TrimRx does one thing. There is no testosterone line, no hormone therapy, no sexual health, no hair, no dermatology, no labs — just compounded semaglutide and compounded tirzepatide. For branded Ozempic or Wegovy it writes the prescription only, and you fill it at your own pharmacy.

The price structure is simple on paper. Each month is quoted as all-inclusive, covering the consultation, the medication, the shipping and ongoing medical support, with no membership, no second subscription and no lab bill. The terms page prices that month at $199 to start and $299 after for semaglutide, $349 and $399 for tirzepatide.

What the homepage shows is lower. During its Black Friday and Cyber Monday offer it reads “Starting at $89” for semaglutide and “Starting at $146” for tirzepatide, and the offer note says those plans are billed annually upfront, with the price kept on every renewal. So $89 a month is about $1,068 paid at once.

The single focus also gives TrimRx the market’s most concentrated regulatory exposure, since a compounded-only business has nothing else to sell if compounding rules tighten.

The number to watch is at checkout

The published figures are not in dispute. What comes up repeatedly in TrimRx’s public reviews is the gap between them and what people say they were actually billed.

A third of the Trustpilot reviews are one-star, and the dominant theme in them is a signup flow that arrives at a three, six or twelve-month plan and charges the whole term at once. Reviewers describe expecting the advertised monthly figure and being billed $451, $1,047, $1,519, $1,799 or $2,598.

Apart from the current annual offer, TrimRx does not publish its multi-month rates, so those figures come from customers rather than from a price page, and they should be read that way — as an indication of the range and of a recurring pattern, not as a rate card. The practical response is the same either way: before you confirm anything, read which term is selected and what the total is.

The guarantee, and what it asks of you

The three-month results guarantee refunds the cost of the medication if you do not get results. Most of this market offers nothing comparable, so the structure counts in TrimRx’s favor.

The conditions are where it gets narrow. You have to have taken the medication and completed a check-in in each of three consecutive months. Reviewers describe substantial friction in claiming it — cases that ended in card chargebacks and BBB complaints.

So it is a real program feature with a demanding claims path attached. If the guarantee is part of why you are choosing TrimRx, get the exact conditions in writing at the start, and keep the check-in records.

”FDA-registered” is not “FDA-approved”

TrimRx’s own material describes its medications as FDA-registered. That refers to the compounding facility being registered with the agency, which is an administrative fact about the pharmacy.

It is not a statement about the drug. Compounded medications are not FDA-approved and do not go through FDA review for safety, effectiveness or manufacturing quality. The phrase is accurate and easy to misread, and it is worth reading past on any page in this market.

Here is every plan, what the price covers, and what it does not.