Trillium Meds Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.6/10
Best for: semaglutide at $119/month, 37% below the typical price
Trillium Meds' strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.
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charged as a multi-month plan up front
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
Prices checked July 2026
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.
Is Trillium Meds legit?
Yes. Trillium Meds is a real, operating US company, and we found no FDA warning letters issued to it. Its site shows LegitScript certification. We rate it 8.6/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a Trillium Meds promo or coupon code?
We know of no promo or coupon code for Trillium Meds. Its listed price is $119 a month. Coupon sites advertising "Trillium Meds discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Trillium Meds compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to Trillium Meds
Editorial score · methodology
Editorial score · methodology
Embody
Best for: knowing which pharmacy fills the vial: it names RedRock Pharmacy
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Trillium Meds at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Compounded Semaglutide, Compounded Tirzepatide
- Starting price
- $119/mo
- What's included
- Medication · Consult · Shipping
- Availability
- All 50 states
- FDA status
- No FDA warning letters found
How Trillium Meds scores
Six columns, each one computed from something Trillium Meds has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
8.2/10$119/month is 36% below the $185 median for compounded semaglutide across the sellers we compare. That figure is a multi-month plan paid up front, not a month-to-month rate, so the comparison flatters it.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
7.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
10.0/10Serves 52 of 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Trillium Meds
Last checked July 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: all 50
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for Trillium Meds
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Trillium Meds involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Trillium Meds shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Trillium Meds does not require a live video visit or baseline bloodwork before a first prescription.
- 3Ask Trillium Meds which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 4The monthly price includes the medication, clinician visits and shipping.
- Lowest ongoing monthly price: semaglutide $119, tirzepatide $199. That leaves out membership fees, first-month rates and insurance copays.
- Trillium Meds serves all 50 states.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Contacting Trillium Meds
- Trillium Meds offers email support
Cancelling Trillium Meds
Taken from the terms Trillium Meds publishes. Terms change, so check the current policy before you subscribe.
- Minimum commitment
- None
- Refund policy
- Not published by the seller
GLP-1 medications Trillium Meds offers
Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.
Pricing
Prices re-verified
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 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.
Check the price yourself before you pay
Every figure here was read off Trillium Meds's own checkout on the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- 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
Against it
- 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
What Trillium Meds charges
Trillium Meds lists $119/month. That sits at the affordable end of what we see.
- Compounded semaglutide: $119/month
- Compounded tirzepatide: $199/month
For compounded semaglutide, the median across the sellers we compare is $185/month, so Trillium Meds' $119 is genuinely below the middle, not just advertised that way.
Oak, at about $119/month, is the closest like-for-like alternative we review.
What Trillium Meds dispenses
Trillium Meds prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. These are compounded preparations from a licensed pharmacy rather than approved pens, which is where the lower price comes from. A compounded drug is not FDA-approved as a finished product: the specific preparation has not been reviewed for safety, efficacy or manufacturing quality.
Safety and disclosure
Trillium Meds tells you its price before you start the medical questionnaire and that it treats patients in all 50 states. We found no FDA warning letters issued to Trillium Meds. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If Trillium Meds will not tell you, treat that as a warning sign. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Trillium Meds bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- you need access wherever you live
Our read
Trillium Meds competes on price without an obvious sacrifice elsewhere: $119/month, no FDA warning letters, and wide state coverage.
The Bottom Line
Trillium Meds' strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.
Before you pay Trillium Meds
Starting at $119 a month. Check today's price, then start the intake.
Where Trillium Meds is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider Sesame Care.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo).
- If you want a human checking in, not just a prescription, consider ShedRx.
Compare Trillium Meds head to head
The sellers closest to Trillium Meds on medication and price.
Frequently Asked Questions
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Trillium Meds review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of July 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
See Trillium Meds's current pricing
Plans start at $119 a month. Whether you qualify is a clinician's decision, made after your intake.