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.
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

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.
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 facts | Medvi | altRx |
|---|---|---|
| Price from | All-inclusive, no surprise charges | $89/mo GLP-1 · $149/mo GLP-1 + GIP |
| Medications offered | Prescription GLP-1 treatment | Compounded plus brand-name Zepbound and Wegovy |
| Prescription needed? | Yes - a licensed clinician reviews your intake online | Yes - 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

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
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
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.

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.
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)
Weekly
- One injection a week
- All costs included, no membership fee
GLP-1 + GIP Injections
Prescription GLP-1/GIP (tirzepatide)
Weekly
- One injection a week
- Visits, coaching and shipping included
GLP-1 Tablets
Oral dissolving GLP-1
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 customer reviews on
TrustpilotShowing all 40 reviews we saved, every 1-star review included.
Keep your appointment
“Very helpful information. Theresa was thoughtful and explained all of her observations.”
Eric B.
US
Nurse was very informative and pleasant
“Nurse was very informative and pleasant to talk with.”
Stephen V.
US
This journey has been great
“This journey has been great . Talking with Jessica certainly has answered my questions and concerns.”
Linda H.
US
My provider was very helpful
“My provider was very helpful. She listened to my concerns and made proper adjustments.”
Crystal C.
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.
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.
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.
| Medvi | altRx | |
|---|---|---|
| Personal Attention | Attentive, highly rated providers | Licensed clinician guidance |
| Follow-Up Care | Regular check-ins and follow-ups | Clinician oversight |
| Consultation | Fully online | Fully online |
| Medication Menu | Prescription GLP-1 treatment | Compounded plus brand-name Zepbound and Wegovy |
| Price Structure | All-inclusive, no surprise charges | $89/mo GLP-1 · $149/mo GLP-1 + GIP |
| Ways to Pay | Cash-pay, no insurance needed | Cash-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.
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.
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 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.
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.






