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Onyx Weight Loss vs Trimi Health

An in-depth comparison of two leading GLP-1 Providers

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Onyx Weight Loss logo

Onyx Weight Loss

8.3
★★★★4.2/5

Best for: starting below a standard dose, with microdose tiers

Visit Onyx Weight Loss
VS
Trimi Health logo

Trimi Health

9.4
★★★★4.7/5

Best for: knowing which pharmacy fills the vial — it names VialsRx

Visit Trimi Health

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, both start around $99/mo, and Trimi Health finishes ahead, 9.4 to 8.3. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

Onyx Weight Loss

Starting doseCompounded
$228/mo
semaglutide

Verbatim: 'Starting at $228/month' (GLP-1 Agonist plan). Includes medication and supplies shipped to home. Entry tier only; higher-dose pricing not disclosed.

Starting doseCompounded
$280/mo
tirzepatide

Verbatim: 'Starting at $280/month' (GLP-1/GIP Agonist plan). Includes medication and supplies. Entry tier only; specific drug name inferred from GLP-1/GIP dual agonist designation.

MicrodoseCompounded
$99/mo
semaglutide

Verbatim: '$99/MONTH' (GLP-1 Microdosing plan). Low-dose gradual-start option.

Trimi Health

All doses (flat)Compounded
$175/mo
semaglutide

Billed monthly. Flat price at every dose.

All doses (flat)Compounded
$145/mo
semaglutide

Quarterly plan: billed $435 every 3 months.

All doses (flat)Compounded
$120/mo
semaglutide

Bi-annual plan: billed $720 every 6 months.

All doses (flat)Compounded
$99/mo
semaglutide

Annual plan: billed $1,188 yearly upfront (or BNPL via Affirm/Klarna/Afterpay). This is the advertised headline price.

All doses (flat)Compounded
$235/mo
tirzepatide

Billed monthly. Flat price at every dose.

All doses (flat)Compounded
$199/mo
tirzepatide

Quarterly plan: billed $597 every 3 months.

All doses (flat)Compounded
$175/mo
tirzepatide

6-month plan: billed $1,050 every 6 months.

All doses (flat)Compounded
$125/mo
tirzepatide

Annual plan: billed $1,500 yearly upfront (or BNPL). This is the advertised headline price.

What’s included

Onyx Weight Loss

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Trimi Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Onyx Weight Loss

8.3/10

Overall

Trimi Health

9.4/10

Value25%

9.7A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

7.5A
vs
B
10.0

Accessibility10%

3.3A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

Features & Coverage

FeatureOnyx Weight LossTrimi Health
Starting Price$99/mo$99/mo
Features8 features3 features
States Available850
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About Onyx Weight Loss

GLP-1 (semaglutide-type) plans begin at $228/month; GLP-1/GIP (tirzepatide-type) plans at $280/month. There is also a $99/month GLP-1 microdosing option for anyone wanting a gradual-titration start. Onyx Weight Loss runs a nurse-practitioner-led telehealth clinic out of Mooresville, NC, set up by Madalyn Vangile RN and Tasha Vangile FNP-C, and it covers 8 states with HRT and peptides sold beside the GLP-1s. Its partner Strive Pharmacy ships medication and supplies home.

Read our full Onyx Weight Loss review →

About Trimi Health

Trimi Health is a telehealth seller whose compounded GLP-1 pricing is among the lowest available.

Read our full Trimi Health review →

Pros & Cons

Onyx Weight Loss

What we like

  • Semaglutide at $99 a month, 48% below the $189 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly figure covers medication, consult, shipping
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • Coverage is published for 8 states only, so this may not reach you
  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • 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

Trimi Health

What we like

  • Semaglutide at $99 a month, 48% below the $189 median for the same drug and form across this register
  • Tirzepatide at $125 a month, 53% below the $267 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
  • The monthly figure covers medication, consult, shipping
  • Coverage is published for all 50 states
  • Names 2 dispensing pharmacies, which most sellers in this register do not do
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • 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: Trimi Health

Trimi Health takes it, 9.4 against 8.3, and it is especially strong on knowing which pharmacy fills the vial — it names VialsRx. Onyx Weight Loss is no weak second and may fit you better on starting below a standard dose, with microdose tiers.

Choose Onyx Weight Loss if…

You want starting below a standard dose, with microdose tiers and an opening price near $99 a month.

Choose Trimi Health if…

You want knowing which pharmacy fills the vial — it names VialsRx and an opening price near $99 a month.

Ready to start? Vetted GLP-1 providers

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6.0

SkinnyRx

Starting below a standard dose, with microdose tiers

9.4

Trimi Health

Knowing which pharmacy fills the vial — it names VialsRx

8.5

Strut Health

Semaglutide at $99/month, 48% under the register median

Onyx Weight Loss vs Trimi Health: FAQ

Glossary

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