Last reviewed: September 21, 2026 Last updated: September 21, 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

TrimRx advertises semaglutide at $199/month and tirzepatide at $349/month on its marketing materials (captured September 4, 2026, trimrx.com), but those figures did not appear at any point in the checkout flow PlexusDx researchers completed and captured July 18, 2026. The verified ongoing month-to-month rates at checkout were $299/month for semaglutide and $399/month for tirzepatide. TrimRx offers multi-month prepaid plans (3-, 6-, and 12-month) that reduce the effective monthly cost but require full upfront payment and are non-refundable for unused months or remaining balances. Over 12 months, TrimRx semaglutide month-to-month costs $3,588; the 12-month prepaid plan costs $2,218 total ($184.83/month equivalent, prepaid). For comparison, PlexusDx semaglutide is $189/month with no commitment or $149/month on a 6-month plan ($1,788 total over 12 months, prepaid in two installments). Both programs compound the medication, include shipping, and charge the same price at every dose; neither charges a membership fee.

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At-a-glance pricing comparison

Plan Type TrimRx Semaglutide PlexusDx Semaglutide TrimRx Tirzepatide PlexusDx Tirzepatide
Advertised starting rate $199/mo* $189/mo $349/mo* $289/mo
Verified month-to-month $299/mo $189/mo $399/mo $289/mo
3-month plan $748 total ($249.33/mo equivalent, prepaid) $507 total ($169/mo) $1,068 total ($356/mo equivalent, prepaid) $807 total ($269/mo)
6-month plan $1,268 total ($211.33/mo equivalent, prepaid) $894 total ($149/mo) $1,918 total ($319.67/mo equivalent, prepaid) $1,494 total ($249/mo)
12-month plan $2,218 total ($184.83/mo equivalent, prepaid) Not offered $3,518 total ($293.17/mo equivalent, prepaid) Not offered
12-month total cost (MTM) $3,588 $2,268 $4,788 $3,468
12-month total cost (best multi-month plan) $2,218 (12-mo prepaid) $1,788 (6-mo plan × 2) $3,518 (12-mo prepaid) $2,988 (6-mo plan × 2)

*TrimRx advertised starting rates captured September 4, 2026 (trimrx.com). These figures did not appear in the checkout flow captured July 18, 2026; verified ongoing month-to-month rates at checkout were $299 semaglutide and $399 tirzepatide. PlexusDx pricing captured July 18 and September 4, 2026. 12-month cost calculations and prepaid equivalents are our calculation.

The advertised-vs-verified pricing gap

TrimRx's website and marketing materials display $199/month for semaglutide and $349/month for tirzepatide (captured September 4, 2026, trimrx.com). When PlexusDx researchers completed the signup flow on July 18, 2026, neither the $199 nor the $349 figure appeared at any stage. Instead, the checkout screen presented $299/month for semaglutide and $399/month for tirzepatide on the month-to-month plan. The research documentation states explicitly: "Neither $199 nor $349 appeared at any point in the signup flow we completed and captured."

This gap is not explained on TrimRx's public-facing materials captured in our review. Whether the advertised figures represent a limited-time introductory rate, a discontinued offer, or a promotional price available only through specific channels is unclear. For planning purposes, the verified ongoing rates—$299 semaglutide and $399 tirzepatide month-to-month—are the figures a new patient should expect at checkout as of mid-2026. If you encounter different pricing during your own enrollment, confirm the final recurring charge before committing.

Month-to-month cost: no commitment, higher per-month price

TrimRx's month-to-month plan bills $299 every 30 days for semaglutide and $399 for tirzepatide (verified at checkout July 18, 2026). Shipping is included, the price remains the same at every dose, and there is no separate membership fee. You can cancel at any time, and cancellation stops future charges but does not trigger a refund for the current billing cycle.

Over 12 months of continuous month-to-month treatment:

  • Semaglutide: $299 × 12 = $3,588 total (our calculation)
  • Tirzepatide: $399 × 12 = $4,788 total (our calculation)

PlexusDx month-to-month pricing for the same 12-month period:

  • Semaglutide injection: $189/month, $2,268 over 12 months—a $1,320 difference versus TrimRx (our calculation)
  • Tirzepatide injection: $289/month, $3,468 over 12 months—a $1,320 difference versus TrimRx (our calculation)

Both programs include the provider visit, prescription, compounded medication, and shipping in the monthly price. Neither charges extra for dose adjustments.

Multi-month prepaid plans: lower effective monthly cost, upfront commitment

TrimRx offers 3-month, 6-month, and 12-month prepaid plans that reduce the effective monthly cost but require the full balance upfront and are billed as a single total, not as monthly installments. According to the terms captured July 18, 2026: "Multi-month packages will not be refunded for unused medication or remaining months," and "Cancellation stops future charges only." Once you pay for a multi-month plan, that balance is committed.

TrimRx semaglutide prepaid plans

  • 3-month: $748 total upfront, renews every three months. Effective monthly cost: $249.33/month (prepaid equivalent, our calculation). Over 12 months: $748 × 4 renewals = $2,992.
  • 6-month: $1,268 total upfront, renews every six months. Effective monthly cost: $211.33/month (prepaid equivalent, our calculation). Over 12 months: $1,268 × 2 renewals = $2,536.
  • 12-month: $2,218 total upfront, single payment for the year. Effective monthly cost: $184.83/month (prepaid equivalent, our calculation).

TrimRx tirzepatide prepaid plans

  • 3-month: $1,068 total upfront, renews every three months. Effective monthly cost: $356/month (prepaid equivalent, our calculation). Over 12 months: $1,068 × 4 renewals = $4,272.
  • 6-month: $1,918 total upfront, renews every six months. Effective monthly cost: $319.67/month (prepaid equivalent, our calculation). Over 12 months: $1,918 × 2 renewals = $3,836.
  • 12-month: $3,518 total upfront, single payment for the year. Effective monthly cost: $293.17/month (prepaid equivalent, our calculation).

TrimRx partners with Klarna, Afterpay, and Affirm to offer 0% financing on these upfront totals, though TrimRx is not a party to those financing agreements and terms are set by the third-party lender.

PlexusDx multi-month plans for comparison

PlexusDx prepaid plans are billed at the start of each cycle (e.g., every three months or every six months), not as a single annual charge:

Semaglutide injection:

  • 3-month: $169/month, billed as $507 every three months. Over 12 months: $507 × 4 = $2,028 total (our calculation).
  • 6-month: $149/month, billed as $894 every six months. Over 12 months: $894 × 2 = $1,788 total (our calculation).

Tirzepatide injection:

  • 3-month: $269/month, billed as $807 every three months. Over 12 months: $807 × 4 = $3,228 total (our calculation).
  • 6-month: $249/month, billed as $1,494 every six months. Over 12 months: $1,494 × 2 = $2,988 total (our calculation).

PlexusDx does not offer a 12-month plan.

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Twelve-month cost comparison, normalized

The table below shows the total cost of 12 months of continuous treatment under each plan type, using like-for-like comparisons (month-to-month vs month-to-month, 3-month vs 3-month, 6-month vs 6-month). All figures are our calculation based on verified pricing captured July 18 and September 4, 2026.

Plan Structure TrimRx Semaglutide (12-mo total) PlexusDx Semaglutide (12-mo total) Difference
Month-to-month $3,588 $2,268 PlexusDx −$1,320
3-month plan (4 renewals) $2,992 $2,028 PlexusDx −$964
6-month plan (2 renewals) $2,536 $1,788 PlexusDx −$748
12-month plan (1 payment) $2,218 Not offered No comparison
Plan Structure TrimRx Tirzepatide (12-mo total) PlexusDx Tirzepatide (12-mo total) Difference
Month-to-month $4,788 $3,468 PlexusDx −$1,320
3-month plan (4 renewals) $4,272 $3,228 PlexusDx −$1,044
6-month plan (2 renewals) $3,836 $2,988 PlexusDx −$848
12-month plan (1 payment) $3,518 Not offered No comparison

The largest absolute savings come from comparing the programs' month-to-month plans ($1,320 in PlexusDx's favor for both compounds). The gap narrows on longer commitments but persists: PlexusDx's 6-month semaglutide plan costs $748 less over 12 months than TrimRx's 6-month plan, and $430 less than TrimRx's annual prepaid option.

What the refund and cancellation terms mean in practice

Both programs allow you to cancel at any time, but the financial implications differ depending on your plan structure:

TrimRx month-to-month: Cancellation stops future monthly charges. You are not refunded for the current billing cycle, but you owe nothing beyond that cycle.

TrimRx multi-month prepaid plans: According to terms captured July 18, 2026, "Multi-month packages will not be refunded for unused medication or remaining months." If you prepay $2,218 for a 12-month semaglutide plan and stop treatment in month four, the remaining eight months are not refunded. The same applies to 3-month and 6-month plans. Cancellation prevents the next renewal from charging, but the current prepaid period is non-refundable.

PlexusDx multi-month plans: Each cycle (three or six months) is billed at the start of that cycle. If you cancel partway through a cycle, you are not refunded for the unused portion of that cycle, but you are not committed to future cycles. For example, if you start a 6-month plan, pay $894, and cancel in month two, you lose the remaining four months of that $894 but owe nothing further.

The practical difference: a TrimRx 12-month commitment puts $2,218 (semaglutide) or $3,518 (tirzepatide) at risk if your response to the medication, your insurance situation, or your treatment plan changes. PlexusDx's longest commitment is six months, which puts $894 (semaglutide) or $1,494 (tirzepatide) at risk per cycle.

Medication format and dose flexibility

Both TrimRx and PlexusDx compound semaglutide and tirzepatide for injection. TrimRx offers injection only; PlexusDx also compounds oral semaglutide capsules ($289/month month-to-month, $269/month on a 3-month plan, $249/month on a 6-month plan) and oral tirzepatide capsules ($349/month month-to-month, $299/month on a 3-month plan, $279/month on a 6-month plan), as well as a microdose semaglutide injection protocol at $129/month for maintenance after reaching goal weight.

Both programs charge the same monthly price regardless of dose. If your provider increases your semaglutide dose from 0.5 mg to 1.0 mg or your tirzepatide dose from 5 mg to 10 mg, your monthly cost remains $299 or $399 with TrimRx and $189 or $289 with PlexusDx (month-to-month rates).

Service and support comparison

TrimRx includes "doctor consults" as part of the service (July 18, 2026 capture). Specific details about ongoing clinician access, response times, or named PharmD support were not documented in the evidence reviewed.

PlexusDx includes a provider visit, prescription management, and named PharmD support in every plan. 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). No equivalent review-volume or rating data was captured for TrimRx during this research pass.

Choose TrimRx if…

  • You can commit to a full 12 months of treatment upfront and want the lowest possible effective monthly rate that TrimRx offers ($184.83/month for semaglutide, $293.17/month for tirzepatide, prepaid equivalent).
  • You have access to 0% financing through Klarna, Afterpay, or Affirm and prefer to spread a large upfront payment across installments without interest.
  • You are comfortable with a non-refundable prepaid balance in exchange for per-month savings compared to TrimRx's own month-to-month rate.

Where PlexusDx fits

PlexusDx offers lower month-to-month pricing ($189 semaglutide, $289 tirzepatide) than TrimRx's verified ongoing rates ($299 semaglutide, $399 tirzepatide), with no advertised-vs-checkout discrepancy. The 6-month prepaid plan ($149/month semaglutide, $249/month tirzepatide) delivers a lower 12-month total cost ($1,788 semaglutide, $2,988 tirzepatide) than any TrimRx option except TrimRx's single annual prepay, and PlexusDx's commitment is capped at six months per cycle rather than 12. PlexusDx also provides oral GLP-1 options and a low-dose maintenance protocol, and carries a documented 4.3-star Trustpilot rating. If you want flexibility to adjust or stop without a year's cost at risk, and you prioritize transparent pricing and the option to choose injection or oral formats, PlexusDx is the more accessible path.

Methodology and freshness

This analysis uses checkout-verified pricing captured July 18 and July 20, 2026, for TrimRx month-to-month and multi-month plans, and advertised figures captured September 4, 2026, from trimrx.com. PlexusDx pricing was captured July 18 and September 4, 2026, from plexusdx.com product pages and the intake flow. The 12-month cost projections, effective monthly rates for prepaid plans, and all cost-difference calculations are our calculation, derived by multiplying verified per-cycle prices by the number of cycles required to reach 12 months. We did not verify TrimRx pricing beyond the checkout screen; final charges at fulfillment may differ. We recommend confirming the recurring price, refund policy, and total commitment before completing enrollment with any provider. The PlexusDx Trustpilot rating (4.3 stars, 79% five-star, 83% four-star or higher) was captured September 9, 2026, from trustpilot.com/review/plexusdx.com. No review volume or rating data was available for TrimRx at the time of research.

Frequently Asked Questions

Why do TrimRx's advertised prices differ from the checkout prices?

TrimRx advertises semaglutide at $199/month and tirzepatide at $349/month on its marketing pages, but the verified checkout flow presented $299 and $399 month-to-month rates when PlexusDx researchers completed enrollment in July 2026. The advertised figures did not appear at any stage of signup. The reason for this discrepancy is not explained in TrimRx's public materials; confirm the final recurring price during your own checkout.

Are TrimRx's multi-month plans refundable if I stop early?

No. TrimRx states that "multi-month packages will not be refunded for unused medication or remaining months." If you prepay for a 6-month or 12-month plan and discontinue treatment partway through, you forfeit the unused balance. Cancellation stops future renewals but does not recover the current prepaid cycle.

How does PlexusDx's 6-month plan compare to TrimRx's 12-month plan?

PlexusDx's 6-month semaglutide plan costs $1,788 over 12 months (two 6-month cycles at $894 each, our calculation). TrimRx's 12-month semaglutide plan costs $2,218 total (single annual payment). PlexusDx is $430 lower over the year and caps financial risk at $894 per cycle instead of $2,218 upfront. TrimRx offers the lower single-payment effective monthly rate ($184.83 vs PlexusDx $149, prepaid equivalents), but PlexusDx delivers the lower annual total without requiring a full-year commitment.

Does either program charge extra when my dose increases?

No. Both TrimRx and PlexusDx charge the same monthly price at every dose. Whether you are on 0.25 mg or 2.4 mg semaglutide, or 2.5 mg or 15 mg tirzepatide, your cost remains $299/$399 (TrimRx month-to-month) or $189/$289 (PlexusDx month-to-month), with corresponding discounts on multi-month plans.

Can I use financing to pay for TrimRx's upfront multi-month plans?

Yes. TrimRx partners with Klarna, Afterpay, and Affirm to offer 0% financing on the upfront totals for 3-month, 6-month, and 12-month plans. TrimRx is not a party to those financing agreements; terms and approval are determined by the third-party lender. Financing does not change the total amount paid or the non-refundable nature of the prepaid balance.

Sources

  • TrimRx checkout-verified pricing and terms, captured July 18, 2026 and July 20, 2026, via enrollment flow and cart screenshots.
  • TrimRx advertised pricing, captured September 4, 2026, trimrx.com homepage and product pages.
  • PlexusDx pricing and plan details, captured July 18 and September 4, 2026, plexusdx.com/products/semaglutide-injection, plexusdx.com/products/tirzepatide-injection, plexusdx.com/products/semaglutide-oral, plexusdx.com/products/tirzepatide-oral, plexusdx.com/products/microdose-glp1-protocol.
  • PlexusDx Trustpilot rating and review distribution, captured September 9, 2026, trustpilot.com/review/plexusdx.com.

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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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