Head-to-head · Cost-Efficiency Index
SurpassMD vs TrimRx
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
SurpassMD
Shoppers who want a published price table by plan length and a price that stays put as the dose goes up.
Visit SurpassMDTrimRx
Shoppers who want one monthly package that covers the visit, the medication and shipping, and who will confirm the renewal price at checkout.
Visit TrimRxThe verdict
SurpassMD takes it, leading the Cost-Efficiency Index 78 to 77. SurpassMD's standing month-to-month rate is $219 for compounded semaglutide and $309 for tirzepatide, all-in and the same at every dose; the $114 and $177 on its homepage are introductory 12-month rates. TrimRx still earns a C — Shoppers who want one monthly package that covers the visit, the medication and shipping, and who will confirm the renewal price at checkout.
Worth knowing either way: CoreAge Rx is one of our partners and leads our leaderboard, where partners are listed first (Cost-Efficiency Index 94/100). See how it stacks up: CoreAge Rx vs SurpassMD.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | SurpassMD | TrimRx |
|---|---|---|
| Cost-Efficiency Index | 78/100 | 77/100 |
| Semaglutide / mo | $219/moCompounded, month to month; $175 introductory first month, same price at every dose | $299/moMonth-to-month refill price; first month $199, compounded |
| Tirzepatide / mo | $309/moCompounded, month to month; $247 introductory first month, same price at every dose | $399/moMonth-to-month refill price; first month $349, compounded |
| Semaglutide / yr (modeled) | $2,628 | $3,588 |
| Tirzepatide / yr (modeled) | $3,708 | $4,788 |
| Coverage | All 50 states and D.C. | All 50 states |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Yes |
| Rank here | #50 | #56 |
SurpassMD
78/100Where the value is
- Each medication page has a full table of 1-, 3-, 6- and 12-month prices, showing both the introductory rate and the standard renewal rate
- One price covers the provider review, medication, shipping and ongoing support, with no separate membership fee
- The price does not rise when your provider increases your dose
The tradeoffs
- The homepage's "as low as $114" and "$177" are introductory prices on a 12-month supply; month to month the standard rates are $219 and $309
- No refunds after cancellation unless you're medically disqualified
TrimRx
77/100Where the value is
- Each monthly package includes the telehealth consultation, the prescription, the medication and shipping, with no separate membership fee listed
- The homepage promises the price stays the same as your dose goes up, and offers to keep your current dose if you switch from another program
- Serves all 50 states, and the terms say so plainly
The tradeoffs
- The homepage says "Starting at $179" and "$259", but the terms list $199 and $349 for the first month and $299 and $399 for each follow-up month, so confirm which price applies to you before paying
- Once your prescription is sent to the pharmacy that month's order can't be refunded; refunds on prepaid multi-month plans must be requested within 28 days of payment
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.