The short answer: TrimRx is a telehealth platform, not a pharmacy or medical practice: third-party clinicians prescribe and an unnamed state-licensed compounding pharmacy fills. After the first month, compounded semaglutide costs $299 and compounded tirzepatide $399 per refill, per its terms. Reviews split: 3.7/5 on Trustpilot (5,390 reviews, 30% one-star) and an F from the BBB (2,551 complaints in three years). Compounded GLP-1s are not FDA-approved.
How much does TrimRx cost?
| Option | Price | Billing |
|---|---|---|
| Compounded semaglutide ("GLP-1") | $199 first month, then $299 per refill | Monthly auto-bill, or prepaid |
| Compounded tirzepatide ("GLP-1 + GIP") | $349 first month, then $399 per refill | Monthly auto-bill, or prepaid |
| Ozempic (brand) | $1,299/mo | Monthly |
| Zepbound (brand) | $1,399/mo | Monthly |
Each price covers the consultation, the prescription if appropriate, medication, shipping and support. The homepage advertised lower first-month promos the same day ("starting at $179" and "$259"). Prices from TrimRx's terms, checked Oct 9, 2026.
TrimRx all-in cost
| Medication | Month 1, all in | Each month after | First 12 months |
|---|---|---|---|
| Compounded semaglutide | $199 | $299 | $3,488 |
| Compounded tirzepatide | $349 | $399 | $4,738 |
At the starting price shown above; later plan or dose changes can change it. Totals are our arithmetic (the published monthly price) from the prices above.
Is TrimRx legit?
- Company: TrimRx, 12636 High Bluff Dr, San Diego, CA. Its site says it is not a medical practice or a pharmacy; third-party networks of U.S.-licensed clinicians prescribe.
- Pharmacy: Not named. Its terms say "an independent, state-licensed compounding pharmacy" prepares and ships.
- LegitScript: TrimRx shows a LegitScript seal, served by LegitScript and linked to its certification lookup for trimrx.com.
- Trustpilot: 3.7/5 from 5,390 reviews: 61% five-star, 30% one-star. TrimRx invites customers to review.
- BBB: F rating, not accredited, with a pattern-of-complaints alert: 2,551 complaints in three years, 783 unanswered.
Legit as a licensed telehealth platform with a LegitScript seal. The gap between its Trustpilot score and its BBB file, plus an unnamed pharmacy, is the reason to read the refund terms first.
TrimRx complaints and praise: 100 recent Trustpilot reviews
We read TrimRx's 100 most recent Trustpilot reviews (mostly posted Oct 2 to Oct 10, 2026) on Oct 10, 2026: 21 rated 1–2★ and 79 rated 4–5★. Its overall Trustpilot score that day was 3.7 from 5,403 reviews.
| What reviewers complain about | Share of the 21 reviews rated 1–2★ |
|---|---|
| Support unreachable or unresponsive “They told me I canceled, then would not respond to inquiries for 45 days.” 1★ review, Oct 8, 2026 | 62% (13 of 21) |
| Refund refused, partial, or promised but not received “It has now been 90 days with no refund or responses from them anymore.” 1★ review, Oct 6, 2026 | 48% (10 of 21) |
| Charged or renewed after cancelling “They will process a credit card payment after you've told them not to” 1★ review, Oct 9, 2026 | 43% (9 of 21) |
| Shipping or refill delays, or missing shipments “I received the 1st half. Never received the second.” 1★ review, Oct 6, 2026 | 29% (6 of 21) |
| Price higher than advertised, or a plan or prepay surprise | 14% (3 of 21) |
| What reviewers praise | Share of the 79 reviews rated 4–5★ |
|---|---|
| Helpful, responsive support staff “Whenever I've had a question, I could get hold of someone.” 5★ review, Oct 7, 2026 | 35% (28 of 79) |
| Easy signup and ordering “Got through the whole process without getting stuck.” 5★ review, Oct 10, 2026 | 33% (26 of 79) |
| Fast shipping or quick approval “I had a shipping number within 24 hours of signing up.” 5★ review, Oct 7, 2026 | 22% (17 of 79) |
On Reddit, first-hand posts about TrimRx in r/tirzepatidecompound and similar forums lean negative, mostly about reaching support and cancelling; people tend to post there to warn others or ask for help.
Caveats: This week of reviews reads far more positive than TrimRx's profile overall (79% rated 4–5★, against 64%), and several five-star reviews were written before the reviewer had received the medication, a pattern consistent with a review-invitation push. Some 1★ reviews describe problems from months earlier. One reader coded the themes, and a review can carry several, so shares add up to more than 100%. These are reviewers' accounts, not verified facts.
How to cancel TrimRx
- Cancel in your TrimRx account, by chat, or by calling 888-896-1612.
- Cancel before your prescription is sent to the pharmacy. An order already sent still ships and bills; cancelling stops future orders.
- Request any refund separately at hello@trimrx.com within 28 days of the payment. Cancelling alone does not refund unused months of a prepaid plan.
Per TrimRx's terms, you get a full refund if a clinician finds you ineligible or if TrimRx double-charges you. Requests after 28 days are not eligible.
TrimRx vs alternatives
| Provider | Type | Published price | Billing | Link |
|---|---|---|---|---|
| TrimRx | Compounded, not FDA-approved | Semaglutide $299, tirzepatide $399 per refill | Monthly or prepaid | TrimRx site |
| Medvi | Compounded, not FDA-approved | Semaglutide $149–$179 first month, then $299/mo | Monthly | Our Medvi review |
| Cora | Our partner · compounded, not FDA-approved | Semaglutide $99–$175/mo, tirzepatide $135–$225/mo, same at every dose | Monthly to annual prepay (annual is the low end) | See Cora's prices |
| LillyDirect | FDA-approved (Zepbound vials) | $299–$449/mo self-pay, by dose | Monthly; clinician visit billed separately | See LillyDirect's prices |
Prices from each company's own site: TrimRx Oct 9, 2026, Cora Oct 9, 2026, LillyDirect Oct 9, 2026. Compounded semaglutide and tirzepatide are not FDA-approved, have not been evaluated by the FDA for safety, effectiveness or quality, and are not therapeutically equivalent to Wegovy, Ozempic, Zepbound or Mounjaro.
Disclosure: Nouri is independent of TrimRx and earns nothing from it. Nouri may earn a commission when you sign up with some of the providers we link to. It doesn't change what you pay or how we rank providers. Order in the tables is not a ranking. Facts checked Oct 9, 2026; prices change, so confirm at the source. Full disclosure.
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Frequently Asked Questions
Is TrimRx legit?
It is a real telehealth platform with a LegitScript seal. It is not a pharmacy, does not name the pharmacy it uses, and holds an F BBB rating with a pattern-of-complaints alert.
What is the price of TrimRx?
Per its terms, compounded semaglutide is $199 for the first month and $299 per refill; compounded tirzepatide is $349, then $399. Homepage promos list lower first-month prices.
Does TrimRx charge a monthly fee?
There is no separate membership. Each monthly price bundles the consultation, medication and shipping.
Is TrimRx hard to cancel?
You can cancel in your account, by chat or at 888-896-1612, but an order already sent to the pharmacy still ships and bills. Refunds must be requested separately within 28 days.
What is TrimRx's refund policy?
Full refunds for medical ineligibility or a TrimRx billing error. Otherwise you must request a refund within 28 days of the payment, and orders already sent to the pharmacy are not refundable.
What pharmacy does TrimRx use?
TrimRx does not name it. Its terms say an independent, state-licensed compounding pharmacy prepares and ships the medication.
Is TrimRx FDA-approved?
Its compounded semaglutide and tirzepatide are not FDA-approved, as TrimRx states. The brand-name Ozempic and Zepbound it also lists are.
Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting or changing any medication or treatment. Licensed providers review patient assessments before making clinical decisions.
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