TrimRx vs VivioMD
TrimRx and VivioMD sell different medications; this is what separates them.
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TrimRx
Best for: compounded semaglutide at $299/month after a $199 first month
Visit TrimRx →
VivioMD
Best for: coverage in all 50 states, which most sellers will not confirm
Visit VivioMD →If you are choosing between TrimRx and VivioMD, price alone will not settle it. TrimRx leads our six-part score, 6.3 to 4.4. One of the two has an FDA warning letter on record, covered below.
TrimRx vs VivioMD price
TrimRx publishes $299 a month. VivioMD does not post a GLP-1 price we can quote, so you would only learn its cost after an intake.
Medications and formats
TrimRx lists semaglutide and tirzepatide; VivioMD does not name its drug.
On format, TrimRx prices compounded injections and brand-name pens, while VivioMD posts no priced format.
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 VivioMD 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.
VivioMD
Pricing not publicly listed.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
TrimRx is silent on lab work and coaching.
VivioMD is silent on lab work and coaching.
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
VivioMD
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
Where each one scores higher
Overall, TrimRx scores 6.3 and VivioMD 4.4 out of 10.
TrimRx is stronger on effectiveness (10.0 vs 5.0), user experience (8.0 vs 3.0), trust & safety (6.5 vs 3.0) and support (7.0 vs 5.0).
VivioMD is stronger on value (3.0 vs 1.6) and accessibility (10.0 vs 5.0).
TrimRx
6.3/10
VivioMD
4.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent VivioMD a warning letter dated June 8, 2026 (letter 728295), and it is still open.
TrimRx has no FDA warning letter on record with us.
Features & Coverage
| Feature | TrimRx | VivioMD |
|---|---|---|
| Starting Price | $299/mo | Not published |
| Features | ✓8 features | 0 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | — |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 1 letter |
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 VivioMD
VivioMD is a telehealth wellness seller. It does not currently offer GLP-1 medications.
Read our full VivioMD 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, 62% above the $185 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
VivioMD
What we like
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
Watch-outs
- 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
- The FDA has issued VivioMD a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
Our Verdict
TrimRx wins this one, 6.3 to 4.4, above all for compounded semaglutide at $299/month after a $199 first month. VivioMD fits better if coverage in all 50 states, which most sellers will not confirm 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 VivioMD if…
You want coverage in all 50 states, which most sellers will not confirm.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
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RxSpan MD
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $249/mo
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Moving between compounded and brand without changing seller
From $249/mo
Get started →Strut Health
Semaglutide at $99/month, 48% below the typical price
From $99/mo
Get started →TrimRx vs VivioMD: FAQ
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Or see the full category ranking.
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