Trillium Meds review
Trillium Meds is a small, owner-operated telehealth platform based in Portland, OR that connects patients with independent licensed providers and FDA-registered compounding pharmacies for compounded…
- Scores never bought
- 537 providers tracked
- Every factor auditable
- Updated August 2026
Semaglutide here is $159/mo — $40 below our category median of $199.
- Semaglutide
- $159/mo
- Tirzepatide
- $249/mo
- Coverage
- All 50 states
- Brand-name
- Compounded only
- Oral option
- Injectable only
- Verification
- LegitScript-certified
Best for: People who want legitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo).
MatchScript's take: Our #141 pick of 537 — priced at or below the category median.
The factor breakdown
Trillium Meds on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $159/mo puts Budget Fit at a below-par 62 — above the budget tiers.
Confirmed all-50-state access means it can usually prescribe within days, for an exceptional 97 on Speed to Start.
Trillium Meds sticks to compounded injectables, for a below-par 66 on Formulary Match.
Support lands at a middling 79 — lighter, meds-first support.
Flexibility scores a below-par 20 — fewer levers to flex your plan.
LegitScript certification and clear public disclosures put Transparency at a strong 90.
Pricing in context
How Trillium Meds's monthly price sits against the category median and the cheapest provider we track.
What we like
- LegitScript certified with an active seal; serves all 50 states plus Puerto Rico with no geographic restrictions
- All-inclusive pricing covers medication, provider consultation, and shipping with no hidden fees or add-ons
- Two pharmacy options (BPI Labs with B6, ProRx) and three plan structures: 1-month, 3-month fixed, or 3-month titrated
- Small owner-operated; founder personally handles customer support outside business hours for direct, responsive service
- Klarna and Affirm financing available; pause anytime with no long-term commitment required
The caveats
- No labs, coaching, or clinical monitoring included — telehealth Rx and pharmacy fulfillment only
- Small single-operator platform may limit capacity and support consistency as patient volume grows
- Compounded medications are not FDA-approved; newer platform with limited long-term public track record
- Tirzepatide from $199/mo (3-mo plan) is mid-market; sema from $119/mo competitive but not lowest available
- No live video consult disclosed; async intake-form-based provider review by external licensed provider network
Who it's for — and who should skip it
Trillium Meds is for people who want legitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo).
Skip it if that doesn't sound like you. A closer fit may be RxSpan MD (Match Score 70) — or take the quiz to see where Trillium Meds lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Trillium Meds against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Trillium Medsthis provider | CoreAge Rxour #1 | Kin Medsclosest scorer |
|---|---|---|---|
| Sema price | $159/mo | $99/mo at every dose | $202/mo |
| Coverage | All 50 states | All 50 states | Coverage not published |
| Formulary | Injectable | Injectable | Injectable + oral + brand |
| Match Score | 69 · C | 91 · A− | 69 · C |
Trillium Meds, answered
Is Trillium Meds legit?
Yes — Trillium Meds is LegitScript-certified, a third-party check that a telehealth pharmacy operates within the rules. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved; confirm your prescriber is US-licensed at intake.
How much does Trillium Meds cost?
Trillium Meds lists compounded semaglutide from $159/mo and tirzepatide from $249/mo — below our category median of $199/mo. These are the provider's public figures at our last review (August 2026); confirm on their site, since some teaser tiers step up after month one.
Does Trillium Meds ship to my state?
Yes — Trillium Meds reports availability in all 50 states, so most people can start within days.
Trillium Meds vs RxSpan MD — which should I pick?
They score within a few points of each other: Trillium Meds at 69/100 and RxSpan MD at 70/100, so neither wins on the headline number. Trillium Meds is the better fit for people who want legitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo). RxSpan MD suits readers who want the pharmacy and the prescriber named up front and both a needle-free and a brand-name lane on the same account, and who will switch the plan selector back to Monthly themselves. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified August 2026 from Trillium Meds's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Trillium Meds's site. Not medical advice; see our disclosure.
Semaglutide here is $159/mo — $40 below our category median of $199. Tirzepatide is $249/mo. It scores highest on how quickly you can start. Best suited to people who want legitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo). If that is not you, RxSpan MD is the closest thing to it here.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Trillium Meds here.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match84/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry in this ranking.84/100
- #3Match83/ 100EdenA polished, high-disclosure compounded program with strong nationwide coverage and hands-on support.83/100
- #4Match85/ 100RoA heavyweight telehealth brand with brand-name access and a polished experience — but opaque compounded pricing.85/100
- #5Match85/ 100No BS RXThe highest Transparency score here, and it is not close: twenty-four prices on one public page and four dispensing pharmacies named with street addresses.85/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Levity#142 FDA issued Levity Inc. dba Levity a warning letter in February 2026. See FDA's warning-letter database. | 69 | $1,199/mo (all doses, bundle, brand-name) | $1,299/mo (all doses, bundle, brand-name) | 36 states | Alternatives | Visit |
| Luma Health Co#143 | 69 | $120/mo (plus a separate fee, compounded) | $180/mo (compounded) | 30 states | Alternatives | Visit |
| Mixx Health & Wellness#144 | 69 | Not disclosed | Not disclosed | 44 states | Alternatives | Visit |
| VyrarX#145 | 69 | $179/mo (starting dose, compounded) | $329/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| VirtualCare2Go#146 | 69 | $279/mo (starting dose, compounded) | $629/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Medsol RX#147 | 69 | $199/mo | $259/mo | All 50 states | Alternatives | Visit |
| AbundRX#148 | 69 | $99/mo | $273/mo | Coverage not published | Alternatives | Visit |
| Good Girl Rx#149 FDA issued Good Girl LLC dba GoodGirlRX a warning letter in February 2026. See FDA's warning-letter database. | 69 | $179/mo | $235/mo | All 50 states | Alternatives | Visit |
| YourHealthRx#150 | 69 | $140/mo | $190/mo | All 50 states | Alternatives | Visit |
| PepHaūs#151 | 69 | $171/mo | $242/mo | All 50 states | Alternatives | Visit |
| Goldspan Health#152 | 69 | $229 per 28 days (13 charges a year) | $299 per 28 days (13 charges a year) | All 50 states plus Washington, D.C. | Alternatives | Visit |
| Nex Gen Health Rx#153 | 69 | $190/mo (30-day supply) | $239/mo (30-day supply) | Coverage not published | Alternatives | Visit |
| VevaRX#154 | 69 | $189/mo | Not disclosed | 36 states | Alternatives | Visit |
| Wholesome Clinic#155 | 68 | $233/mo | $436/mo | 7 states | Alternatives | Visit |
| Zappy Health#156 FDA issued Kare Solutions, LLC dba Zappy a warning letter in February 2026. See FDA's warning-letter database. | 68 | $253/mo | $354/mo | 42 states | Alternatives | Visit |
| 24hrDOC#157 FDA issued 24HrDoc, Inc. dba 24HrDoc a warning letter in February 2026. See FDA's warning-letter database. | 68 | $175/mo | $281/mo | Coverage not published | Alternatives | Visit |
| TOM Weight Loss#158 | 68 | $202/mo | $253/mo | 2 states | Alternatives | Visit |
| Tryozi#159 | 68 | $303/mo | $412/mo | All 50 states | Alternatives | Visit |
| Fresh Day Meds#160 | 68 | $140/mo (all doses, compounded) | $140/mo | All 50 states | Alternatives | Visit |
| Harbor#161 | 68 | $162/mo | $271/mo | Coverage not published | Alternatives | Visit |
| OurView Health#162 | 68 | $111/mo | $131/mo | Coverage not published | Alternatives | Visit |
| Allara Health#163 | 68 | $149/mo (plus a separate fee, brand-name) | Not disclosed | Coverage not published | Alternatives | Visit |
| eMI Aesthetics#164 | 68 | $179/mo (all doses, compounded) | Not disclosed | All 50 states | Alternatives | Visit |
| NativeMed#165 FDA issued NativeMed LLC dba NativeMed a warning letter in June 2026. See FDA's warning-letter database. | 68 | $149/mo (promotional rate, compounded) | $183/mo (promotional rate, compounded) | Coverage not published | Alternatives | Visit |
Trillium Meds is ranked on our best semaglutide providers, best tirzepatide providers and best GLP-1 programs boards, scored on the same six factors as every other provider there.