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Belle Health vs Trillium Meds

Belle Health and Trillium Meds both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Belle Health logo

Belle Health

8.3
★★★★☆4.2/5

Best for: semaglutide at $119/month, 37% below the typical price

Visit Belle Health →
VS
Trillium Meds logo

Trillium Meds

8.6
★★★★☆4.3/5

Best for: semaglutide at $119/month, 37% below the typical price

Visit Trillium Meds →

If you are choosing between Belle Health and Trillium Meds, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Trillium Meds leads our six-part score, 8.6 to 8.3. One of the two has an FDA warning letter on record, covered below.

Belle Health vs Trillium Meds price

Belle Health and Trillium Meds start at the same figure, $119 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $119 a month; tirzepatide costs the same at both, $199 a month on a prepaid plan.

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Belle Health lists 50 states, and Trillium Meds lists 52 states.

They overlap in 50 states. Trillium Meds alone covers District of Columbia and PR.

Pricing

Belle Health

Flat-rate (all doses)Compounded
$119/mo
semaglutide
Flat-rate (all doses, 3-month bundle)Compounded
$199/mo
tirzepatide

Trillium Meds

3-Month PlanCompounded
$119/mo
semaglutide

Search listings say 'pricing from $109.' 3-month plan: $119/mo ($357 total); 1-month plan: $159/mo. All-inclusive: compounded semaglutide with B6 (from BPI Labs or ProRx pharmacy), provider consultation and shipping. No additional fees.

3-Month PlanCompounded
$199/mo
tirzepatide

3-month plan at $199/mo ($599 total); 1-month plan at $249/mo. All-inclusive price covers compounded tirzepatide (with B6, dispensed by BPI Labs or ProRx pharmacy), provider consultation, and shipping. No additional fees.

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Belle Health's price also covers coaching, which Trillium Meds does not claim.

Belle Health is silent on lab work.

Belle Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

In the price

Trillium Meds

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Charged on top

Coaching

Charged on top

Where each one scores higher

Overall, Trillium Meds scores 8.6 and Belle Health 8.3 out of 10.

Belle Health is stronger on support (8.5 vs 7.0).

Trillium Meds is stronger on trust & safety (7.5 vs 4.5).

Value, effectiveness, user experience and accessibility are within half a point.

How we score

Belle Health

8.3/10

Overall

Trillium Meds

8.6/10

Value25%

8.2A
vs
B
8.2

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

4.5A
vs
B
7.5

Accessibility10%

10.0A
vs
B
10.0

Support10%

8.5A
vs
B
7.0

FDA warning letters

Belle Health has an FDA warning letter on record.

Trillium Meds has no FDA warning letter on record with us.

Features & Coverage

FeatureBelle HealthTrillium Meds
Starting Price$119/mo$119/mo prepaid
Features6 features✓8 features
States Available50✓52
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning Letters1 letter✓None

About Belle Health

Belle Health sells compounded semaglutide at $119/month and compounded tirzepatide at $199/month, both on a 3-month bundle. Pricing is flat: the monthly cost is the same at every dose, with no escalation surcharge as you titrate up. The platform is national and direct-to-consumer, includes free weekly registered-dietitian sessions, and names its compounding pharmacy partners openly.

Read our full Belle Health review →

About Trillium Meds

One price, no membership fee: shipping, the provider consultation and the drug all sit inside it. Choose a 1-month program, a 3-month fixed-dose one, or 3 months titrated. Out of Portland, OR, this owner-run platform is small, and it links patients to compounding pharmacies registered with the FDA and to independent providers holding licenses for compounded tirzepatide and semaglutide. Puerto Rico and all 50 states are covered, and LegitScript certifies it.

Read our full Trillium Meds review →

Pros & Cons

Belle Health

What we like

  • Semaglutide costs $119 a month, 36% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $199 a month, 20% below the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits, shipping and coaching
  • Serves all 50 states

Watch-outs

  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • The FDA has issued Belle Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Trillium Meds

What we like

  • Semaglutide costs $119 a month, 36% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $199 a month, 20% below the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication, clinician visits and shipping
  • Serves all 50 states
  • We found no FDA warning letters issued to Trillium Meds

Watch-outs

  • Not included in the monthly price: lab work, coaching
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Trillium Meds

Trillium Meds wins this one, 8.6 to 8.3, above all for semaglutide at $119/month, 37% below the typical price. Belle Health fits better if semaglutide at $119/month, 37% below the typical price is your priority.

Choose Belle Health if…

You want semaglutide at $119/month, 37% below the typical price and an opening price near $119 a month.

Choose Trillium Meds if…

You want semaglutide at $119/month, 37% below the typical price and an opening price near $119 a month.

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Moving between compounded and brand without changing seller

8.4

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Belle Health vs Trillium Meds: FAQ

Neither on the entry price: Belle Health and Trillium Meds both start at about $119 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Trillium Meds: 52 states against 50, with 50 in common.
Both include the clinician visit, the medication itself and shipping. Only Belle Health includes coaching.
Belle Health has one FDA warning letter on record. Trillium Meds has none.
No. Neither Belle Health nor Trillium Meds pays us anything.

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