customer service never responded back to me. However, I did receive them & I'm happy that everything has worked out so far. Overall experience - very satisfied.”

M

Marlie C.

US

Good experience but a little frustration

“I'm on my third month with altRx and while my first two months were very smooth, this third one has been terrible. My refill order has yet to be fulfilled with zero reason as to why. Customer service says they requested to “expedite it” but nothing yet. We shall see. I've been happy otherwise.”

j

jb

US

My first time ordering from AltRx

“I was looking for a telehealth that utilized the same pharmacy I was already using, and AltRx was one of the ones. Ordering through AltRx was almost a 3rd of the cost I spent the first 3 months through the FSA site. Everything else ran smoothly. I ordered 7/5 and received it today, 7/13. I paid through Afterpay, so they can't renew without my approval.”

K

Kimberly W.

US

Fantastic customer service

“Fantastic customer service! I had a quick question about tracking my delivery, and their support team responded within an hour with all the details. The product quality is top-notch. Highly recommend”

L

Lenden

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.

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Medvi and altRx plans and prices

Every published plan from both providers, lowest price first, with the terms listed under each price.

How are Medvi and altRx different?

A feature-by-feature table. Rows where the two providers match are grayed out, so the real differences stand out.

MedvialtRx
Personal AttentionAttentive, highly rated providersLicensed clinician guidance
Follow-Up CareRegular check-ins and follow-upsClinician oversight
ConsultationFully onlineFully online
Medication MenuPrescription GLP-1 treatmentCompounded plus brand-name Zepbound and Wegovy
Price StructureAll-inclusive, no surprise charges$89/mo GLP-1 · $149/mo GLP-1 + GIP
Ways to PayCash-pay, no insurance neededCash-pay plus Buy Now, Pay Later

Medvi or altRx: which fits you?

Pick the statement that matches your situation, and the provider beside it is your best fit.

Personal, attentive service that reviewers single outMedvi
Regular check-ins and monitoring from providersMedvi
All-inclusive, transparent pricing with no surprise chargesMedvi
Broadest menu, including brand-name Zepbound and WegovyaltRx
Published prices: $89/mo GLP-1, $149/mo GLP-1 + GIPaltRx
Buy Now, Pay Later at checkoutaltRx

Overview

Medvi is the better choice for most people here because of the care experience: patients consistently praise its attentive providers, and its monthly plans fold medication, consultations and monitoring into one all-inclusive price. altRx, which promotes itself as "the #1 most affordable GLP-1 program", starts at $89/month and offers the widest medication range, from compounded GLP-1 and GLP-1 + GIP to brand-name Zepbound and Wegovy. Both are self-pay, fully online services that deliver prescriptions to your home.

Here is how Medvi and altRx compare on support, monitoring, onboarding, medications and price.

Summary by priority

Pick Medvi for

  • Personal, attentive service that reviewers single out
  • Regular check-ins and monitoring from providers
  • All-inclusive, transparent pricing with no surprise charges

Pick altRx for

  • Broadest menu, including brand-name Zepbound and Wegovy
  • Published prices: $89/mo GLP-1, $149/mo GLP-1 + GIP
  • Buy Now, Pay Later at checkout

Our overall pick for most people: Medvi. The prices and customer feedback on this page explain why, and when altRx comes out ahead.

Medvi vs altRx: questions people ask

Medvi vs altRx: which GLP-1 provider is better?

Medvi wins on experience. Medvi and altRx are both legitimate online GLP-1 providers, but Medvi customers repeatedly single out the personal, attentive service, and its plans include medication, provider consultations and ongoing monitoring at a transparent price with no surprise charges. altRx is the better pick if you want the broadest medication selection, including brand-name Zepbound or Wegovy, or need Buy Now, Pay Later.

Do customers rate Medvi or altRx higher?

Medvi's clearest strength is its providers. Recent Trustpilot reviewers keep describing clinicians who take their time, answer every question and follow up afterward, calling the service friendly, professional and personal. altRx offers guidance from licensed clinicians, and its reviews are also mostly favorable.

Does Medvi or altRx give you more clinical support?

Medvi schedules provider support across the whole treatment period, with regular check-ins, follow-up consultations and dose changes when needed. altRx also includes clinician oversight, but Medvi's structured monitoring does more to keep patients on track.

Medvi or altRx: which wins on getting started?

Medvi is designed to make medical weight loss simple, with a streamlined online enrollment that suits first-time patients. altRx is also fully online with a short assessment, but Medvi puts the most effort into a fast, low-friction start.

Does Medvi or altRx offer more GLP-1 medications?

altRx has the larger selection: compounded GLP-1 and GLP-1 + GIP plus brand-name Zepbound and Wegovy. Medvi focuses on prescription GLP-1 treatment with dosing guided by your provider. Both deliver medication to your home.

Does Medvi cost less than altRx?

Medvi and altRx are both upfront about cost, in different ways. Medvi's monthly plans include medication, provider consultations and ongoing support at one transparent price with no surprise charges. altRx publishes clear rates of $89/month for compounded GLP-1 and $149 for GLP-1 + GIP and offers Buy Now, Pay Later. The value is comparable.

How we researched this

This comparison of Medvi and altRx 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.

  • Medvi - complete price & plan review
  • altRx - complete price & plan review

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. 1.Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1 trial) - New England Journal of Medicine, 2021
  2. 2.Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1 trial) - New England Journal of Medicine, 2022
  3. 3.FDA Approves New Drug Treatment for Chronic Weight Management (semaglutide / Wegovy) - U.S. Food & Drug Administration, 2021
  4. 4.FDA Approves New Medication for Chronic Weight Management (tirzepatide / Zepbound) - U.S. Food & Drug Administration, 2023
  5. 5.FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss - U.S. Food & Drug Administration
  6. 6.Human Drug Compounding (503A pharmacy standards) - U.S. Food & Drug Administration
  7. 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.