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altRx vs SkinnyRx: Which Is Better?

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

Our Verdict

SkinnyRx scores higher overall in our independent evaluation (57.9/100 vs 47.6/100), leading on trust & safety, experience, product range, reputation. altRx comes out ahead on value. altRx has the lower entry price (from $89/mo vs $199/mo), so the better value depends on which treatment you need.

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
58

Cash-pay compounded GLP-1 provider offering five dosing formats, currently facing an FDA warning letter against its parent company.

Visit SkinnyRx

Score Breakdown

DimensionaltRxSkinnyRx
Overall Score47.6/10057.9/100 ✓
Trust & Safety30%42/10045/100 ✓
Value25%70/100 ✓68/100
Experience20%35/10078/100 ✓
Product Range15%50/10055/100 ✓
Reputation10%30/10035/100 ✓

At a Glance

Founded——
HeadquartersMiami, FL—
Publicly tradedNoNo
Treatment categories11
Treatments listed24
Starting price$89/mo$199/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.

CategoryaltRxSkinnyRx
Weight Loss / GLP-1$89–$159
Compounded Semaglutide (injectable)
$199
Semaglutide Injection

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 →

SkinnyRx

+Five dosing formats (injection, sublingual, tablet) for semaglutide/tirzepatide give patients flexibility
+Large Trustpilot volume (5,390 reviews) at a 4.8 average suggests broad satisfaction
+Reps cited by name in reviews for responsive onboarding guidance
−FDA warning letter reportedly issued to parent company Lean Rx, Inc. (February 2026) — unverified independently this cycle, needs manual confirmation
−Some patients report oral/sublingual formats were ineffective with no visible results
−A reviewer described being required to pay upfront for medication that had no effect
Read the full SkinnyRx review →

altRx vs SkinnyRx — FAQ

Is altRx better than SkinnyRx?

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SkinnyRx scores higher overall in our independent evaluation (57.9/100 vs 47.6/100), leading on trust & safety, experience, product range, reputation. altRx comes out ahead on value. altRx has the lower entry price (from $89/mo vs $199/mo), so the better value depends on which treatment you need.

Is altRx or SkinnyRx cheaper?

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altRx has the lower starting price (from $89/mo vs $199/mo for SkinnyRx). 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 SkinnyRx both offer?

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

Still deciding?