Head-to-head · Cost-Efficiency Index
Trimi Health vs Totara Health
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.
Trimi Health
Shoppers who can pay a full year up front, and anyone else who will budget for the month-to-month price instead of the headline.
Visit Trimi HealthTotara Health
Shoppers who want a flat month-to-month GLP-1 price that doesn't climb with the dose, and the option of a tablet or drops instead of a shot.
Visit Totara HealthThe verdict
Totara Health takes it, leading the Cost-Efficiency Index 80 to 78. Totara Health charges $190 a month for compounded semaglutide and $239 for tirzepatide on a one-month plan at every dose, with injection and under-the-tongue options and longer plans paid up front for less. Trimi Health still earns a C — Shoppers who can pay a full year up front, and anyone else who will budget for the month-to-month price instead of the headline.
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 Totara Health.
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 | Trimi Health | Totara Health |
|---|---|---|
| Cost-Efficiency Index | 78/100 | 80/100 |
| Semaglutide / mo | $175/moMonth-to-month ($99/mo only on a 12-month prepay) | $190/mo1-month plan, same price at every dose, compounded |
| Tirzepatide / mo | $235/moMonth-to-month ($125/mo only on a 12-month prepay) | $239/mo1-month plan, same price at every dose, compounded |
| Semaglutide / yr (modeled) | $2,100 | $2,280 |
| Tirzepatide / yr (modeled) | $2,820 | $2,868 |
| Coverage | All 50 states | 48 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #32 | #36 |
Trimi Health
78/100Where the value is
- All four plan lengths are priced on its pricing page: semaglutide is $175 monthly, $145 quarterly, $120 on six months and $99 on a year
- Tirzepatide follows the same pattern: $235 monthly, $199 quarterly, $175 on six months and $125 on a year
- Price is flat at every dose, so titrating up does not raise the bill
The tradeoffs
- The advertised $99 and $125 need a full year paid up front, $1,188 or $1,500; month to month costs $175 and $235
- Compounded only, with no brand-name or oral option
Totara Health
80/100Where the value is
- One-month plans are priced on the product page before any intake: $190 for semaglutide and $239 for tirzepatide, the same at every dose
- Semaglutide comes as an injection, oral drops or an under-the-tongue tablet; tirzepatide as an injection or under-the-tongue tablet
- Names its dispensing pharmacy (Manifest Pharmacy in Greer, South Carolina) and its clinician network (MD Integrations)
The tradeoffs
- The lower monthly figures ($133, $119 and $99 for semaglutide) require a 3-, 6- or 12-month plan paid in one charge up front
- The banner says all 50 states, but the FAQ's state list leaves out Alaska and Mississippi
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.