Head to head
altRx vs Measured: GLP-1 Programs Compared (2026)
altRx costs $1,068 a year against $1,428 for Measured. Full 2026 comparison of price, medication class and included support.
Published · Pricing as published in our provider dataset, synced · Editorial scores 8.7 and 7.8 out of 10
We may receive compensation when you click partner links. Rankings are based on research methodology, not sponsorship.
altRx and Measured sit at ranks 8 and 11 in our weight loss listing, which makes them close enough to be a genuine decision rather than an obvious one.
The useful differences are in the detail: altRx is built around the cheapest published tirzepatide rate on this list at $149, with the injection kit included, while Measured leads with dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge.
The sections that follow price both programs across a full course of treatment rather than a first month, then set out which patient each one is actually built for. No number here is inferred; if a provider does not publish it, the table says so.
The short answer
- Lowest 12-month cost
- altRx — $1,068 against $1,428 at Measured, on each provider's own best published pricing.
- Most predictable bill
- altRx — Flat rate at every dose, so titration does not change what you are charged.
- Fastest route to a first shipment
- altRx — 100% online medical visits, then free, discreet 2-day delivery.
- Widest medication choice
- altRx — compounded semaglutide and compounded tirzepatide.
The short version: altRx vs Measured
The table is built from each provider's published pricing and program detail; anything they decline to state is marked as such.
| altRx | Measured | |
|---|---|---|
| Advertised price | Semaglutide $89/mo, tirzepatide $149/mo | Semaglutide $119/mo, tirzepatide $199/mo (sale pricing) |
| Rate after promotions | $89/mo | $119/mo |
| Pricing structure | Flat rate at every dose | Published rate per medication |
| Medication | Compounded semaglutide and compounded tirzepatide | Compounded semaglutide and compounded tirzepatide |
| How fast you start | 100% online medical visits | Same-day prescription decisions |
| State coverage | Not available in every state | Not published |
| Payment options | Affirm, Klarna and Afterpay | HSA/FSA and Klarna |
| Membership fee | None | None |
| Patient reviews | 14,820 | 5,100 |
| eRxDoctor score | 8.7/10 | 7.8/10 |
The real cost: six months and twelve
GLP-1 treatment is not a one-month purchase, and neither of these prices it like one. So the table works in the timeframe treatment actually happens in.
| altRx | Measured | |
|---|---|---|
| First month | $89 | $119 |
| Months 2 onward | $89/mo | $119/mo |
| 6-month total | $534 | $714 |
| 12-month total | $1,068 | $1,428 |
| Best published plan | No multi-month discount published | No multi-month discount published |
Over a year that is a $360 difference, in altRx's favor. Whether it is the right call depends on whether Measured gives you $30 a month of something you will use.
The difference that actually decides it
altRx leads with the cheapest published tirzepatide rate on this list at $149, with the injection kit included. Measured leads with dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge. Both are true, and neither is the reason most people end up unhappy with a GLP-1 program.
The reasons they do are duller: a price that moved, a support queue that did not answer, or a medication that was not available at the dose they needed. On those, altRx is exposed on one thing (the rate is a limited offer and the platform does not operate in every state) and Measured on another (the $119 and $199 rates are explicitly promotional and time-limited).
Both programs work for the patient they are built for. The failure mode is choosing the one built for somebody else.
How altRx works
The pitch is the cheapest published tirzepatide rate on this list at $149, with the injection kit included. altRx is the most affordable GLP-1 program, limited offer: semaglutide $89/month and tirzepatide $149/month. 100% online medical visits, no membership, insurance or hidden fees, free and discreet 2-day delivery.
You start with 100% online medical visits; medication arrives via free, discreet 2-day delivery. The price behaves as flat rate at every dose.
Responsive care team for ongoing clinician-guided support. The formulary covers compounded semaglutide and compounded tirzepatide.
altRx pros
- Complete treatment kit: vials, syringes, prep pads, and step-by-step guidance
- No commitment, cancel anytime
- Free and discreet 2-day delivery
- Buy now, pay later with Affirm, Klarna, Afterpay
altRx cons
- Not available in all U.S. states
- Compounded medication, not FDA-approved branded product
Against Measured specifically, the trade you are making: the rate is a limited offer and the platform does not operate in every state.
A closer look at Measured
Measured pairs compounded semaglutide and tirzepatide with same-day prescription decisions, unlimited provider messaging, and dietitian support. In this pairing, its distinguishing feature is dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge.
From signup to first shipment: same-day prescription decisions, then free 2-day shipping. Billing follows a published rate per medication structure.
Support: unlimited messaging, a 24/7 care team and dietitian support. The medications on offer are compounded semaglutide and compounded tirzepatide.
Measured pros
- HSA/FSA eligible; Klarna financing available
- 4.8-star Trustpilot rating from 51,000+ users
- Unlimited messaging, 24/7 Care Team, and dietitian support included
- Same-day prescription decisions for eligible patients
Measured cons
- Compounded medications are not FDA-approved finished products
- Promotional pricing is time-limited
Set beside altRx, the thing to weigh: the $119 and $199 rates are explicitly promotional and time-limited.
Which one fits which patient
Choose altRx if:
- you want the price you sign up at to survive titration
- the monthly rate is the constraint — $89/mo against $119/mo
- you would get real value from the cheapest published tirzepatide rate on this list at $149, with the injection kit included
- the twelve-month total is what you are optimizing ($1,068 against $1,428)
Choose Measured if:
- you want unlimited messaging, a 24/7 care team and dietitian support rather than a prescription alone
- the feature you would actually use: dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge
- the level of clinical contact suits you: unlimited messaging, a 24/7 care team and dietitian support
- you want to start on their timeline: same-day prescription decisions
What each one gives up
On price. $89/mo against $119/mo. Measured is asking you to pay for dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge; decide whether that is a line item you will use.
On commitment. Neither publishes a multi-month discount, so both are month-to-month decisions and neither asks you to prepay for a response you have not had yet. Financing is available through altRx (Affirm, Klarna and Afterpay) and Measured (HSA/FSA and Klarna).
On access. altRx advertises 100% online medical visits and free, discreet 2-day delivery; Measured advertises same-day prescription decisions and free 2-day shipping. Coverage differs too — not available in every state against not published — which decides the question before price does if you are in a restricted state.
On predictability. The pricing structures differ (flat rate at every dose versus published rate per medication), and structure, not headline rate, determines the twelve-month bill.
The clinical evidence, separated from the marketing
It is worth separating the program from the pharmacology. What follows is true of the medication regardless of which of these two writes the prescription.
Cardiovascular benefit has been demonstrated for semaglutide in a specific population: adults with overweight or obesity and existing cardiovascular disease but no diabetes, per NEJM, SELECT.
In SURMOUNT-4, stopping tirzepatide after a lead-in period produced significant weight regain, where staying on it did not, per JAMA, SURMOUNT-4.
Read alongside the pricing above, that is the case for treating the medication decision as clinical and the provider decision as commercial. They are not the same choice.
altRx vs Measured: common questions
Is altRx cheaper than Measured?
Yes, on the ongoing rate. altRx runs $89/mo once promotional pricing ends, against $119/mo at Measured — a difference of 34%. Compare the first-month offers separately, because both providers discount entry differently from the rate you will actually be paying by month three.
Which costs less over a year, altRx or Measured?
altRx, at roughly $1,068 for twelve months against $1,428 at Measured, using each provider's own best published pricing. Those totals cover medication and program fees as published; they exclude anything a provider bills separately, and they assume you stay on the same plan for the full year.
Do altRx and Measured prescribe the same medication?
Both dispense compounded GLP-1 preparations. altRx lists compounded semaglutide and compounded tirzepatide and Measured lists compounded semaglutide and compounded tirzepatide, so the molecules overlap even where the formulary does not match exactly.
Can I switch from altRx to Measured later?
Yes. Neither program locks you in clinically, and both operate month to month unless you have bought a multi-month plan. Practically, switching means a fresh intake, a fresh clinician review and possibly a gap in supply, so time it against your current shipment rather than your renewal date.
Is altRx or Measured better for a first GLP-1 prescription?
For a first prescription, weight support over price. altRx offers more contact (responsive care team for ongoing clinician-guided support), which matters most in the first eight weeks when side effects and titration questions are at their peak. Once you know how you tolerate the medication, the cheaper program becomes the rational choice.
The verdict
Strictly on cost, altRx takes it — $1,068 to $1,428 over twelve months.
Measured earns the difference in one situation: when dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge is something you will genuinely use. If you cannot say that out loud, take the cheaper program.
The failure mode here is not picking the wrong platform; it is stopping treatment because the bill moved. Choose the one whose bill you can predict.
Keep comparing
- altRx vs TMatesBudget vs premium
- altRx vs Elevate HealthBudget vs premium
- Measured vs GalaBudget vs premium
- Measured vs Ro.coBrand-name vs compounded
- LIV Body vs TMatesHead to head
- MedVi vs Sprout HealthHead to head
See every provider in context on the weight loss rankings, or browse the full comparison index.
Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by altRx or Measured, and does not sell treatment. Read our ranking methodology.