Last reviewed: September 10, 2026
Last updated: September 10, 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.
The short answer
PlexusDx charges $189 per month for compounded semaglutide injection on a month-to-month plan; TrimRx charges $299 per month at checkout for the same medication—a $1,320 difference over twelve months. PlexusDx bills each month as it ships; TrimRx bills multi-month plans as a single upfront total and does not refund unused months if you stop early. PlexusDx offers oral semaglutide and tirzepatide capsules and a microdose maintenance option; TrimRx sells injections only. TrimRx extends the commitment calendar to twelve months (a $2,218 prepaid semaglutide package, $3,518 tirzepatide), while PlexusDx stops at six. If you want monthly flexibility and the lowest recurring cost, PlexusDx wins on every comparable term length. If you prefer to prepay a full year and lock a per-month equivalent below PlexusDx's month-to-month rate, TrimRx is the only option in this pair—but that rate requires $2,218 or $3,518 up front, and the package will not be refunded for unused medication or remaining months.
At-a-glance comparison
| Feature |
PlexusDx |
TrimRx |
| Semaglutide injection (MTM) |
$189/month |
$299/month |
| Tirzepatide injection (MTM) |
$289/month |
$399/month |
| Semaglutide 3-month total |
$507 (billed $169/mo) |
$748 (one charge) |
| Tirzepatide 3-month total |
$807 (billed $269/mo) |
$1,068 (one charge) |
| Semaglutide 6-month total |
$894 (billed $149/mo) |
$1,268 (one charge) |
| Tirzepatide 6-month total |
$1,494 (billed $249/mo) |
$1,918 (one charge) |
| 12-month plan |
Not offered |
$2,218 sema / $3,518 tirz (one charge) |
| Membership fee |
$0 |
$0 |
| Dose-based price tiers |
No (same price all doses) |
No (same price all doses) |
| Oral formats |
Yes (sema $289, tirz $349 MTM) |
No |
| Microdose option |
Yes ($129/month) |
No |
| Shipping included |
Yes |
Yes |
| Multi-month billing method |
Monthly recurring |
One upfront total |
| Multi-month refund policy |
Monthly; cancel anytime |
No refund for unused months |
| 0% financing (third-party) |
— |
Klarna, Afterpay, Affirm available |
| Trustpilot rating |
4.3 stars (83% ≥4 stars) |
Profile present; rating not captured |
Pricing captured July 18, 2026 for PlexusDx and TrimRx checkout; review data captured September 9, 2026 (PlexusDx) and September 4, 2026 (TrimRx profile link).
Month-to-month pricing and the advertised-versus-checkout gap
At checkout on July 18, 2026, TrimRx billed $299 per month for compounded semaglutide and $399 per month for tirzepatide on a month-to-month plan. TrimRx's own site advertised $199 per month for semaglutide and $349 per month for tirzepatide, but neither advertised figure appeared at any point in the signup flow captured that day. Readers should confirm the price presented at checkout before completing payment.
PlexusDx bills $189 per month for semaglutide injection and $289 per month for tirzepatide injection on a month-to-month plan—$110 per month less than TrimRx's checkout semaglutide price and $110 per month less than TrimRx's checkout tirzepatide price. Over twelve months with no commitment, that difference compounds to $1,320 for either medication.
Neither program charges a separate membership fee, and neither raises the per-month price when your prescriber increases your dose. Both include shipping in the published figure.
Normalized twelve-month cost across plan lengths
The following calculations use verified checkout prices captured July 18, 2026, and assume continuous treatment for twelve months. Multi-month totals and derived per-month equivalents are our calculations.
Semaglutide injection
| Plan length |
PlexusDx 12-month cost |
TrimRx 12-month cost |
Difference |
| Month-to-month |
$2,268 ($189/mo × 12) |
$3,588 ($299/mo × 12) |
PlexusDx $1,320 less |
| 3-month cycle |
$2,028 ($169/mo × 12) |
$2,992 ($748 × 4 cycles) |
PlexusDx $964 less |
| 6-month cycle |
$1,788 ($149/mo × 12) |
$2,536 ($1,268 × 2 cycles) |
PlexusDx $748 less |
| 12-month prepaid |
Not offered |
$2,218 ($184.83/mo equivalent) |
— |
Tirzepatide injection
| Plan length |
PlexusDx 12-month cost |
TrimRx 12-month cost |
Difference |
| Month-to-month |
$3,468 ($289/mo × 12) |
$4,788 ($399/mo × 12) |
PlexusDx $1,320 less |
| 3-month cycle |
$3,228 ($269/mo × 12) |
$4,272 ($1,068 × 4 cycles) |
PlexusDx $1,044 less |
| 6-month cycle |
$2,988 ($249/mo × 12) |
$3,836 ($1,918 × 2 cycles) |
PlexusDx $848 less |
| 12-month prepaid |
Not offered |
$3,518 ($293.17/mo equivalent) |
— |
PlexusDx undercuts TrimRx at every directly comparable plan length. TrimRx's 12-month prepaid package brings its per-month equivalent below PlexusDx's month-to-month rate—$184.83 versus $189 for semaglutide, $293.17 versus $289 for tirzepatide—but requires the full $2,218 or $3,518 up front and will not be refunded for unused medication or remaining months if you stop treatment early. PlexusDx bills monthly even on multi-month plans, so you can cancel without losing prepaid months.
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Billing method, cancellation, and financing
PlexusDx bills multi-month plans as a recurring monthly charge. If you select the six-month semaglutide plan at $149 per month, your card is charged $149 each month for six months. You may cancel at any time, and only the current month is billed; future months drop off.
TrimRx bills its multi-month plans as a single upfront total. A three-month semaglutide package costs $748, charged in full at signup. A six-month package costs $1,268; a twelve-month package costs $2,218 for semaglutide or $3,518 for tirzepatide. TrimRx states that multi-month packages will not be refunded for unused medication or remaining months, and cancellation stops only future charges (which do not exist within a prepaid window).
TrimRx offers 0% financing through Klarna, Afterpay, and Affirm to spread the upfront totals into installments. TrimRx is not a party to those financing agreements; terms, approval, and any fees are set by the financing provider. PlexusDx's monthly billing structure does not require third-party financing because each charge is already a single month.
Product formats and dose policy
TrimRx sells compounded semaglutide and tirzepatide in injectable form only. PlexusDx offers the same two injectables and adds oral semaglutide capsules ($289 per month), oral tirzepatide capsules ($349 per month), and a microdose GLP-1 injection ($129 per month) designed for maintenance after an initial weight-loss phase. If you cannot or prefer not to use needles, PlexusDx is the only option in this comparison that provides an oral route.
Both programs charge the same monthly price at every dose. Your prescriber may start you at a lower dose and increase over time as tolerated, but your bill does not rise when the dose does.
Review and service transparency
PlexusDx holds a 4.3-star rating on Trustpilot, with 79 percent of reviews at five stars and 83 percent at four stars or higher, captured September 9, 2026 from trustpilot.com/review/plexusdx.com. TrimRx maintains a Trustpilot profile, but no rating or review volume was captured during research in September 2026. Readers evaluating service quality should check current review platforms directly and weigh reported experiences alongside pricing and plan terms.
Choose PlexusDx if…
- You want the lowest month-to-month cost for compounded semaglutide or tirzepatide injection ($189 and $289, respectively, versus TrimRx's $299 and $399).
- You prefer monthly billing over a single upfront charge, so you can cancel without losing prepaid months.
- You want access to oral GLP-1 capsules or a low-dose maintenance option that TrimRx does not offer.
- You value named PharmD check-ins and an optional genetic-screening add-on during your treatment.
- You are comfortable committing to six months at most; you do not need a twelve-month prepaid package.
Choose TrimRx if…
- You want to prepay a full twelve months of treatment in a single transaction and you accept that the package will not be refunded for unused medication or remaining months.
- You prefer the per-month equivalent that comes with that twelve-month commitment ($184.83 for semaglutide, $293.17 for tirzepatide, both our calculation) over PlexusDx's month-to-month rates.
- You are comfortable with the advertised-versus-checkout pricing gap documented in July 2026 and will confirm the final price before payment.
- You want to use third-party 0% financing (Klarna, Afterpay, Affirm) to spread a large upfront total into installments.
- Injection is your only desired route; oral and microdose formats are not relevant to your plan.
Methodology and freshness
Pricing for both programs was captured from checkout flows and comparison pages on July 18, 2026. TrimRx's advertised figures were noted on its public site the same day, and the discrepancy between advertised and checkout prices was documented in the research record. PlexusDx's product catalog and plan pricing were verified from standing commercial data and the same July comparison. Review data for PlexusDx was captured September 9, 2026 from Trustpilot; TrimRx's Trustpilot profile link was recorded September 4, 2026, but no rating or volume was captured. All twelve-month cost projections, prepaid per-month equivalents, and multi-cycle totals are our calculations, derived by multiplying verified monthly or total figures by the appropriate term length. No promotional codes, discount arithmetic, or unobserved prices appear in this analysis. Readers should confirm current pricing, plan terms, and refund policies at checkout before committing to either program.
Frequently Asked Questions
Does TrimRx's advertised price match what you pay at checkout?
On July 18, 2026, TrimRx advertised $199 per month for semaglutide and $349 per month for tirzepatide, but the checkout flow captured that day billed $299 and $399 month-to-month. Readers should verify the final price in their own signup flow before completing payment.
Can I cancel a TrimRx multi-month package and get a refund for unused months?
No. TrimRx states that multi-month packages will not be refunded for unused medication or remaining months. Because the full term is billed as a single upfront charge, cancellation stops only future charges, which do not exist within the prepaid window.
Does PlexusDx charge the full six-month total up front on a six-month plan?
No. PlexusDx bills multi-month plans as a recurring monthly charge. On the six-month semaglutide plan, you are billed $149 each month for six months, and you may cancel at any time without losing prepaid months.
Which program offers the lowest per-month cost if I prepay a full year?
TrimRx is the only program in this comparison that offers a twelve-month plan. Its prepaid per-month equivalent is $184.83 for semaglutide and $293.17 for tirzepatide (our calculation), which sits below PlexusDx's month-to-month rates but requires $2,218 or $3,518 up front with no refund for unused months.
Does either program offer oral GLP-1 medication?
PlexusDx offers oral semaglutide capsules at $289 per month and oral tirzepatide capsules at $349 per month on a month-to-month plan. TrimRx sells injections only and does not offer an oral route.
Sources
- PlexusDx and TrimRx checkout pricing and plan terms, captured July 18, 2026
- TrimRx advertised pricing from public site, captured July 18, 2026
- TrimRx refund and cancellation policy, captured July 18, 2026
- PlexusDx product catalog and multi-month plan structure, standing commercial data verified July 18, 2026
- PlexusDx Trustpilot rating (4.3 stars, 79% five-star, 83% four stars or higher), captured September 9, 2026, trustpilot.com/review/plexusdx.com
- TrimRx Trustpilot profile link, captured September 4, 2026
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Compounded medication disclosure: Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. PlexusDx works with licensed 503A compounding pharmacies. A licensed clinician determines whether a prescription is appropriate for an individual patient.
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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