bmiMD starts at $99/mo (all-in, includes medication); TrimRx at $179/mo (all-in, includes medication). Both prescribe GLP-1 medication — bmiMD offers compounded semaglutide & tirzepatide, TrimRx compounded + branded options. Here's how they compare on price, medications, support and transparency.
Bottom line: bmiMD wins
bmiMD wins on our rubric, 8.4/10 to 7.6/10. It leads most on transparency. Choose TrimRx instead if you'd rather use FDA-approved branded medication (Wegovy, Zepbound) than compounded-only.
Round by round
We scored both programs on the four factors in our methodology — value, support, medications and transparency. bmiMD takes 3, TrimRx takes 1. Here's how each shook out.
Value
What you get for the price — not just the lowest sticker. A premium program that includes FDA-approved medication, insurance help and real support can be good value. bmiMD scores 9.0 to 7.8 — clearly ahead.
Support
Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only. bmiMD scores 8.2 to 6.8 — clearly ahead.
Medications
Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points. TrimRx scores 9.0 to 8.4 — ahead.
Transparency
How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags. bmiMD scores 8.4 to 7.0 — clearly ahead.
Where they differ most
The clearest daylight is in transparency, where bmiMD leads 8.4 to 7.0 and support, where bmiMD leads 8.2 to 6.8. On price, bmiMD starts lower ($99 vs $179 per month).
Pricing: bmiMD vs TrimRx
bmiMD has the lower advertised starting price — $99/mo vs $179/mo for TrimRx. But read the fine print: bmiMD is all-in, includes medication and TrimRx is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline. We unpack how these plans are structured in how much compounded semaglutide costs.
bmiMD: On 12-month plan; $109 (6-mo) / $119 (3-mo) / $129–$159 month-to-month (as of 2026, glp1picks.com). TrimRx: Advertised 'from $179/mo'; semaglutide ~$199–$349/mo by plan length; branded far higher (as of Aug 2026, health.usnews.com).
The specs, side by side
| bmiMD | TrimRx | |
|---|---|---|
| Editor rating | 8.4/10 · Very good | 7.6/10 · Good |
| Starting price | $99/mo | $179/mo |
| Pricing | All-in, includes medication | All-in, includes medication |
| Medications | Compounded semaglutide & tirzepatide | Compounded + branded options |
| Medication form | Weekly injection | Weekly injection |
| Visit type | Telehealth consult + unlimited messaging | Async questionnaire (limited coaching) |
| Insurance | Cash-pay | Cash-pay (HSA/FSA) |
| Availability | 48 states (excl. LA, MS) | Most US states |
Which should you pick?
Choose TrimRx if…
You'd rather use FDA-approved branded medication (Wegovy, Zepbound) than compounded-only.
View TrimRx plans →Common questions
Is bmiMD better than TrimRx?
In our scoring bmiMD comes out ahead — 8.4/10 to 7.6/10, leading on transparency. It's our pick for most people; TrimRx is the better choice if you'd rather use FDA-approved branded medication (Wegovy, Zepbound) than compounded-only.
Which is cheaper, bmiMD or TrimRx?
bmiMD has the lower advertised starting price — $99/mo vs $179/mo for TrimRx. But read the fine print: bmiMD is all-in, includes medication and TrimRx is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline.
Do bmiMD and TrimRx prescribe the same medications?
bmiMD offers compounded semaglutide & tirzepatide (weekly injection); TrimRx offers compounded + branded options (weekly injection). On breadth of options, TrimRx scores higher. Compounded GLP-1s aren't FDA-approved finished products, and availability shifts — confirm current options with each provider.
Which gives you more support, bmiMD or TrimRx?
bmiMD scores higher on support — real clinician access, coaching and follow-up. For visits, bmiMD is telehealth consult + unlimited messaging and TrimRx is async questionnaire (limited coaching).
Are bmiMD and TrimRx legit?
Both require a licensed clinician to review your intake before prescribing. Confirm each provider's credentials, state availability (bmiMD: 48 states (excl. la, ms); TrimRx: most us states) and current pricing before you sign up — and note that compounded medications aren't FDA-approved.
Can I switch between bmiMD and TrimRx?
Generally yes — neither locks you into a long contract, though the lowest prices often require a prepaid plan. Never stop or change a GLP-1 medication without talking to your clinician first.
Both programs are scored with the same independent methodology. We may earn a commission from either provider — it changes nothing about the scores or the verdict. Prices are advertised starting rates as of October 2026; confirm current pricing with each provider. Nothing here is medical advice.