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Ranked #274 · Grade C

Trillium Meds review

A one-person Portland operation reselling compounded GLP-1s through two named pharmacies, both of which carry live FDA enforcement history. Pricing is published and honest.

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Semaglutide
$159/mo
Tirzepatide
$249/mo
Coverage
All 50 states
Brand-name
Compounded only

The scorecard

Trillium Meds scored on our six published factors. See the methodology.

Real-world results58/100
Price honesty66/100
Prescriber access70/100
Formulary choice55/100
Cancellation fairness66/100
Member support62/100

What we like

  • Publishes a real one-month price alongside the three-month rate, so the cheaper figure is never presented as the standing rate
  • Serves all fifty states plus Puerto Rico, and carries a verifiable LegitScript seal (#48735580)
  • Price is all-inclusive: the terms state it covers medication, shipping, platform access and consultation fees
  • Names both dispensing pharmacies rather than hiding behind 'a partner pharmacy'
  • No membership fee, pause anytime, and Klarna and Affirm are offered on the three-month plans

The caveats

  • Compounded only, and compounded semaglutide and tirzepatide are not FDA-approved; no brand-name options
  • Both named pharmacies carry live FDA enforcement: ProRx LLC received warning letters on 4 March 2025 and 7 April 2026 and recalled tirzepatide and semaglutide multidose vials on 15 October 2025 for lack of sterility assurance; BPI Labs LLC received a warning letter on 20 March 2025
  • Site metadata advertises 'pricing from $109' but the lowest per-month figure the live pricing API returns is $119
  • A single owner-operator handles support; email only, with no published phone line, and no labs, coaching or clinical monitoring
  • Async intake with no video visit, and the prescribing providers are an unnamed independent network
  • The cheaper $119/mo semaglutide and $199/mo tirzepatide rates require a three-month prepaid plan, not month-to-month

The verdict

Best for: Buyers who want a genuine one-month option with no lock-in and are willing to accept a very small operator in exchange for it. A one-person Portland operation reselling compounded GLP-1s through two named pharmacies, both of which carry live FDA enforcement history. Pricing is published and honest.

Ranked #274 of 499 providers we have reviewed — for comparison, read what CoreAge Rx scores, and why, our #1 pick. On the board it sits between Fresh Day Meds, 63/100 above and 10rx at 63/100 below, with the AVARA Rx ruling the next one down.

Trillium Meds is one of 499 rulings on this board, which makes the fair next question who sits above it — our shortlist of Trillium Meds alternatives answers it in order, with every score shown. We have also ruled on it directly: CoreAge Rx vs Trillium Meds goes to CoreAge Rx, 94/100 to 63/100.

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Compare with other providers

All 498 other providers we've reviewed, in our overall ranking order.

Every other program we track (492)

Pricing, states and verification reflect Trillium Meds's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Trillium Meds's site. Not medical advice; see our disclosure.

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