Last reviewed: September 22, 2026
Last updated: September 22, 2026
Written by: Jay Hastings, CEO of PlexusDx
Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.
Medically reviewed by: Jayden Lee, PharmD, EMBA
Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.
PlexusDx publishes this comparison and is one of the providers discussed. We use the same evidence rules for our own program and competing programs.
Compounded medication disclosure: Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. PlexusDx works with licensed 503A compounding pharmacies.
The short answer
No. TrimRx charges the same price at every dose: $299/month for compounded semaglutide and $399/month for compounded tirzepatide on the month-to-month plan, whether you are at 0.25 mg or 2.4 mg semaglutide (or 2.5 mg to 15 mg tirzepatide). Multi-month prepaid plans reduce the effective monthly rate but remain dose-flat. PlexusDx uses an identical dose-flat policy at $189/month semaglutide and $289/month tirzepatide month-to-month, with 3-month and 6-month plans that lower the effective rate further. Both programs include shipping and charge no membership fee; the total 12-month cost varies by plan length and compound, with PlexusDx lower on month-to-month, 3-month, and 6-month paths, while TrimRx offers a 12-month prepaid plan PlexusDx does not.
At-a-glance pricing comparison
| Item |
TrimRx |
PlexusDx |
| Semaglutide MTM |
$299/month |
$189/month |
| Tirzepatide MTM |
$399/month |
$289/month |
| Dose policy |
Same price every dose |
Same price every dose |
| Membership fee |
$0 |
$0 |
| Shipping |
Included |
Included |
| Multi-month plans |
3-, 6-, and 12-month |
3- and 6-month |
Captured July 18, 2026 (TrimRx checkout verification and PlexusDx product pages).
TrimRx dose-flat pricing: what you pay at every tier
TrimRx's checkout on July 18, 2026 billed $299/month for compounded semaglutide and $399/month for compounded tirzepatide on the month-to-month plan, with no price change as your provider titrates your dose. A patient starting at 0.25 mg semaglutide and advancing to 2.4 mg pays the same monthly rate; a tirzepatide patient moving from 2.5 mg to 15 mg sees no increase.
TrimRx advertises $199/month semaglutide and $349/month tirzepatide on its site (captured July 18 and September 4, 2026), but neither advertised figure appeared in the signup flow completed and captured on July 18, 2026; the checkout billed $299 semaglutide and $399 tirzepatide month-to-month. We recommend confirming pricing at checkout before committing.
Multi-month prepaid plans reduce the effective monthly cost but remain dose-flat:
-
3-month plan: $748 semaglutide ($249.33/month prepaid equivalent, our calculation) or $1,068 tirzepatide ($356/month prepaid equivalent, our calculation), billed as one total.
-
6-month plan: $1,268 semaglutide ($211.33/month prepaid equivalent, our calculation) or $1,918 tirzepatide ($319.67/month prepaid equivalent, our calculation), billed as one total.
-
12-month plan: $2,218 semaglutide ($184.83/month prepaid equivalent, our calculation) or $3,518 tirzepatide ($293.17/month prepaid equivalent, our calculation), billed as one total.
Multi-month packages "will not be refunded for unused medication or remaining months," and TrimRx offers 0% financing through Klarna, Afterpay, and Affirm to spread the upfront cost. TrimRx states that financing agreements are between the patient and the financing provider, and "TrimRx is not a party to those agreements."
PlexusDx dose-flat pricing
PlexusDx charges $189/month for compounded semaglutide injection and $289/month for compounded tirzepatide injection on the month-to-month plan, with no price increase at any dose. Multi-month plans lower the effective rate:
-
3-month plan: $169/month semaglutide or $269/month tirzepatide, billed monthly ($507 or $807 total over three months, our calculation).
-
6-month plan: $149/month semaglutide or $249/month tirzepatide, billed monthly ($894 or $1,494 total over six months, our calculation).
PlexusDx does not offer a 12-month plan. Shipping is included, and there is no membership fee.
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12-month cost comparison across all plan lengths
The table below shows the total cost of 12 months of treatment under each plan type both programs offer, plus TrimRx's 12-month plan (which PlexusDx does not offer). All prepaid-equivalent monthly rates and 12-month totals are our calculation.
| Plan path |
PlexusDx Sema |
TrimRx Sema |
PlexusDx Tirz |
TrimRx Tirz |
| MTM × 12 |
$2,268 |
$3,588 |
$3,468 |
$4,788 |
| 3-month plan × 4 |
$2,028 |
$2,992 |
$3,228 |
$4,272 |
| 6-month plan × 2 |
$1,788 |
$2,536 |
$2,988 |
$3,836 |
| 12-month plan (single prepay) |
N/A |
$2,218 |
N/A |
$3,518 |
PlexusDx is lower over 12 months on month-to-month, 3-month, and 6-month paths. TrimRx's 12-month semaglutide plan ($2,218) is $430 higher than PlexusDx's 6-month plan repeated twice ($1,788), and TrimRx's 12-month tirzepatide plan ($3,518) is $530 higher than PlexusDx's comparable path ($2,988). The PlexusDx 6-month path requires two renewals instead of one upfront commitment.
Decision factors: dose policy, advertised-vs-checkout transparency, and plan flexibility
Dose policy
Both programs charge the same price at every dose. A patient who starts low and titrates to the maximum FDA-approved dose pays the same monthly rate from month one through month twelve and beyond. This structure removes price uncertainty as treatment progresses.
Advertised vs checkout pricing
TrimRx advertises $199/month semaglutide and $349/month tirzepatide, but the checkout completed and captured on July 18, 2026 billed $299 and $399 month-to-month; neither advertised figure appeared in the signup flow. PlexusDx publishes $189 semaglutide and $289 tirzepatide on product pages and at checkout with no conflict. We recommend confirming TrimRx pricing at checkout before committing.
Plan-length options and upfront commitment
TrimRx offers a 12-month prepaid plan ($2,218 semaglutide, $3,518 tirzepatide) that PlexusDx does not. The TrimRx 12-month plan delivers a lower per-month equivalent than its 6-month plan and requires one upfront payment instead of two. TrimRx states that multi-month packages "will not be refunded for unused medication or remaining months," and cancellation stops future charges only. PlexusDx's longest commitment is six months, with lower total upfront cost and the option to reassess after six months before renewing.
Medication formats
TrimRx offers compounded semaglutide and tirzepatide injections only. PlexusDx offers injections, oral capsules, and a microdose injection format, providing route-of-administration alternatives for patients who prefer not to inject or who are transitioning to maintenance dosing.
Review record
PlexusDx holds a 4.3-star rating on Trustpilot, with 79% of reviews at five stars and 83% at four stars or higher (captured September 9, 2026; trustpilot.com/review/plexusdx.com). TrimRx has a Trustpilot profile at trustpilot.com/review/trimrx.com (captured September 4, 2026), but no rating, review volume, or negative themes were captured in this research pass.
Choose TrimRx if…
You want a single 12-month prepaid commitment with no renewals and are comfortable confirming your final rate at checkout. TrimRx's 12-month plan ($2,218 semaglutide, $3,518 tirzepatide) is its lowest per-month equivalent and locks in dose-flat pricing for a full year. Financing through Klarna, Afterpay, or Affirm may spread the upfront cost, though those agreements are between you and the financing provider. Confirm at checkout that the rate matches your expectation before finalizing payment.
Choose PlexusDx if…
You want transparent published pricing with no advertised-vs-checkout conflict, the lowest 12-month total on month-to-month and multi-month paths (PlexusDx's 6-month plan repeated twice is $1,788 semaglutide and $2,988 tirzepatide, $430 and $530 lower than TrimRx's 12-month plan), and the option to switch medication formats (injection, oral, microdose) without changing providers. PlexusDx publishes $189 semaglutide and $289 tirzepatide month-to-month on product pages and at checkout, with 3-month and 6-month plans billed monthly at lower rates. Dose-flat pricing applies at every tier, shipping is included, and there is no membership fee. PlexusDx holds a 4.3-star Trustpilot rating with 79% five-star reviews.
Methodology and freshness
TrimRx pricing, dose policy, and checkout terms were captured July 18, 2026 via a completed signup flow; advertised figures ($199 semaglutide, $349/$299 tirzepatide) were captured July 18 and September 4, 2026 from TrimRx's own site and did not match the checkout-verified month-to-month rates ($299 semaglutide, $399 tirzepatide). PlexusDx pricing and dose policy were captured July 18, 2026 from product pages and checkout. Review data for PlexusDx were captured September 9, 2026 from trustpilot.com/review/plexusdx.com; TrimRx's Trustpilot profile was accessed September 4, 2026. All 12-month cost totals and prepaid-equivalent monthly rates are our calculation. Pricing and policy may change; confirm at checkout before committing.
Frequently Asked Questions
Does TrimRx charge more when my semaglutide dose increases from 0.5 mg to 1 mg?
No. TrimRx charges $299/month for compounded semaglutide at every dose on the month-to-month plan, whether you are at 0.25 mg or 2.4 mg. Multi-month prepaid plans reduce the effective monthly rate but remain dose-flat.
Why does TrimRx advertise $199/month semaglutide if checkout bills $299?
TrimRx's site advertised $199/month semaglutide on July 18 and September 4, 2026, but the checkout completed July 18, 2026 billed $299/month month-to-month with no $199 option visible in the signup flow. We recommend confirming the rate at checkout before finalizing payment.
Which program costs less over 12 months?
PlexusDx's 6-month plan repeated twice totals $1,788 for semaglutide and $2,988 for tirzepatide over 12 months (our calculation), $430 and $530 lower than TrimRx's 12-month plan ($2,218 and $3,518). PlexusDx is also lower on month-to-month and 3-month paths.
Can I get a refund if I prepay a TrimRx multi-month plan and stop early?
No. TrimRx states that multi-month packages "will not be refunded for unused medication or remaining months." Cancellation stops future charges only, so prepaid months are not refunded if you discontinue treatment early.
Does PlexusDx offer a 12-month prepaid plan like TrimRx?
No. PlexusDx's longest plan is six months, billed monthly at $149/month semaglutide or $249/month tirzepatide. The 6-month plan repeated twice delivers the lowest 12-month total but requires two renewals instead of one upfront commitment.
Sources
- TrimRx checkout verification and product pages (captured July 18, 2026)
- TrimRx advertised pricing and dose-policy statements (captured July 18, 2026 and September 4, 2026)
- PlexusDx product pages and checkout (captured July 18, 2026 and July 20, 2026)
- Trustpilot profile for PlexusDx (trustpilot.com/review/plexusdx.com, captured September 9, 2026)
- Trustpilot profile for TrimRx (trustpilot.com/review/trimrx.com, captured September 4, 2026)
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Medical and Editorial Standards
Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.
Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.
Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.
Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.
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