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TrimRx review: cost, pharmacy and complaints

We rate TrimRx avoid. BBB gave TrimRx an F and a Pattern of Complaints alert, with 2,598 complaints in three years, 2,564 of them in the last 12 months, as of Oct 17 2026 [1]. Complaints describe charges before medical approval, multi-month or annual billing when people picked monthly, and cancellations that were not honored [2].

Medical review: pending. A licensed clinician has not yet reviewed this page.

TrimRx (TrimRx LLC of San Diego, also listed as MetaFit Pharma Solutions LLC) is an online seller of compounded semaglutide and tirzepatide injections.

Our verdict

Avoid

A BBB F plus a BBB-flagged pattern of billing and cancellation complaints. Each meets our avoid rule.

FDA record
No warning letter found as of Oct 17 2026.
BBB
F, not accredited, 2,598 complaints in 3 years, Pattern of Complaints alert
Best for
We do not recommend TrimRx.
Watch out
Alleged billing of multi-month amounts, undisclosed processing and cancellation fees, unanswered BBB advertising questions, and no named pharmacy.

See online GLP-1 programs compared

Price from
$199 a month compounded semaglutide; $299 a month compounded tirzepatide, per TrimRx's May 2026 blog [3]
What it sells
Compounded semaglutide and tirzepatide injections
Pharmacy
Not named ("licensed US pharmacies")
FDA letter
None found as of Oct 17 2026 [4]
BBB
F, 2,598 complaints in 3 years [1]

Is TrimRx legit? The BBB file

TrimRx's BBB page shows an F rating, no accreditation and a Pattern of Complaints alert [1]. Of 2,598 complaints in three years, 2,564 came in the last 12 months. BBB lists 783 as unanswered and 238 as unresolved. Recurring themes in the complaints [2]:

  • Billed or shipped before a clinician approved the prescription.
  • Charged for several months or a year when the customer chose monthly.
  • Cancellations not honored, and processing or cancellation fees that were not disclosed.
  • Slow or canned support replies, and disputes over Affirm financing.

BBB also asked TrimRx to back up ad claims such as "Results Guaranteed" and "ranked #1". As of Jun 17 2026 it had not answered [1]. Our rating rules treat a BBB F, or a pattern of billing complaints, as avoid.

TrimRx cost

TrimRx prices from its own blog, checked Oct 17 2026
ItemPriceTermsCheckedSource
Compounded semaglutide$199 a month at entry dosesQuarterly or annual prepay listed as 10% to 20% lower. Intake free.Oct 17 2026[3]
Compounded tirzepatide$299 a month to start; about $329 a month on average as doses risePrice varies by doseOct 17 2026[3]
TrimRx's main pages showed no prices when we checked; these figures are from a company blog post updated May 20 2026. Its terms page did not load.

Prepaying for a quarter or a year lowers the monthly price, but BBB complaints describe people billed for longer terms than they chose. Pay month to month if you buy at all. Compare current prices on our cheapest tirzepatide page and tirzepatide cost page.

TrimRx tirzepatide: compounded, not approved

TrimRx sells compounded tirzepatide and semaglutide. Compounded semaglutide and tirzepatide are not FDA-approved. FDA does not review compounded drugs for safety, effectiveness or quality before they are sold [5]. TrimRx does not name the pharmacy that makes its drugs, and we could not find what, if anything, its tirzepatide is compounded with. In a Sep 18 2026 warning letter to Empower Pharmacy, a large compounder, FDA called tirzepatide with added niacinamide an "essentially copy" of an approved drug [6]. We did not see the Wegovy pill or other brand drugs on TrimRx's site. Read compounded tirzepatide: cost, legality and safety.

How to cancel TrimRx

TrimRx's blog says you must cancel before your next bill date and that shipped compounded medication cannot be returned [3]. Cancel in writing, save the confirmation, and check your card statement for the next two cycles. If a charge appears after you cancelled, you can dispute it with your card issuer and file a complaint with BBB.

FDA record

We found no FDA warning letter to TrimRx in FDA's database or a 163-letter compilation through Sep 30 2026 [4]. A search turns up TRYM Health, a different company. See our FDA letter tracker.

Compounded GLP-1 safety

FDA reports adverse events from dosing mistakes with compounded semaglutide injections, some needing a hospital stay [5]. Follow your prescriber and the pharmacy label for units, and ask a pharmacist when unsure. Approved tirzepatide carries a boxed warning for thyroid C-cell tumors in rats, and its label says to stop when pregnancy is recognized [7]. Severe ongoing stomach pain can be pancreatitis. Call 911 for trouble breathing or swelling of the face or throat.

Alternatives to TrimRx

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Programs to compare

  1. Price
    From $179 a month with visits and medication, plus a $30 evaluation fee. Checked Oct 17 2026 [8]
    What you get
    Compounded semaglutide and tirzepatide (not FDA-approved), liraglutide, phentermine
    FDA record
    No warning letter found as of Oct 17 2026 (FDA letter tracker)
    BBB
    Not yet checked

    Visit Henry Meds

  2. Found

    Clean
    Price
    Brand plan $99 to $149 per 28 days plus the drug; compounded semaglutide plan $169 to $289 per 28 days, cash. Checked Oct 17 2026 [9]
    What you get
    Brand GLP-1s, compounded semaglutide and tirzepatide (not FDA-approved), and non-GLP-1 drugs
    FDA record
    No warning letter found as of Oct 17 2026 (FDA letter tracker)
    BBB
    Not yet checked
    Note
    Bills every 28 days, so 13 charges a year. Found review

    Visit Found

  3. Price
    Membership $39 first month, then $74 to $149 a month, plus the drug; Zepbound KwikPen $299 to $449 a month. Checked Oct 17 2026 [10]
    What you get
    Brand drugs only: Wegovy pen and pill, Foundayo, Zepbound KwikPen, Ozempic
    FDA record
    No warning letter found as of Oct 17 2026 (FDA letter tracker)
    BBB
    Not yet checked

    Visit Ro (Ro Body Program)

  4. Price
    $299 a month program; medication and labs extra. Checked Oct 17 2026 [11]
    What you get
    Clinician and dietitian video visits; FDA-approved drugs only; takes insurance, including Medicare
    FDA record
    No warning letter found as of Oct 17 2026 (FDA letter tracker)
    BBB
    Not yet checked

    Visit Form Health

Questions people ask

Is TrimRx legit?

TrimRx sells prescriptions, but BBB rates it F with a Pattern of Complaints alert and 2,598 complaints in three years as of Oct 17 2026 [1]. We rate it avoid.

How much is TrimRx tirzepatide?

TrimRx's blog, updated May 20 2026, lists compounded tirzepatide at $299 a month to start and about $329 a month on average as the dose rises [3].

Is TrimRx tirzepatide compounded?

Yes. TrimRx sells compounded tirzepatide and semaglutide [3]. Compounded tirzepatide is not FDA-approved, and FDA does not review it for safety, effectiveness or quality [5].

Is TrimRx tirzepatide FDA-approved?

No. Only brand tirzepatide products such as Zepbound and Mounjaro are FDA-approved. Compounded versions are not [5].

What pharmacy does TrimRx use for tirzepatide?

TrimRx does not name it. It refers to "licensed US pharmacies" [3]. Ask for the pharmacy name and license before paying.

How do I cancel TrimRx?

TrimRx says to cancel before the next bill date, and shipped compounded medication cannot be returned [3]. BBB complaints allege cancellations not honored, so keep written proof [2].

Does TrimRx have the Wegovy pill?

We did not see the Wegovy pill on TrimRx on Oct 17 2026. NovoCare sells it for $149 to $299 a month by dose with a prescription [12].

Sources

12 cited
  1. TrimRx business profile. Better Business Bureau, Oct 17, 2026.
  2. TrimRx complaints. Better Business Bureau, Oct 17, 2026.
  3. TrimRx vs Hims cost and pricing (company blog). TrimRx, May 20, 2026.
  4. FDA warning letters database (compilation of fda.gov letters). WeightLossRankings.org, Sep 30, 2026.
  5. FDA's concerns with unapproved GLP-1 drugs used for weight loss. U.S. Food and Drug Administration, Oct 1, 2026.
  6. Warning letter to Empower Clinic Services, LLC dba Empower Pharmacy (738238). U.S. Food and Drug Administration, Sep 18, 2026.
  7. Zepbound (tirzepatide) prescribing information. U.S. Food and Drug Administration, Apr 2026.
  8. Henry Meds GLP-1 weight management. Henry Meds, Oct 17, 2026.
  9. Found offer terms (v3). Found, Oct 17, 2026.
  10. Ro weight loss pricing. Ro, Oct 17, 2026.
  11. Form Health FAQs. Form Health, Oct 17, 2026.
  12. Wegovy self-pay offer. Novo Nordisk (NovoCare), Oct 17, 2026.

This page is general information, not medical advice. Talk with a licensed clinician about your own care.

See online GLP-1 programs compared