Price transparency
What is disclosed before intake, not a clinical rating.
AlyveRx offers online access to compounded semaglutide and tirzepatide, with injection and sublingual-drop options listed separately. Its standard injection pages start at $183 and $283 per month, while other formulations have different prices. A licensed provider decides the prescription, and the complete supply, care charges and regular renewal need confirmation before treating a starting figure as the entire program cost.
AlyveRx does not pay us. We review it so you can compare it with the programs that do. Disclosure
AlyveRx publishes its price before the medical intake — you can see what it costs without handing over your health history first.
On this page
AlyveRx at a glance
- Price visibility
- Published before intake
- Pharmacy information
- Not publicly named
- Where it operates
- Confirm clinical and pharmacy eligibility for your location and selected prescription; a complete current treatment-state list is not established
The verdict
AlyveRx shows its price before the medical intake, but leaves gaps, such as what the advertised price includes or which pharmacy fills the prescription. It ranks 55 of 293 on price transparency.
The score beside AlyveRx's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.
Considering AlyveRx?
Confirm the plan, billing terms and availability before you begin.
What do you get with AlyveRx?
- A health-history assessment reviewed by a licensed independent provider, with treatment prescribed only when appropriate.
- Compounded semaglutide and tirzepatide injections, with separate sublingual-drop listings and other delivery-specific offers.
- Injection product pages describing a 5 mL vial, home kit and free expedited shipping, subject to the actual prescription and fulfillment arrangement.
- A platform operated by Alyve, Inc., described in the terms as a managed services organization rather than the medical practice.
- An account for continuing care and subscription management, with the selected purchase determining the actual payment and renewal.
How does AlyveRx work?
Identify the formulation you are comparing
The standard injection pages start semaglutide at $183 monthly and tirzepatide at $283. The homepage separately lists sublingual drops and a featured PermeAct product with other figures. These are different offers; ask for the exact formulation and prescribed amount rather than assuming every delivery format carries the same price or instructions.
Complete the clinical assessment
Provide medical history, current prescriptions and treatment goals for the provider’s review. The terms say Alyve, Inc. coordinates access but does not employ physicians or make medical decisions. Ask for the exact treating professional practice and clinician before consenting to care, and confirm state eligibility.
Confirm the pharmacy and complete quote
The injection pages describe a vial and home kit, but volume alone does not establish the medication’s concentration or how long it supplies your regimen. Obtain the actual prescription, dispensing pharmacy, quantity, storage instructions, shipping and all clinical charges before payment.
Manage ongoing care and renewal
Subscriptions renew until canceled at the frequency disclosed during purchase. The terms describe account settings or support before the next billing date. Ask which services continue between visits, when another clinical review is needed and how a treatment change affects the next charge or pharmacy order.
How much does AlyveRx cost?
Standard compounded semaglutide injection from $183/month; distinct drop offers; full supply, clinical fees and ongoing month-to-month total not established.
Standard compounded tirzepatide injection from $283/month; distinct drop offers; full supply, clinical fees and ongoing month-to-month total not established.
Confirm clinical and pharmacy eligibility for your location and selected prescription; a complete current treatment-state list is not established
The standard compounded injection pages advertise semaglutide from $183 per month and tirzepatide from $283. The homepage separately lists semaglutide sublingual drops from $203 and tirzepatide drops from $249, plus a different featured delivery-specific offer. These starting figures do not establish a complete ongoing month-to-month total for a selected prescription, supply and clinical-service arrangement.
- The injection pages describe a 5 mL vial, home kit and expedited shipping. Ask what concentration and quantity the price buys and whether clinical review, follow-up, testing and supplies are included in the same invoice. A vial volume alone is not a standard monthly dose or supply.
- Sublingual drops and injections should be compared as distinct formulations. Ask the clinician about the proposed product, administration and supporting evidence rather than assuming a delivery-technology description makes two products interchangeable or establishes equal treatment results.
- The terms describe direct-pay care without commercial insurance billing or prior-authorization services. If you later seek reimbursement independently, the platform does not guarantee an insurer’s decision. Obtain the self-pay amount and any payment-plan conditions before relying on a coverage assumption.
- Subscriptions automatically renew at the frequency disclosed at purchase. Cancellation through account settings or support before the next billing date stops future renewal; the reviewed terms do not establish an additional fixed number of advance hours. Keep confirmation and the current payment schedule.
- The terms generally make charges non-refundable once an order is processed, with possible exceptions for damage, transit loss or treatment becoming unavailable. Obtain the pharmacy’s processing cutoff and what happens if clinical review declines treatment before assuming every initial payment can be recovered.
- If a prescribed treatment becomes unavailable, the policy describes possible prorated relief for the unshipped portion of a prepaid plan, processed after approval. A clinically appropriate alternative or platform credit may also be offered. This is different from an unrestricted change-of-mind refund after a prescription is filled.
Considering AlyveRx?
Confirm the plan, billing terms and availability before you begin.
Who is AlyveRx best for?
A good fit if
- Adults who want to discuss several prescription formulations with a clinician
- Patients comfortable obtaining a supply-specific quote before paying
- People who understand the separation between a clinical platform and its independent providers
Look elsewhere if
- Shoppers treating a starting figure as a complete recurring delivered program
- Anyone assuming injection and sublingual products are equivalent purchases
- Patients who need routine refunds after an order has been processed
Considering AlyveRx?
Confirm the plan, billing terms and availability before you begin.
What are AlyveRx's pros and cons?
Pros
- The catalog distinguishes injection and sublingual options
- The product pages state starting prices and shipping inclusions
- The terms explain the platform’s independent-provider model
- Treatment unavailability has a separate potential refund process
Cons
- Normal recurring totals require individual confirmation
- The exact medical practice and pharmacy are not publicly assigned
- Different delivery-specific offers complicate price comparisons
- Processed orders generally have restrictive refund terms
The pharmacy behind the medicine
It does not name its pharmacy. AlyveRx does not publicly disclose which compounding pharmacy fills its prescriptions. That is common and it is not an accusation — but it does mean the one thing you would most want to verify about a compounded medicine is the one thing you cannot.
A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.
What else do people ask about AlyveRx?
What are AlyveRx’s injection starting prices?
The standard product pages show compounded semaglutide from $183 monthly and tirzepatide from $283. They do not fully establish every supply and clinical-service charge or the normal renewal. Request the exact formulation, quantity and complete invoice before comparing the offer with a bundled monthly provider.
Are sublingual drops priced the same as injections?
No. The homepage lists separate drop offers, including semaglutide from $203 and tirzepatide from $249. Other delivery-specific products have their own figures. Discuss the exact product with the clinician and compare its prescribed supply rather than assuming all formulations have the same terms or effects.
What does the 5 mL vial establish?
It is a volume description on the injection product page. Without the prescribed concentration and regimen, it does not establish how much active medicine is supplied or how long it will last. Obtain the actual pharmacy label, concentration, supply period and administration instructions before fulfillment.
Who provides clinical care?
Alyve, Inc. describes itself as a managed services organization connecting patients with independent licensed providers. It says clinical decisions belong to the treating provider. Ask for the professional practice, clinician and dispensing pharmacy assigned to your location rather than treating the platform operator as the prescriber.
Does AlyveRx accept insurance?
The terms describe direct-pay care and say commercial insurance and prior authorization are not provided through the service. If you seek reimbursement independently, the platform does not guarantee coverage. Obtain the complete self-pay quote and any separate financing conditions before purchasing.
Can I cancel or recover an unused prepaid amount?
The terms describe cancellation before the next billing date, with charges generally non-refundable after order processing. Treatment becoming unavailable has separate possible prorated relief for unshipped prepaid supply. Ask for the actual pharmacy cutoff and conditions; ordinary cancellation is not the same as a guaranteed refund.
Sources for this review
Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.
How it compares
AlyveRx ranks 55 of 293 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.
Because AlyveRx shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking.
$199/mo at the 0.25 mg tier (compounded weekly injection; $249 at 0.5 and 1 mg, $299 at 1.5 and 2 mg)
$199/mo month-to-month (compounded weekly injection; the 3-month bundle is $748, or $249/mo — dearer, not cheaper; sublingual tablets $299/mo)Show the full pricing note
Compounded injection one-month plan $179; $129 is first-order promotion. Longer-term equivalents require upfront commitment.Show the full pricing note
Official semaglutide offer starts at $125; supply/dose/renewal qualifications unresolved; Nevada excluded; ongoing month-to-month total not established.Show the full pricing note
$129/mo standard monthly B6-compounded injection offer in listed states; care/shipping included. Three-month pack $297 upfront; other additives differ.Show the full pricing note
Read this before you start
Prices change — confirm on AlyveRx's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.