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altRx vs Ro: Which Is Better?

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

Our Verdict

Ro scores higher overall in our independent evaluation (77/100 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 $149/mo), so the better value depends on which treatment you need.

altRx logo
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
Ro logo
77
Ro
Very Good

Vertically integrated private telehealth with its own pharmacy network and diagnostics, plus Eli Lilly and Novo Nordisk partnerships for branded GLP-1s.

Visit Ro

Score Breakdown

DimensionaltRxRo
Overall Score47.6/10077/100 ✓
Trust & Safety30%42/10085/100 ✓
Value25%70/100 ✓65/100
Experience20%35/10080/100 ✓
Product Range15%50/10075/100 ✓
Reputation10%30/10080/100 ✓

At a Glance

Founded—2017
HeadquartersMiami, FLNew York, NY
Publicly tradedNoNo
Treatment categories15
Treatments listed29
Starting price$89/mo$149/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.

CategoryaltRxRo
Weight Loss / GLP-1$89–$159
Compounded Semaglutide (injectable)
$149–$299
Branded Wegovy Pill (oral semaglutide)

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
+Says it can prescribe branded Wegovy, Zepbound and Ozempic, though only compounded pricing is published
−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 →

Ro

+Direct Eli Lilly partnership for branded Zepbound
+Novo Nordisk partnership for the branded Wegovy pill at $149/mo, matching the lowest cash-pay price we track
+Own pharmacy network and diagnostics lab (branded GLP-1s ship via LillyDirect and NovoCare)
−Higher prices than competitors using compounded medications
−$149/mo membership fee on top of medication costs ($39 first month)
−Narrower treatment range than Hims & Hers
Read the full Ro review →

altRx vs Ro — FAQ

Is altRx better than Ro?

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Ro scores higher overall in our independent evaluation (77/100 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 $149/mo), so the better value depends on which treatment you need.

Is altRx or Ro cheaper?

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altRx has the lower starting price (from $89/mo vs $149/mo for Ro). 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 Ro both offer?

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Both platforms treat Weight Loss / GLP-1. altRx covers 1 treatment category total and Ro covers 5.

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