TrimRx vs Vital Step
Vital Step costs $3 less a month, and both sell semaglutide and tirzepatide.
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TrimRx
Best for: compounded semaglutide at $299/month after a $199 first month
Visit TrimRx →Vital Step
Best for: people who want compounded semaglutide or tirzepatide in tablet form and accept a no-refund policy
Visit Vital Step →If you are choosing between TrimRx and Vital Step, the first difference is cost: Vital Step is $3 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. TrimRx leads our six-part score, 6.3 to 5.6.
TrimRx vs Vital Step price
Vital Step is the cheaper way in: $296 a month against $299 a month at TrimRx. That is $3 less each month (1% lower), or about $36 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Vital Step ($296 a month vs $299 a month); tirzepatide is cheaper at Vital Step ($396 a month vs $399 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, TrimRx prices compounded injections and brand-name pens, while Vital Step prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, TrimRx is the only one of the two with a brand-name price.
Where each one treats patients
TrimRx does not publish where it ships, and Vital Step lists 50 states.
Pricing
TrimRx
TrimRx's terms price the first month at $199 and each follow-up month at $299, with medication, consultation and shipping included. The home page advertises 'Starting at $179', which the terms do not tie to a month-to-month plan.
TrimRx's terms price the first month at $349 and each follow-up month at $399, with medication, consultation and shipping included. The home page advertises 'Starting at $259', which the terms do not tie to a month-to-month plan.
Priced at $1,299 for the first month and $1,299 for follow-up months, medication included.
Priced at $1,399 for the first month and $1,399 for follow-up months, medication included.
Vital Step
$179 for the first month, then $296 a month, on the plan labelled no commitment. Longer plans are listed as 3, 6 and 12-month supplies with lower monthly rates; the advertised "as low as $161" is the first month of the 6-month plan.
Compounded semaglutide tablets on the same price ladder as the injection: $179 for the first month, then $296 a month.
$279 for the first month, then $396 a month. The advertised "as low as $198" is the first month of the 6-month plan, which then continues at a higher monthly rate.
Compounded tirzepatide tablets on the same price ladder as the injection: $279 for the first month, then $396 a month.
What each price covers
Both prices cover shipping.
TrimRx's price also covers the clinician visit and the medication itself, which Vital Step does not claim.
TrimRx is silent on lab work and coaching.
Vital Step is silent on the clinician visit, the medication itself, lab work and coaching.
That matters most for the drug: unless Vital Step confirms otherwise, budget for medication on top of its listed price.
TrimRx
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
Vital Step
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, TrimRx scores 6.3 and Vital Step 5.6 out of 10.
TrimRx is stronger on user experience (8.0 vs 3.0), trust & safety (6.5 vs 5.0) and support (7.0 vs 5.0).
Vital Step is stronger on accessibility (10.0 vs 5.0).
Value and effectiveness are within half a point.
TrimRx
6.3/10
Vital Step
5.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither TrimRx nor Vital Step has an FDA warning letter on record with us.
Features & Coverage
| Feature | TrimRx | Vital Step |
|---|---|---|
| Starting Price | $299/mo | ✓$296/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About TrimRx
Three things TrimRx does not publish: the pharmacy that compounds its drugs, the states it serves, and any LegitScript certification. Specifics sit behind an intake quiz. What is visible is a cash-pay program with tiered monthly pricing plus multi-month bundles, no insurance, selling compounded semaglutide and tirzepatide shipped monthly at no shipping cost. Licensed US providers prescribe after reviewing an online medical history. The pitch is dose continuity and stable pricing: "switch and keep your current dose, no price hikes". Compounded GLP-1s are not FDA-approved.
Read our full TrimRx review →About Vital Step
Vital Step is a Las Vegas telehealth company selling compounded semaglutide and tirzepatide as weekly injections or daily tablets, with care through the Dr. TelX medical group. Month to month, semaglutide runs $296 and tirzepatide $396 after a discounted first month of $179 or $279. The "as low as" prices in its ads are first-month rates on six-month plans, and its policy says charges are not refundable.
Read our full Vital Step review →Pros & Cons
TrimRx
What we like
- 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 and shipping
- We found no FDA warning letters issued to TrimRx
Watch-outs
- Semaglutide costs $299 a month, 59% above the $188 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare
- Confirm it serves your state before you start the intake
- 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
Vital Step
What we like
- The monthly price includes shipping
- Serves all 50 states
- We found no FDA warning letters issued to Vital Step
Watch-outs
- Semaglutide costs $296 a month, 57% above the $188 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $396 a month, 58% above the $250 median for compounded tirzepatide across the sellers we compare
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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
TrimRx wins this one, 6.3 to 5.6, above all for compounded semaglutide at $299/month after a $199 first month. Vital Step undercuts it by $3 a month, so if the monthly bill is what decides it, Vital Step is the pick. Vital Step fits better if people who want compounded semaglutide or tirzepatide in tablet form and accept a no-refund policy is your priority.
Choose TrimRx if…
You want compounded semaglutide at $299/month after a $199 first month and an opening price near $299 a month.
Choose Vital Step if…
You want people who want compounded semaglutide or tirzepatide in tablet form and accept a no-refund policy and an opening price near $296 a month.
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Knowing which pharmacy fills the vial: it names Tru Meds Rx
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Get started →TrimRx vs Vital Step: FAQ
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