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Alternatives

Alternatives to Trellis Vitality

Trellis Vitality scores 82/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Trellis Vitality at a glance

Semaglutide
$150/moCompounded, month to month; same price at every dose
Tirzepatide
$199/moCompounded, month to month; same price at every dose
Coverage
All 50 states
Brand-name GLP-1s
No, compounded only
Oral option
No
Pricing verified
October 2026

7 of the 8 programs below list semaglutide for less than Trellis Vitality's $150 a month. 4 of the 8 list tirzepatide for less than its $199 a month.

Trellis Vitality charges $150 a month for compounded semaglutide and $199 for tirzepatide at every dose, with a published table showing small discounts on three- and six-month plans.

Best for: Shoppers who want a low month-to-month GLP-1 price that holds at every dose, with no membership or consultation fee.

What Trellis Vitality does well

  • A single table shows one-, three- and six-month prices for both drugs, labeled as per-month prices: semaglutide $150, $140 and $133; tirzepatide $199, $189 and $179
  • Same price at every dose, so your cost doesn't rise as you titrate up
  • No membership fee, no consultation fee, and you can pause or cancel any time
  • Names its compounding pharmacy, VialsRX, and the physician network that prescribes

Why readers look for an alternative

  • Its NAD+, glutathione, lipo-MIC and tesamorelin programs show only "starting at" prices with no plan table
  • The refund policy says only that refunds are decided order by order
  • The homepage claims "$4,000 average patient savings per year" without saying how that figure was worked out
  • It shares its physician network with The Edit, so the two aren't independent clinical options
  • Injection only, with no oral or brand-name option
  • Compounded semaglutide and tirzepatide are not FDA-approved products
  1. Partner
    01A

    CoreAge Rx

    CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Trellis Vitality: $51/mo less for semaglutide · $50/mo less for tirzepatide

  2. 02B−

    Sprout Health

    Partner

    Sprout charges $149 every four weeks for compounded semaglutide and $199 for tirzepatide, or $99 and $149 a month if you prepay a full year.

    Sema
    $149 per 4 weeks$99/mo on a prepaid 12-month plan
    Tirz
    $199 per 4 weeks$149/mo on a prepaid 12-month plan
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Trellis Vitality: $1/mo less for semaglutide

    Regulatory note: the FDA issued a warning letter to Sprout Health Partners LLC dba Sprout Health in September 2025. We still list and link to Sprout Health; you should know the letter is on the public record before you decide.

  3. 03B−

    Brightmeds

    Brightmeds sells compounded semaglutide at $129 a month and tirzepatide at $149 month to month, the same at every dose, or $99 and $119 a month if you prepay a three-month pack.

    Sema
    $129/moCompounded, month to month, same price at every dose; $99/mo on a 3-month pack billed $297
    Tirz
    $149/moCompounded, month to month, same price at every dose; $119/mo on a 3-month pack billed $357
    Coverage
    38 states + DC
    Brand
    Yes

    Compared with Trellis Vitality: $21/mo less for semaglutide · $50/mo less for tirzepatide · also lists brand-name GLP-1s

  4. 04B−

    No BS RX

    Twenty-four prices on one public page, four dispensing pharmacies named with street addresses, and a no-intro-rate promise the arithmetic on its own page supports.

    Sema
    $179/moMonth-to-month; a separate low-dose program runs $140
    Tirz
    $249/moMonth-to-month; a separate low-dose program runs $140
    Coverage
    Not disclosed
    Brand
    Compounded

    Compared with Trellis Vitality: $29/mo more for semaglutide · $50/mo more for tirzepatide · offers an oral option

  5. 05B−

    PlexusDx

    PlexusDx is a nationwide compounded-GLP-1 telehealth platform offering both semaglutide (injection or oral tablet) and tirzepatide from published starting prices, LegitScript certified.

    Sema
    $149/moAll doses, compounded
    Tirz
    $249/moAll doses, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Trellis Vitality: $1/mo less for semaglutide · $50/mo more for tirzepatide · offers an oral option

  6. 06B−

    Live Vital

    A very low $99 semaglutide nationwide, with tirzepatide disclosed too — cheap and all-50, but without LegitScript verification.

    Sema
    $99/mo
    Tirz
    $183/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Trellis Vitality: $51/mo less for semaglutide · $16/mo less for tirzepatide

  7. 07B

    Yucca Health

    Yucca Health charges $146 a month for compounded semaglutide and $258 for tirzepatide with no commitment, the same at every dose, and refunds six months of payments if you follow the plan and don't lose weight.

    Sema
    $146/moMonth to month, same price at every dose, compounded
    Tirz
    $258/moMonth to month, same price at every dose, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Trellis Vitality: $4/mo less for semaglutide · $59/mo more for tirzepatide

  8. 08B

    Sunlight

    Sunlight lists compounded semaglutide from $88 a month and tirzepatide from $157, with visits and shipping included, but canceling after a clinician has reviewed your intake costs an $80 fee.

    Sema
    $88/moStarting price, flat monthly, compounded
    Tirz
    $157/moStarting price, flat monthly, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Trellis Vitality: $62/mo less for semaglutide · $42/mo less for tirzepatide

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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