Pricing · Care · FlexibilityReview dates vary by provider
Belle vs. AltRx: pricing, care and plan details
Compare the details
The Belle approach
Belle ★
Compounded Tirzepatide & Semaglutide
4.5 ★★★★★1,367 Trustpilot reviews
Belle leads on 7 of 9 categories below
AltRx
Compounded plans and brand-name options; compounded offers below
Trustpilot rating suspended for a guidelines breach; fake reviews removed (828 reviews, 83% one-star)
Good to knowTrustpilot suspended its rating over fake reviews.
Pricing
Semaglutide
$199/mo
All doses · flat rate
As low as $109/mo on an annual plan
$89/mo advertised
Homepage offer advertised as the same price every month at every dose. A checkout without that offer charges $89 for month one, then $199/mo.
As low as $75/mo on a 12-month plan ($900).
Tirzepatide
$249/mo
All doses · flat rate
As low as $179/mo on an annual plan
$149/mo advertised
Homepage offer advertised as the same price every month. A checkout without that offer charges $129 for month one, then $299/mo.
As low as $125/mo on a 12-month plan ($1,500).
Multi-Month Plans
1-, 2-, 6- & 12-month plans
Annual plans: $109/mo semaglutide or $179/mo tirzepatide
1-, 3-, 6- and 12-month plans
Multi-month plans are non-refundable.
Membership Fee
None, all-in pricing
No hidden fees on top of your medication
None
One total subscription price.
Care Team & Support
Medical Team
In-house doctors & staff
The medical team is employed directly by Belle, not contracted out to a third-party network
OpenLoop affiliated practices
Site: AltRx does not employ healthcare providers.
Dietitian / Nutritionist
Included in every plan
Dedicated dietitian and nutritionist access
Not clear from their public pages
The reviewed sources do not establish this detail.
How You Reach the Care Team
Clinical, provider & support calls
Easily accessible booking links, with same-day appointments available for all three call types.
Unlimited access claimed, not confirmed
Unlimited access advertised.
Care Between Refills
Optional welcome call, plus check-ins by call or text
Book an optional welcome call when you join. After that, request a check-in call anytime, and short check-in texts ask how things are going and watch for side effects.
Not clear from their public pages
The reviewed sources do not establish this detail.
Pharmacy & Flexibility
Compounding Pharmacy
Licensed 503A & 503B pharmacies
Both FDA-registered pharmacy types for quality and compliance
Named pharmacy partners
Red Rock, HealthWarehouse, Precision Medicine and Triad Rx listed; assignment not verified.
Cancellation Policy
Cancel anytime, no hassle
No long-term lock-in, no cancellation fees, no runaround
Cancel 48 to 72 hours before billing
Terms say 48 hours and the refund policy says 72; all sales are final.
Shipment Control
Full control: pause, delay, or cancel
Manage your shipments on your schedule, no questions asked
Not clear from their public pages
The reviewed sources do not establish this detail.

Comparison notes

AltRx advertises $89/mo semaglutide and $149/mo tirzepatide as locked for life, but its checkout without the homepage offer renews at $199 and $299 a month after the first month. Trustpilot has suspended its rating for breaching guidelines and removed fake reviews, and 83% of the remaining reviews are one-star. It shares a parent company with LevelsRx. Belle publishes one ongoing rate at every dose, with a 4.5 rating from 1,367 reviews.
Start with Belle

Cancel anytime. No membership fee. In-house doctors from day one.

Sources and review status

Provider sources reviewed . Pricing, membership, medical team, plan lengths and Trustpilot rechecked from public pricing, product, FAQ and terms pages; no checkout or independent service audit. Trustpilot rating checked on the same date.

The Belle Community

Stay connected with the Belle Community.

Weekly groups, nutrition guidance and an active community to connect with between appointments.

Belle clinicians participate weekly, sharing education and answering member questions.

Explore the Belle Community

Free to join. Open to anyone 18 and older.

An educational and peer-support space. For personal medical advice, contact your care team.

Why you can trust this guide

No spin. Just sources.

Belle publishes this guide and is a provider in every comparison. This is not an independent ranking or a treatment recommendation.

Compare the same medication, formulation, dose, plan length and billing schedule. Introductory prices, annual monthly equivalents and brand-name medication plus membership are labeled separately. An unknown detail is not a missing service.

For support, compare who responds, how you book a live follow-up, and when an appointment is available. An advertised messaging channel does not establish a response time. Competitor support descriptions are labeled as provider-advertised, historical or not verified; actual service availability and response times have not been independently tested.