altRx vs PlexusDx: reviews, pricing and complaints (2026)
altRx's checkout price is lower than PlexusDx's at every plan length: semaglutide is $89 a month vs $149 (Oct 21, 2026). PlexusDx sells an at-home GLP-1 & Peptide Pathways Genetic Test and blood tests, and offers a free 15-minute PharmD consult.
altRx reviews: 1.04/5 from 201 BBB reviews · Trustpilot profile removed
| Checkout price | PlexusDx | altRx |
|---|---|---|
| Semaglutide month to month | $149/mo | $89/mo |
| Semaglutide 12-month plan | $1,188 up front ($99/mo) | $900 up front |
| Tirzepatide month to month | $189/mo | $149/mo |
| Tirzepatide 12-month plan | $1,548 up front ($129/mo) | $1,500 up front |
- Genetic test
- PlexusDx: At-home GLP-1 & Peptide Pathways Genetic Test, sold separately
- altRx: None in the sign-up we walked
- Blood tests
- PlexusDx: At-home blood tests, sold separately
- altRx: No lab step in the sign-up we walked
- Refunds
- PlexusDx: Full refund until it reaches the pharmacy
- altRx: Policy: none once you pay, except in part if a provider finds you ineligible
- Same at both
- 24/7 support · No membership fee · Shipping included
What else PlexusDx offers
GLP-1 & Peptide Pathways Genetic Test
150+ genetic insights across 14 health pathways.
$298, or $99 for program members.
See the test →At-home blood tests from $129
Plus supplement packs from $79, built from your results.
See blood tests →The GLP-1 & Peptide Pathways Genetic Test does not select or predict a medication; your provider decides.
What do altRx's reviews say?
As of Oct 21, 2026, the BBB lists altRx as not accredited and not rated, and Trustpilot shows no altRx profile.
BBB
Not Rated · not accredited
- The BBB's reason: the business "is in the process of responding to previously closed complaints."
- 324 complaints in the past 12 months; its BBB file opened May 5, 2026.
- Complaints and reviews on its newest pages mention shipments that are late or never arrive, support that is hard to reach, charges that differ from the plan or price chosen, and refunds refused.
- altRx answered every complaint on the newest page, and 9 of 10 there are marked resolved.
Trustpilot
Profile removed
- Trustpilot's page for altrx.com reads "This profile has been removed."
- Trustpilot says the business "goes against our guidelines and is no longer visible on Trustpilot."
- No TrustScore or review count is shown.
Both read at source on Oct 21, 2026. Ratings belong to the platforms, not to PlexusDx.
What do altRx and PlexusDx cost on 3- and 6-month plans?
altRx's checkout prices are lower on 3- and 6-month plans too: semaglutide is $255 and $480 at altRx against $387 and $654 at PlexusDx, billed up front (Oct 21, 2026).
| Plan | PlexusDx | altRx |
|---|---|---|
| Semaglutide 3-month plan | $387 $129/mo | $255 |
| Semaglutide 6-month plan | $654 $109/mo | $480 |
| Tirzepatide 3-month plan | $507 $169/mo | $432 |
| Tirzepatide 6-month plan | $894 $149/mo | $780 |
Is altRx or PlexusDx better?
altRx is better if a lower price matters most; PlexusDx is better if you want the at-home GLP-1 & Peptide Pathways Genetic Test, at-home blood tests or a free PharmD consult.
Choose altRx if…
- You want a lower checkout price at every plan length, for both drugs.
- You want a brand-name GLP-1 such as Zepbound® or Wegovy®, which altRx's site lists and PlexusDx does not sell.
Choose PlexusDx if…
- You want the at-home GLP-1 & Peptide Pathways Genetic Test, sold separately.
- You want at-home blood tests, sold separately.
- You want a free 15-minute consult with Dr. Jayden Lee, PharmD, by video or phone.
How do altRx and PlexusDx compare on cancelling and formats?
Both renew automatically until you cancel.
Read on Oct 21, 2026 from each company's own pages.
- Cancelling
- PlexusDx: Turn off renewal in your patient portal before the next charge
- altRx: By email, phone or your online account, at least 72 hours before your next billing date
- Formats
- PlexusDx: Injection, including a microdose program
- altRx: Compounded semaglutide or tirzepatide injection in the sign-up we walked; its site also lists brand-name Zepbound®, Wegovy® and Ozempic®
- Same at both
- Same price at every dose · LegitScript seal
How does compounded GLP-1 telehealth work?
You complete an online intake, a licensed provider reviews it, and if treatment is appropriate a state-licensed 503A pharmacy prepares and ships your medication, with no in-person visit.
Both PlexusDx and altRx start with an online intake and a licensed U.S. provider's review. In the PlexusDx program, a 503A compounding pharmacy, a state-licensed facility that prepares medication for one patient from a valid prescription, fills the prescription and ships it to your door.
Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, quality, or effectiveness. They are a legal, provider-prescribed option prepared by a licensed pharmacy, not a generic or a substitute the FDA has evaluated.
How did we check these prices and reviews?
We completed altRx's sign-up to the order summary for all eight plans on Oct 21, 2026, without paying, and read its Terms, refund policy, BBB and Trustpilot pages the same day.
We recorded every plan length for both drugs. The tables show each company's checkout price. PlexusDx prices come from our product pages on the same day.
Who wrote this. The PlexusDx editorial team wrote this page, and Dr. Jayden Lee, PharmD, reviewed it for accuracy.
Our bias. PlexusDx publishes this page and is one of the two programs compared. We show where altRx is ahead, and we update the page when either company changes its prices.
Start with a free consult or an online visit
PlexusDx semaglutide is $149 month to month or $99/mo on a 12-month plan; tirzepatide is $189 or $129/mo.
A licensed provider reviews your intake before anything is prescribed.
Start your online visitOr book a free 15-minute consult with Dr. Jayden Lee, PharmDFrequently Asked Questions
Is altRx legit?
altRx is an operating telehealth company; as of Oct 21, 2026, its BBB customer reviews average 1.04 out of 5 and the BBB lists it as not rated. The BBB lists altRx, Inc of Miami, Florida, also named Trinity Healthcare Supply LLC, as not accredited, with 324 complaints in the past 12 months, and says the business "is in the process of responding to previously closed complaints." Trustpilot's altRx page reads "This profile has been removed," and Trustpilot says the business "goes against our guidelines and is no longer visible on Trustpilot." altRx's site shows a LegitScript Certified badge and names OpenLoop Healthcare Partners, PC as its medical group.
How much does altRx cost?
As of Oct 21, 2026, altRx's checkout price is $89 a month for compounded semaglutide and $149 a month for compounded tirzepatide. Its 3-, 6- and 12-month plans are billed up front: $255, $480 and $900 for semaglutide, and $432, $780 and $1,500 for tirzepatide. PlexusDx semaglutide is $149 a month and tirzepatide $189.
Is altRx cheaper than PlexusDx?
Yes. altRx's checkout prices are lower than PlexusDx's at every plan length, for both drugs (Oct 21, 2026). Semaglutide is $89 a month at altRx against $149 at PlexusDx, and 12 months of tirzepatide is $1,500 against $1,548, both billed up front.
Does altRx have a membership fee?
No. Like PlexusDx, altRx charges no membership fee: its homepage says "No membership fees," and its checkout shows no membership line.
Does altRx's price go up with dose?
No. Like PlexusDx, altRx says "Same price at every dose." At PlexusDx, your dose may need to go up; your price won't.
Can you get a refund from altRx?
Under its refund policy (Aug 25, 2026), only if a provider finds you medically ineligible, and then only in part. altRx's refund policy, updated Aug 25, 2026, says all payments are final and non-refundable at the time of purchase, and that 3-, 6- and 12-month plans are non-refundable in whole and in part, including months in which no medication was shipped. After a medical disqualification, it refunds the unused part of the term, less services already provided. PlexusDx gives a full refund if you cancel after approval and before your prescription is sent to the pharmacy.
How do I cancel altRx?
Email care@altrx.com, call +1 607-601-6969 or cancel in your online account at least 72 hours before your next billing date. That is the deadline in altRx's refund policy. Cancelling stops future billing, and amounts already paid are not refunded. With PlexusDx, you turn off renewal in your patient portal before the next charge.
Is altRx FDA approved?
No. Compounded semaglutide and tirzepatide are not FDA-approved, at altRx or at PlexusDx. Compounded medications are not reviewed by the FDA for safety, quality or effectiveness; a state-licensed pharmacy prepares each one from a provider's prescription.
What pharmacies does altRx use?
altRx's FAQ names four compounding pharmacies: RedRock Pharmacy (Utah), Health Warehouse (Kentucky), Precision Medicine (New York) and Triad Rx (Alabama). Its site says prescriptions are filled by state-licensed 503A compounding pharmacies in its network. In the PlexusDx program, licensed 503A pharmacies fill prescriptions.
Does altRx include a genetic test or lab work?
Not in the sign-up we walked on Oct 21, 2026: it had no genetic test and no lab step. altRx's refund policy says its program includes "lab services where applicable." PlexusDx sells the at-home GLP-1 & Peptide Pathways Genetic Test and at-home blood tests from $129, each separately from any GLP-1 plan.
Can I talk to a pharmacist?
Yes. PlexusDx offers a free 15-minute consult with Dr. Jayden Lee, PharmD, by video or phone. It is education and support; a licensed provider makes any prescribing decision.
What does the PlexusDx genetic test do?
The GLP-1 & Peptide Pathways Genetic Test shows how your genes relate to weight management and other peptide-related pathways, with 150+ genetic insights across 14 health pathways from one swab. It does not select or predict a medication; your provider decides. It costs $298, or $99 for program members, and is sold separately from any GLP-1 plan.
PlexusDx tells you about your biology. It does not tell you what to put in your body.
