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Trillium Meds vs bmiMD

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
Trillium Meds logo

Trillium Meds

8.6
★★★★4.3/5

Best for: semaglutide at $119/month, 37% under the register median

Visit Trillium Meds
VS
bmiMD logo

bmiMD

9.1
★★★★4.6/5

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

Visit bmiMD

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, bmiMD opens cheaper — $99/mo against $119, and bmiMD finishes ahead, 9.1 to 8.6. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

Trillium Meds

3-Month PlanCompounded
$119/mo
semaglutide

Verbatim site meta: 'pricing from $109.' 3-month plan at $119/mo ($357 total); 1-month plan at $159/mo. All-inclusive price covers compounded semaglutide (with B6, dispensed by 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.

bmiMD

Compounded semaglutide injection (all doses, flat)Compounded
$99/mo
semaglutide

Ladder by plan length: 12 mo $99/mo (Total $1,188.00), 6 mo $109/mo, 3 mo $119/mo, 1 mo $129/mo. 'Same price at every dose'; provider visit + free shipping included. Verified 2026-07-14 at bmimd.com/personalized-glp-1/ and /semaglutide-injection/.

Compounded tirzepatide injection (all doses, flat)Compounded
$139/mo
tirzepatide

Ladder by plan length: 12 mo $139/mo (Total $1,668.00), 6 mo $149/mo, 3 mo $159/mo, 1 mo $179/mo. Same flat-dose model. Verified 2026-07-14 at bmimd.com/tirzepatide-injection/.

Semaglutide Microdose (new product line)Compounded
$99/mo
semaglutide

Strike-through pricing shown: $151.20 -> $99/mo (12-mo) up to $199.80 -> $129/mo (monthly), labeled 'Limited time offer'. bmimd.com/glp-1-microdose/.

Tirzepatide Microdose (new product line)Compounded
$139/mo
tirzepatide

Strike-through pricing shown: $250.20 -> $139/mo (12-mo) up to $299.70 -> $179/mo (monthly), labeled 'Limited time offer'. bmimd.com/glp-1-gip-microdose/.

What’s included

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

bmiMD

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.

Trillium Meds

8.6/10

Overall

bmiMD

9.1/10

Value25%

8.3A
vs
B
9.7

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

7.5A
vs
B
8.5

Accessibility10%

10.0A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

Features & Coverage

FeatureTrillium MedsbmiMD
Starting Price$119/mo$99/mo
Features8 features2 features
States Available5250
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

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 →

About bmiMD

bmiMD is a medical weight loss clinic that prescribes GLP-1 medications through telehealth.

Read our full bmiMD review →

Pros & Cons

Trillium Meds

What we like

  • Semaglutide at $119 a month, 37% 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
  • Coverage is published for all 50 states
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • Billed separately from the monthly figure: labs, coaching
  • 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

bmiMD

What we like

  • Semaglutide at $99 a month, 48% below the $189 median for the same drug and form across this register
  • Tirzepatide at $139 a month, 48% 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
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • 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

Our Verdict

Winner: bmiMD

bmiMD takes it, 9.1 against 8.6, and it is especially strong on starting below a standard dose, with microdose tiers. Trillium Meds is no weak second and may fit you better on semaglutide at $119/month, 37% under the register median.

Choose Trillium Meds if…

You want semaglutide at $119/month, 37% under the register median and an opening price near $119 a month.

Choose bmiMD if…

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

Ready to start? Vetted GLP-1 providers

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Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

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

7.9

Oak

Semaglutide at $119/month, 37% under the register median

Trillium Meds vs bmiMD: FAQ

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