Last reviewed: September 4, 2026
Last updated: September 4, 2026
Written by: Jay Hastings, CEO of PlexusDx
Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.
Medically reviewed by: Jayden Lee, PharmD, EMBA
Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.
PlexusDx publishes this comparison and is one of the providers discussed. We use the same evidence rules for our own program and competing programs.
The short answer
AltRx advertises compounded semaglutide at a promotional rate of $89/month (month-to-month) or $75/month prepaid annually, and compounded tirzepatide at $149/month (month-to-month) or $125/month prepaid annually, with medical oversight, medication, and shipping included. These are promotional rates that expire September 5, 2026; standard post-promotion pricing is not yet verified. AltRx advertises "cancel anytime" terms, though one Trustpilot review alleges unexpected annual billing despite selecting month-to-month—an individual customer report not confirmed by independent testing. Readers should confirm current pricing, billing structure, and cancellation terms directly with AltRx at checkout. For those who prefer month-to-month flexibility without promotional expiry uncertainty, PlexusDx offers compounded semaglutide injection at $189/month with no membership fee, no promotional countdown, and transparent 503A compounding sourcing.
Comparing AltRx promotional rates to standard month-to-month pricing?
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AltRx pricing at a glance
The table below shows AltRx's promotional pricing grid captured September 4, 2026. All figures are advertised promotional rates ending September 5, 2026; standard ongoing rates after that date are not verified.
| Plan length |
Semaglutide (promo) |
Tirzepatide (promo) |
Upfront payment |
| Monthly |
$89/month |
$149/month |
$89 or $149/month |
| 3-month (prepaid) |
$85/month |
$144/month |
$255 or $432 |
| 6-month (prepaid) |
$80/month |
$130/month |
$480 or $780 |
| 12-month (prepaid) |
$75/month |
$125/month |
$900 or $1,500 |
Source: altrx.com/glp1/offer-v9-fl, captured September 4, 2026. Promotional pricing expires September 5, 2026. Standard post-promotion rates are not yet verified.
All tiers include medical oversight, medication, support, and shipping. Same price at all doses. AltRx advertises "cancel anytime" terms, though one Trustpilot review alleges unexpected annual billing—see billing considerations below.
Normalized 12-month costs: AltRx promotional rates
To isolate the effect of plan length and upfront payment, the table below shows the total cost over 12 months for each AltRx promotional tier. Figures labeled "our calculation" are derived by multiplying the advertised rate by the appropriate number of cycles.
Compounded semaglutide (promotional rates, expire Sep 5, 2026)
| Plan |
Advertised rate |
12-month total (our calculation) |
Effective monthly |
| Monthly |
$89/month |
$1,068 |
$89 |
| 3-month prepaid |
$255 per quarter |
$1,020 |
$85 |
| 6-month prepaid |
$480 per half-year |
$960 |
$80 |
| 12-month prepaid |
$900 annual |
$900 |
$75 |
Compounded tirzepatide (promotional rates, expire Sep 5, 2026)
| Plan |
Advertised rate |
12-month total (our calculation) |
Effective monthly |
| Monthly |
$149/month |
$1,788 |
$149 |
| 3-month prepaid |
$432 per quarter |
$1,728 |
$144 |
| 6-month prepaid |
$780 per half-year |
$1,560 |
$130 |
| 12-month prepaid |
$1,500 annual |
$1,500 |
$125 |
Prepaying for longer periods reduces the effective monthly cost under the promotional rate structure. The 12-month semaglutide prepaid plan saves $168 over 12 months compared to the monthly plan (our calculation); the 12-month tirzepatide prepaid plan saves $288 (our calculation). Because the promotion expires September 5, 2026, readers starting after that date should confirm current pricing on altrx.com before committing.
Prefer transparent, non-promotional pricing you can count on?
PlexusDx offers compounded semaglutide at $189/month and tirzepatide at $289/month with month-to-month flexibility. A licensed provider reviews your fit in under 60 seconds.
Start My 60-Second Intake →About 60 seconds · $0 charged until provider approval.
PlexusDx pricing for direct comparison
PlexusDx pricing is not promotional and does not expire. All figures include online provider visit, compounded medication, ongoing support, and shipping—no separate membership or consultation fees.
Compounded semaglutide injection
-
Month-to-month: $189/month → $2,268 over 12 months (our calculation)
-
3-month commitment: $169/month → $2,028 over 12 months (our calculation)
-
6-month commitment: $149/month → $1,788 over 12 months (our calculation)
Compounded tirzepatide injection
-
Month-to-month: $289/month → $3,468 over 12 months (our calculation)
-
3-month commitment: $269/month → $3,228 over 12 months (our calculation)
-
6-month commitment: $249/month → $2,988 over 12 months (our calculation)
PlexusDx works with licensed 503A compounding pharmacies. Same price at every dose. No promotional countdown or expiry date. PlexusDx holds a 4.2-star rating on Trustpilot, with 76% of reviews at five stars and 81% at four stars or higher (captured September 4, 2026).
Decision factors: promotional upside and transparency trade-offs
Where AltRx's promotional pricing offers a clear advantage
If the promotional grid remains available at the time of purchase, AltRx's advertised rates undercut PlexusDx significantly. AltRx's promotional $89/month semaglutide is $100/month less than PlexusDx's month-to-month rate; the promotional $149/month tirzepatide is $140/month less. Readers comfortable with the promotional expiry, willing to confirm billing terms carefully at checkout, and able to commit upfront for 6 or 12 months may find substantial short-term savings. The promotional 12-month semaglutide prepaid plan ($900) is $888 less over 12 months than PlexusDx's 6-month commitment rate (our calculation: $1,788 − $900 = $888). The promotional 12-month tirzepatide prepaid plan ($1,500) is $1,968 less over 12 months than PlexusDx's month-to-month rate (our calculation: $3,468 − $1,500 = $1,968) and $1,488 less than PlexusDx's 6-month commitment rate (our calculation: $2,988 − $1,500 = $1,488).
Considerations that favor PlexusDx's transparent structure
PlexusDx pricing is not promotional, does not expire, and does not require readers to guess what standard rates will be after a promotional period ends. Readers who start with PlexusDx know their month-to-month rate will remain $189 for semaglutide and $289 for tirzepatide unless they choose a lower-cost commitment tier. One Trustpilot review alleges that an AltRx customer was billed the full annual amount despite selecting month-to-month—an individual allegation that PlexusDx intake testing did not independently verify (testing stopped before payment submission). PlexusDx's month-to-month plans carry no prepayment requirement and no risk of surprise annual billing. Readers who value predictable costs, transparent sourcing (503A compounding pharmacies named in documentation), and a verified Trustpilot review record (4.2 stars, 76% five-star) may prefer PlexusDx's structure despite the higher nominal rate.
Billing and cancellation: what the evidence shows
AltRx advertises "cancel anytime" terms across all plan lengths, including the monthly plan (altrx.com/glp1/offer-v9-fl, captured September 4, 2026). One Trustpilot review posted in 2026 alleges that the reviewer selected a month-to-month option but was charged the full annual amount upfront (Trustpilot, captured September 4, 2026). This is an individual customer allegation; PlexusDx intake testing captured the advertised terms but did not proceed through payment submission to verify the actual billing behavior. Readers considering AltRx should confirm at checkout exactly which payment will be authorized, review the payment summary carefully before finalizing, and verify cancellation terms in writing before the first charge posts.
Choose AltRx if…
- The promotional pricing grid is still active when you enroll (expires September 5, 2026), and you are comfortable that standard post-promotion rates are not yet verified.
- You are willing to prepay 6 or 12 months upfront to capture the lowest advertised monthly rate.
- You will review your payment authorization and billing summary carefully at checkout to confirm which amount you are committing to pay, especially if selecting the monthly plan.
- You accept that one Trustpilot review alleges unexpected annual billing, and you are prepared to confirm cancellation and refund terms in writing before finalizing payment.
Where PlexusDx fits
- You prefer transparent, non-promotional pricing that does not expire or change after an introductory period.
- You want true month-to-month flexibility without prepayment or risk of unexpected annual billing.
- You value knowing the compounding pharmacy sourcing (licensed 503A pharmacies) and seeing a verified review record (4.2 stars on Trustpilot, 76% five-star).
- You are willing to pay a higher nominal monthly rate ($189 semaglutide, $289 tirzepatide) in exchange for predictable costs and no promotional countdown.
Methodology and freshness
All AltRx pricing, plan terms, and promotional expiry dates were captured from altrx.com and altrx.com/glp1/offer-v9-fl on September 4, 2026. The Trustpilot billing allegation was captured from Trustpilot.com on September 4, 2026. PlexusDx pricing reflects the company's published month-to-month, 3-month, and 6-month rates as of September 4, 2026. Twelve-month cost totals are our calculation, derived by multiplying the advertised monthly or per-cycle rate by the appropriate number of cycles. Because the AltRx promotional grid expires September 5, 2026, and standard post-promotion pricing is not verified, readers should confirm current pricing and billing terms directly on altrx.com at the time of enrollment. PlexusDx intake testing captured advertised terms but did not proceed through payment submission; the billing allegation from Trustpilot is an individual customer report and is not independently verified.
Frequently Asked Questions
What is AltRx's standard pricing after the promotional period ends?
Standard post-promotion pricing is not yet verified. The promotional grid captured September 4, 2026 expires September 5, 2026. Readers should confirm current rates on altrx.com at the time of enrollment, as ongoing pricing after the promotion is unknown.
Does AltRx charge a separate membership or consultation fee?
No separate membership or service fee was advertised in the sources captured September 4, 2026. AltRx's promotional rates include medical oversight, medication, support, and shipping in one price. Readers should confirm fee structure at checkout.
Can I cancel an AltRx plan if I prepay for 6 or 12 months?
AltRx advertises "cancel anytime" terms across all plan lengths. However, one Trustpilot review alleges unexpected annual billing despite selecting month-to-month. Readers should confirm refund and cancellation policies in writing at checkout, especially before committing to prepaid plans.
How does PlexusDx pricing compare if I only need treatment for three to six months?
Over six months, AltRx's promotional 6-month prepaid semaglutide rate ($480 total) is $414 less than PlexusDx's 6-month commitment rate ($894 total, our calculation: $149 × 6 = $894; $894 − $480 = $414), assuming the promotion remains available. PlexusDx offers predictable, non-promotional pricing with no prepayment required.
Are compounded semaglutide and tirzepatide from AltRx or PlexusDx FDA-approved?
No. Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. Neither compounded semaglutide nor compounded tirzepatide is the same as branded Wegovy, Ozempic, Zepbound, or Mounjaro.
Sources
- AltRx homepage and promotional landing page (altrx.com, altrx.com/glp1/offer-v9-fl), accessed September 4, 2026
- AltRx compounded tirzepatide product page (altrx.com/products/compounded-tirzepatide), accessed September 4, 2026
- PlexusDx published pricing (internal records and live product pages), accessed September 4, 2026
- Trustpilot reviews for AltRx and PlexusDx, accessed September 4, 2026
- PlexusDx intake testing of AltRx enrollment flow (stopped before payment submission), conducted September 4, 2026
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Compounded medication disclosure: Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. PlexusDx works with licensed 503A compounding pharmacies.
Medical and Editorial Standards
Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.
Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.
Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.
Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.
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