TrimRx vs Zealthy: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: Zealthy scores higher on our rubric, 7.2/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit TrimRx - published $179/mo; total not verified →or find your match

Zealthy beats TrimRx overall, scoring 7.2/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: TrimRx is published $179/mo; total not verified; Zealthy is from $286/mo. Choose TrimRx for cash-pay shoppers willing to verify the exact drug, first-order charge and follow-up price at checkout before authorizing payment. Choose Zealthy for insured users who want dedicated coordinators handling prior authorizations for brand-name glp-1s (potentially $25/mo).

A side-by-side look at TrimRx and Zealthy to help you decide. We compare them on:

•Starting price per month
•Our overall score, out of 10
•Medication type, brand-name or compounded
•Whether they accept insurance
•Who each one is best for

TrimRx

#47 of 54

5.3/10

Cash-pay compounded GLP-1 provider offering semaglutide and a dual-agonist option it labels 'GLP-1 + GIP.' Its landing advertises a $179 floor, while its terms list semaglutide at $199 for the first order and $299 for follow-ups, and GLP-1 + GIP at $349 then $399. That conflict, plus a corroborated billing and fulfillment complaint pattern, is central to our 5.3/10 score.

Visit TrimRx

Higher Rated

Zealthy

#36 of 54

7.2/10

Flexible GLP-1 provider allowing patients to switch between compounded and brand-name medications as needed.

Visit Zealthy

Feature	TrimRx	Zealthy
Why each one	A written lost-or-damaged shipment replacement promise and both compounded molecule classes through one intake; neither resolves the first-party price conflict or fulfillment record.	Dedicated insurance coordinators handle prior authorizations for brand-name GLP-1s, plus multi-month supply options up to 12 months.
Our Score	5.3/10	7.2/10
Headline Price	published $179/mo; total not verified	from $286/mo
Medication Type	Compounded	Both
Insurance Accepted	No	No
Best For	Cash-pay shoppers willing to verify the exact drug, first-order charge and follow-up price at checkout before authorizing payment	Insured users who want dedicated coordinators handling prior authorizations for brand-name GLP-1s (potentially $25/mo)
Watch out for	The advertised $179 floor conflicts with TrimRx's own terms: semaglutide is listed at $199 for the first order and $299 for follow-ups; GLP-1 + GIP is $349 first and $399 follow-up. Treat the total as unresolved until checkout	The $135 membership stacks on medication cost, so cash-pay semaglutide totals ~$286/mo, above average. The math works when you use the insurance coordination; cash payers should compare flat-rate platforms first.
Ranking	#47	#36
Get started	Visit TrimRx	Visit Zealthy

Pros & Cons Compared

TrimRx

Pros

+Offers both compounded semaglutide and a compounded GLP-1 + GIP option through one intake
+The landing advertises a $179 entry floor, although that figure does not match the medication schedule in the official terms
+Onboarding takes under 15 minutes with same-day provider review for most applications
+Free medication replacement if your shipment is lost or damaged in transit

Cons

−The advertised $179 floor conflicts with TrimRx's own terms: semaglutide is listed at $199 for the first order and $299 for follow-ups; GLP-1 + GIP is $349 first and $399 follow-up. Treat the total as unresolved until checkout
−Trustpilot is 3.6/5 across 5,485 reviews with 32% one-star; BBB rates TrimRx F/not accredited with 728 unanswered and 221 unresolved complaints
−The same paid-but-no-medication, billing, refund and fulfillment themes recur across BBB and Trustpilot, meeting our rubric's cross-platform -3.0 fulfillment-failure threshold
−Compounded only, no brand-name Wegovy or Zepbound. Compounded drugs are not FDA-approved finished products.
−No insurance billing and no superbill for out-of-network reimbursement, so treat the monthly price as a pure cash-pay number

Zealthy

Pros

+Dedicated insurance coordinators handle prior authorizations, potentially bringing brand-name GLP-1 costs to $25/mo
+Multi-month supply options (3, 6, or 12 months), unique convenience most monthly-shipping competitors can't match
+Both compounded and brand-name (Wegovy, Zepbound) available with clinician-guided selection
+LegitScript certified with 4.5-star Review.io rating

Cons

−The $135 membership stacks on medication cost, so cash-pay semaglutide totals ~$286/mo, above average. The math works when you use the insurance coordination; cash payers should compare flat-rate platforms first.
−Young company (founded 2023) with a relatively small review base and less track record than established platforms. Confirm the coordination promise against your own insurance plan before enrolling.
−Prescription products are non-refundable once ordered, for any reason. Double-check dose and supply length before checkout.

Our Verdict

Zealthy edges out TrimRx with a score of 7.2/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: TrimRx is published $179/mo; total not verified; Zealthy is from $286/mo. Zealthy offers both brand-name and compounded medications, giving you more flexibility.