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altRx vs Midi Health: Which Is Better?

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

Our Verdict

Midi Health scores higher overall in our independent evaluation (74.8/100 vs 47.6/100), leading on trust & safety, value, experience, product range, reputation.

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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

Insurance-billed virtual clinic for perimenopause and menopause, prescribing FDA-approved and compounded HRT, non-hormonal options, and GLP-1s through menopause-trained clinicians.

Visit Midi Health

Score Breakdown

DimensionaltRxMidi Health
Overall Score47.6/10074.8/100 ✓
Trust & Safety30%42/10078/100 ✓
Value25%70/10072/100 ✓
Experience20%35/10074/100 ✓
Product Range15%50/10072/100 ✓
Reputation10%30/10078/100 ✓

At a Glance

Founded—2021
HeadquartersMiami, FLMenlo Park, CA
Publicly tradedNoNo
Treatment categories13
Treatments listed23
Starting price$89/mo$50/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.

CategoryaltRxMidi Health
Weight Loss / GLP-1$89–$159
Compounded Semaglutide (injectable)
$50–$250
Branded GLP-1 Prescribing (Wegovy/Zepbound)

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 →

Midi Health

+In-network with most major commercial PPO plans, which third-party reviewers put at roughly $50 out of pocket per visit
+Clinicians trained specifically in menopause care, prescribing both FDA-approved HRT and non-hormonal options and ordering labs and imaging
+No membership fee; self-pay is per visit ($250 first, $150 follow-up), which is cheaper than a monthly plan for patients on a stable regimen
−Billing is the dominant complaint: BBB logs 64 complaints in three years, mostly surprise balances after insurance confirmations
−Medicare, Medicaid and Medi-Cal are not accepted, excluding many women in the core menopause age group
−Compounded GLP-1 pricing is published only as a 'from $164 per 4-week supply' floor; dose-level prices require a visit
Read the full Midi Health review →

altRx vs Midi Health — FAQ

Is altRx better than Midi Health?

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Midi Health scores higher overall in our independent evaluation (74.8/100 vs 47.6/100), leading on trust & safety, value, experience, product range, reputation.

Is altRx or Midi Health cheaper?

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Midi Health has the lower starting price (from $50/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 Midi Health both offer?

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Both platforms treat Weight Loss / GLP-1. altRx covers 1 treatment category total and Midi Health covers 3.

Still deciding?