GLP-1 COMPARISON

TrimRx vs MEDVi (2026):
Which GLP-1 Program Is Right for You?

TrimRx offers a 3-Month Results Guarantee. MEDVi offers 24/7 care team access and 13,000+ Trustpilot reviews. Both are legitimate compounded GLP-1 platforms — but they serve different patients. Here is the complete head-to-head comparison.

By The Dose Report Editorial Team  |  Updated May 2026  |  10 min read

If you have been comparing GLP-1 telehealth platforms and narrowed it down to TrimRx and MEDVi, you are looking at two platforms that are more similar than they first appear — and more different in the ways that matter. Both offer compounded semaglutide and tirzepatide, both have no contract requirement, and both have strong review profiles. But their pricing structures, support models, and guarantees are meaningfully different, and the right choice depends entirely on what you prioritize. If you want a personalised recommendation based on your state, budget, and goals, take our free 2-minute quiz here.

The One-Minute Summary

TrimRx

3-Month Results Guarantee

Dose-dependent pricing ($149–$299/mo for semaglutide). Delivery in 7–14 days. Strong Trustpilot rating. The guarantee is the main differentiator.

Choose TrimRx If

The results guarantee is important to you and you want a structured, medically supervised program with clear accountability

MEDVi

24/7 Care Team + 13,000 Reviews

All-inclusive pricing ($179 intro, ~$299–$399/mo ongoing). Fast approvals and shipping. Largest review base of any compounded GLP-1 platform.

Choose MEDVi If

You want 24/7 care team access, the most social proof in the market, and fast approvals and shipping as your top priorities

Side-by-Side Comparison

Factor TrimRx MEDVi
Starting Price (Semaglutide) $149/mo $179/mo (intro)
Ongoing Monthly (Maintenance) $249–$299/mo ~$299–$399/mo
Annualized Cost (Semaglutide) ~$2,900–$3,500/yr ~$3,438–$4,500/yr
Pricing Model Dose-dependent (escalates) All-inclusive membership
Results Guarantee ✓ 3-Month Guarantee ✓ Money-Back Guarantee
24/7 Care Team Access Standard messaging ✓ 24/7 included
Delivery Speed 7–14 days Typically 2–5 days
Trustpilot Reviews 4.3–4.7 (hundreds) 4.0 (13,000+)
Tirzepatide Available ✓ Yes ✓ Yes (compounded)
Insurance Accepted No No
HSA / FSA Accepted ✓ Yes ✓ Yes
Contract Required No No

Prices are approximate and subject to change. Always verify current pricing directly with each provider.

Pricing: The Most Important Difference

Both platforms use an introductory pricing model that is lower than the ongoing rate. But the structure of how they price is meaningfully different, and it affects which one is cheaper for you depending on how long you plan to stay on treatment.

TrimRx Pricing

TrimRx uses a dose-dependent model: your monthly price increases as your dose escalates. Starting doses cost $149/month, mid-range doses $199–$249/month, and maintenance doses $249–$299/month. There is no single ongoing rate — what you pay depends on where you are in the titration schedule. This makes TrimRx potentially cheaper in the early months but harder to budget for long-term.

MEDVi Pricing

MEDVi uses an all-inclusive membership model with a promotional first month ($179) and a fixed ongoing rate (~$299–$399/month) that covers medication, unlimited provider consultations, and 24/7 support. The ongoing rate does not change with your dose — once you are past the introductory month, you know exactly what you will pay. This makes MEDVi easier to budget for, but the ongoing rate is higher than TrimRx’s starting price.

For patients who expect to stay at lower doses long-term, TrimRx may be cheaper. For patients who expect to reach maintenance doses and want predictable billing with 24/7 support included, MEDVi’s all-inclusive model may be worth the premium.

TrimRx — Check Eligibility

3-Month Results Guarantee. Dose-dependent pricing from $149/mo. Compounded semaglutide and tirzepatide.

Visit TrimRx →

MEDVi — Check Eligibility

24/7 care team access. All-inclusive pricing from $179/mo (intro). 13,000+ Trustpilot reviews.

Visit MEDVi →

The Guarantees: Both Have One, But They Work Differently

This is one of the most important similarities between TrimRx and MEDVi — and one of the most important differences in how those guarantees actually work.

TrimRx: 3-Month Results Guarantee

TrimRx’s guarantee is specifically framed around results: if you follow the prescribed protocol for three months and do not achieve meaningful results, TrimRx will work with you on a remedy. This is a proactive commitment to outcomes, not just a standard refund policy. It is one of the most distinctive guarantees in the compounded GLP-1 market.

MEDVi: Money-Back Guarantee

MEDVi’s guarantee is a money-back policy: if a licensed provider determines you are not medically eligible for treatment, you receive a full refund. For patients who are approved and begin treatment, the refund policy is more limited. The guarantee is primarily a safety net for patients who do not qualify, not a results-based commitment.

If accountability for outcomes is important to you — if you want the platform to be invested in whether you actually lose weight — TrimRx’s 3-Month Results Guarantee is the stronger commitment. MEDVi’s money-back guarantee is a standard consumer protection, not a results promise.

Support and Delivery: MEDVi Has the Edge

Customer Support

MEDVi’s 24/7 care team access is a genuine differentiator. For patients who want to be able to reach someone at any hour — whether for a side effect question at 11pm or a dose adjustment request on a Sunday — this is a meaningful advantage. TrimRx offers standard messaging support, which is adequate for most patients but does not match MEDVi’s availability. You can also use find the right program for you to get a personalised recommendation based on your state and budget.

Delivery Speed

MEDVi is consistently praised for fast shipping, with many patients reporting delivery within 2–5 days of approval. TrimRx’s delivery window of 7–14 days is slower and has generated some complaints from patients who experienced gaps in their weekly injection schedule. If you are starting treatment and want to begin quickly, MEDVi has the advantage.

Review Volume

MEDVi’s 13,000+ Trustpilot reviews give them substantially more social proof than TrimRx. This matters because a larger review base is more representative of the typical patient experience — it is harder to game and harder to dismiss. TrimRx’s review base is smaller but maintains a strong rating.

Who Should Choose Each Platform

Choose TrimRx If:

  • The 3-Month Results Guarantee is important to you — you want the platform to be accountable for your outcomes, not just your eligibility
  • You expect to stay at lower doses long-term, where TrimRx’s dose-dependent pricing is cheaper than MEDVi’s ongoing rate
  • You are comfortable with standard messaging support and a 7–14 day delivery window
  • You want a structured, medically supervised program with clear dose escalation protocols

Choose MEDVi If:

  • 24/7 care team access is important to you — you want to be able to reach someone at any hour
  • Fast delivery is a priority — MEDVi consistently ships within 2–5 days of approval
  • You want the most social proof in the market — 13,000+ Trustpilot reviews provides more confidence than a smaller review base
  • You prefer predictable all-inclusive billing over dose-dependent pricing that escalates over time
  • You expect to reach maintenance doses, where MEDVi’s all-inclusive model becomes more cost-competitive

Our Verdict

TrimRx and MEDVi are both solid, legitimate compounded GLP-1 platforms. Neither is a clear winner for every patient — the right choice depends on what you value most.

If you want a platform that is accountable for your results and you are comfortable with dose-dependent pricing, TrimRx’s 3-Month Results Guarantee is the most distinctive commitment in the market. If you want the fastest shipping, 24/7 care team access, and the most social proof, MEDVi delivers on all three.

On pure cost, TrimRx is slightly cheaper at lower doses. At maintenance doses, the gap narrows considerably. Neither platform is the cheapest option in the market — if budget is your primary concern, Mochi Health or Yucca Health will serve you better than either of these two.

Frequently Asked Questions

Is TrimRx or MEDVi cheaper?
TrimRx is cheaper at lower starting doses ($149/mo vs MEDVi’s $299–$399/mo ongoing). At maintenance doses, the gap narrows — TrimRx charges $249–$299/mo while MEDVi charges a fixed $299–$399/mo. Neither is the cheapest option in the market overall — Mochi Health (~$178/mo) and Yucca Health ($146/mo on a 6-month plan) are both cheaper.

Which has the better guarantee?
TrimRx’s 3-Month Results Guarantee is a stronger commitment — it is results-based, not just eligibility-based. MEDVi’s money-back guarantee primarily covers patients who are not approved for treatment. If you want the platform to be accountable for your outcomes, TrimRx has the stronger guarantee.

Which ships faster?
MEDVi. Most MEDVi patients report receiving their medication within 2–5 days of approval. TrimRx typically takes 7–14 days, which is slower and has generated some complaints about gaps in the weekly injection schedule.

Do both offer tirzepatide?
Yes. Both TrimRx and MEDVi offer compounded tirzepatide alongside compounded semaglutide. Neither offers branded Zepbound — if you specifically want the FDA-approved finished product, consider Hims or Hers instead.

Not Sure Which Is Right For You?

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Answer 10 quick questions about your state, budget, and health goals. We’ll match you with the program that fits your specific situation — not just TrimRx and MEDVi, but all 13 programs we’ve reviewed.

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