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altRx vs Fay: Which Is Better?

Head-to-head comparison of altRx and Fay based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Fay scores higher overall in our independent evaluation (61.9/100 vs 47.6/100), leading on trust & safety, experience, reputation. altRx comes out ahead on product range.

48
altRx
Below Average

altRx is a Miami-operated, GLP-1-only telehealth brand advertising compounded semaglutide from $89/mo and tirzepatide from $149/mo with no separate membership fee.

Visit altRx
62
Fay
Fair

Insurance-billed marketplace for virtual registered-dietitian care (weight management, diabetes, GLP-1 support, PCOS); it does not prescribe medication.

Visit Fay

Score Breakdown

DimensionaltRxFay
Overall Score47.6/10061.9/100 ✓
Trust & Safety30%42/10066/100 ✓
Value25%70/10070/100
Experience20%35/10062/100 ✓
Product Range15%50/100 ✓40/100
Reputation10%30/10062/100 ✓

At a Glance

Founded—2022
HeadquartersMiami, FLSchaumburg, IL
Publicly tradedNoNo
Treatment categories12
Treatments listed21
Starting price$89/mo$0/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryaltRxFay
Weight Loss / GLP-1$89–$159
Compounded Semaglutide (injectable)
Free–$150
Registered Dietitian Sessions

altRx

+Advertised compounded GLP-1 pricing ($89/mo semaglutide, $149/mo tirzepatide) is near the bottom of the market, with no separate membership fee
+Names its four fulfilling pharmacies (RedRock, Health Warehouse, Precision Medicine, Triad Rx) on its site
+Offers branded Wegovy, Zepbound and Ozempic prescriptions alongside compounded options
−Received an FDA warning letter (June 8, 2026) over labeling that misidentified the compounder and 'clinically proven' claims implying FDA approval
−Roughly 73-78% of Trustpilot reviews are one-star, citing undelivered refills, refused refunds, and unanswered phones and email
−Trustpilot has removed reviews on its profile for guideline breaches
Read the full altRx review →

Fay

+Registered dietitians only, in-network with 700+ plans; many members pay $0 per session
+Pre-booking price estimator based on the member's insurance benefits
+Large clinician bench (3,400+ RDs) covering 30+ specialties including diabetes, PCOS and GLP-1 nutrition support
−No prescribers: Fay cannot prescribe or supply GLP-1s or any other medication
−Insurance estimates are unreliable per reviewers, with '$0 copay' visits later billed at $230 up to $1,400
−Reports of unexpected recurring charges and charges continuing after cancellation
Read the full Fay review →

altRx vs Fay — FAQ

Is altRx better than Fay?

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Fay scores higher overall in our independent evaluation (61.9/100 vs 47.6/100), leading on trust & safety, experience, reputation. altRx comes out ahead on product range.

Is altRx or Fay cheaper?

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Fay has the lower starting price (from $0/mo vs $89/mo for altRx). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do altRx and Fay both offer?

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Both platforms treat Weight Loss / GLP-1. altRx covers 1 treatment category total and Fay covers 2.

Still deciding?

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