Compounded tirzepatide
altRX review
The monthly altRX membership for compounded tirzepatide costs $149, and the site promises that rate is locked for life at every dose from 2.5 mg to 15 mg. Visits, the vial and shipping sit inside that one charge. Before paying, know that the money is final the moment you submit it.
Who it suits
Good fit if
- You plan to climb the full 2.5 mg to 15 mg ladder and want the bill to stay put.
- You'd use round-the-clock chat, phone or text support during the first months.
- You want to pay with an HSA or FSA card.
Look elsewhere if
- You want a refund if you change your mind after checkout.
- A recent FDA warning letter to the operating company rules a seller out for you.
What you get
For $149 a month you get telehealth consultations, a personalized care plan, the compounded tirzepatide and free delivery. The kit comes with syringes, needles and alcohol swabs. There is no separate membership fee, and the site says the price won't rise as the dose goes up.
Trinity HealthCare Supply, LLC runs the altRX platform and billing. Prescribing is handled by OpenLoop Healthcare Partners, PC and its affiliated practices, with a provider licensed in your state. The FAQ names four 503A pharmacies in the network: RedRock in Utah, Health Warehouse in Kentucky, Precision Medicine in New York and Triad Rx in Alabama.
The tirzepatide product page describes a standard schedule. You start at 2.5 mg a week for four weeks, then step up by 2.5 mg every four weeks as needed, to a 15 mg ceiling. Once opened, a vial keeps at room temperature for up to 21 days.
How it works
- Take the two-minute assessment. It is free and asks about your weight goal and health history.
- Pay for the membership. Your subscription starts when the payment goes through, before any provider has reviewed you.
- An OpenLoop provider looks at your answers, by live video or asynchronously depending on your state's telehealth rules.
- If tirzepatide is prescribed, a network pharmacy fills it. Processing and delivery usually take about 4 to 5 business days.
- The membership bills again each month until you cancel, with provider check-ins and messaging included.
Pros and cons
Pros
- The tirzepatide price at altRX is the same $149 at 2.5 mg as at the 15 mg top dose.
- The altRX FAQ names all four partner pharmacies, with street addresses in Utah, Kentucky, New York and Alabama.
- Unlimited check-ins, messaging and 24/7 phone or text support come with the altRX membership.
Cons
- Payments are final once submitted, unless an OpenLoop provider finds you medically ineligible.
- Cancel at least 72 hours before your billing date, or altRX charges one more non-refundable month.
- In June 2026 the FDA sent a warning letter to Trinity HealthCare Supply, LLC, the company behind altRX.
Check before you pay
- FDA warning letter
- In June 2026 the FDA issued a warning letter to Trinity HealthCare Supply, LLC, which does business as altRX. It concerned false or misleading claims and misbranding in its telehealth marketing.
- Refunds if you are declined
- If a provider finds you ineligible, you get back only the unused part of the payment. The cost of any consultation or intake review already done is kept.
- Longer plans
- Multi-month bundles are sold as one purchase and none of it is refundable, even for months that never shipped. Stick with the monthly plan if you're unsure.
- FDA warning letter
- FDA sent altRX a warning letter in June 2026. Read what it covers.
Price
altRX costs $149 a month for compounded tirzepatide.
How we got $149
The arithmeticOne month = 30.4375 days
altRX advertises
Read on altRX's own site
$149.00
The card is charged $149.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$149.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$86median $269$434+
20 cheaper · 5%336 dearer · 92%
The most expensive 10 sellers charge between $434 and $649 a month.
- Collective$86
- Teleios Health$99
- Valhalla Vitalitystarting dose$99
- RxPepsDirectstarting dose$100
- WeightRxstarting dose$125
- altRX$149
Another 15 sellers are cheaper than altRX. The whole cheapest list →
Where it says it operates
The altRx membership is available to residents of all 50 U.S. states.
Read on its own site in August 2026. That is the seller’s own promise for the whole country, so confirm your state when you sign up.
State pages this seller appears on: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $89 a month
Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.
FDA has written to this seller
In , FDA sent warning letter 728236 to Trinity HealthCare Supply, LLC dba altRx (Miami, FL). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names altrx.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →
altRX questions
- Is altRX legit?
- It's an operating telehealth service. Trinity HealthCare Supply, LLC runs the platform, OpenLoop Healthcare Partners, PC provides the prescribers, and named 503A pharmacies compound the drug. The FDA sent the company a warning letter in June 2026 over false or misleading claims. Compounded tirzepatide is not Zepbound or Mounjaro and is not FDA-approved.
- How much is altRX tirzepatide per month?
- $149 a month, the same at every dose, with visits and shipping included and no membership fee. Its compounded semaglutide costs $89 a month.
- Does altRX take insurance?
- No. It's self-pay, and the site says HSA and FSA cards are accepted.
- Can you cancel altRX?
- Yes, at any time, by emailing or calling support or through your patient portal. Get the request in 72 hours before your next billing date to stop that charge. Service runs to the end of the paid month, and nothing already paid comes back.