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The best alternatives to Trillium Meds

Trillium Meds scores 63/100 (grade C, ranked #306) on The Verdict Score. Here are the top-rated GLP-1 providers we'd weigh against it — same six-factor rubric, and no score is adjusted for payment.

Read our full Trillium Meds review →

Grade C

Fresh Day Meds

Compounded semaglutide and tirzepatide sold on plan tiles that print the dose and renewal term, though the advertised $99 headline is a starter-dose, three-month prepaid rate.

Fresh Day Meds matches Trillium Meds at 63/100; our full write-up on Fresh Day Meds has the pricing conditions and the caveats in detail.

Sema
$140/mo any dose
Tirz
$179/mo any dose
Coverage
48 states
Grade C

EdgeRx

A men's-only compounded GLP-1 program that names its pharmacy (Strive Pharmacy, 503A since 2018) and its Chief Medical Advisor — real transparency signals most compounders skip.

EdgeRx matches Trillium Meds at 63/100; the full EdgeRx review has the pricing conditions and the caveats in detail.

Sema
$229/mo
Tirz
$299/mo
Coverage
46 states — excludes Arkansas, Indiana, Minnesota and South Carolina
Grade C

MyStart Health

A fast-onboarding compounded GLP-1 service with a genuine dose price-lock, undermined by quiz-gated pricing, unnamed pharmacies and an FDA warning letter from September 2025.

MyStart Health matches Trillium Meds at 63/100; our full write-up on MyStart Health has the pricing conditions and the caveats in detail.

Sema
From $299/mo (per-drug price quiz-gated)
Tirz
From $299/mo (per-drug price quiz-gated)
Coverage
Multi-state
Grade C

10rx

10rx is a nationwide GLP-1 telehealth program offering compounded weight-loss medication at low flat monthly rates: semaglutide at $99.67/month and tirzepatide at $149.67/month, with NAD+ and sermorelin…

10rx matches Trillium Meds at 63/100; our full write-up on 10rx has the pricing conditions and the caveats in detail.

Sema
From $100/mo (compounded)
Tirz
From $150/mo (compounded)
Coverage
Not disclosed
Grade C

Lttl

A deep compounded menu — injectable, oral tablet and microdose — with a full public price matrix, and four pharmacies named in the Terms rather than on any product page.

Lttl scores 61/100 to Trillium Meds's 63; our Lttl ruling in full has the pricing conditions and the caveats in detail.

Sema
$199/mo injectable month-to-month, $169/mo on 3 months, $149/mo on 6 months, $129/mo on a 12-mo prepay
Tirz
$279/mo injectable month-to-month, $249/mo on 3 months, $229/mo on 6 months, $199/mo on a 12-mo prepay
Coverage
Multi-state
Grade C

AVARA Rx

AVARA Rx is a nationwide DTC telehealth platform offering compounded semaglutide and tirzepatide plus brand-name Wegovy, Zepbound, and Foundayo consultations, alongside HRT, TRT, and longevity add-ons.

AVARA Rx matches Trillium Meds at 63/100; our AVARA Rx ruling in full has the pricing conditions and the caveats in detail.

Sema
From $229/mo (starting dose, compounded)
Tirz
From $279/mo (starting dose, compounded)
Coverage
All 50 states

See the complete rankings or head to the comparison hub.

Pricing, states and verification reflect each provider's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Not medical advice; see our disclosure.