❌ NOT RECOMMENDED - TrimRx has too many verified issues with deceptive pricing, hidden fees, medication quality, and customer service to recommend. The 129 BBB complaints in 12 months and 3.4/5 Trustpilot rating (ranked #53 of 61 in category) confirm systemic problems. Consider Ro, Hims, or other established providers instead.
Drugs: Compounded Semaglutide and Tirzepatide (injectable). Regular Monthly Price: $299/month (semaglutide) or $399/month (tirzepatide). Lowest Monthly Price: $174/month (semaglutide, 12-month plan) or $283/month (tirzepatide, 12-month plan).
TrimRx advertises aggressively on social media with promotional pricing, but customers consistently report bait-and-switch tactics where prices jump 100% on subsequent orders. The company retains a $179-$299 non-refundable enrollment fee even when patients cancel the same day. Multiple customers report being charged for annual plans ($2,820) when they selected monthly ($235).
The company holds a 3.4/5 Trustpilot rating from 610 reviews with a stark polarization: 60% five-star vs 26% one-star. The BBB shows 129 complaints in 12 months. Pharmacy partner CASA has received reports of ineffective, watered-down medication. Ads feature FDA-approved drug imagery (Zepbound) while actually dispensing compounded medications without adequate disclosure prior to payment.
Users who carefully verify all charges before submitting payment, understand they will receive compounded (not brand-name) medications, and can tolerate promotional pricing that increases after the first order
Anyone expecting transparent pricing, reliable customer service, easy cancellations, honored money-back guarantees, or FDA-approved medications as advertised
Competitive promotional pricing on first order, 0% financing available through Affirm, free dosage increases and shipping included, offers both semaglutide and tirzepatide
Bait-and-switch pricing after promotional period, $179-$299 non-refundable enrollment fees, 129 BBB complaints in 12 months, medication quality concerns from pharmacy partner CASA, deceptive advertising showing FDA-approved drugs while sending compounded alternatives, money-back guarantee not honored
Regular Price
$299/month (monthly plan)
Promotional Price
$179/month (limited first-order offer), $209/month (3-month plan), $191/month (6-month plan), $174/month (12-month plan)
Dosing: One shot per week, four shots per month. Provider starts at low dose and gradually increases.
Included: Free dosage increases, unlimited doctor consults, free expedited shipping, home injection kit, 24/7 customer support
NOT FDA-approved. Compounded medication. Promotional pricing may not carry over to subsequent orders. Customers report significant price increases after first shipment.
Regular Price
$399/month (monthly plan)
Promotional Price
$279/month (limited first-order offer), $316/month (3-month plan), $299/month (6-month plan), $283/month (12-month plan)
Dosing: One shot per week, four shots per month. Provider starts at low dose and gradually increases.
Included: Free dosage increases, unlimited doctor consults, free expedited shipping, home injection kit, 24/7 customer support
NOT FDA-approved. Compounded medication. Ads may feature Zepbound imagery but actual product is compounded tirzepatide. Price increases after promotional period.
| Product | Regular Price | Promo Price | State Variations |
|---|---|---|---|
| Semaglutide - Monthly Plan | $299/month | $179/month (limited offer) | 4-week supply |
| Semaglutide - 3-Month Plan | $209/month | 0% installments over 12 months via Affirm | 12-week supply, single shipment |
| Semaglutide - 6-Month Plan | $191/month | 0% installments over 12 months via Affirm | 24-week supply |
| Semaglutide - 12-Month Plan | $174/month | 0% installments over 12 months via Affirm | 48-week supply |
| Tirzepatide - Monthly Plan | $399/month | $279/month (limited offer) | 4-week supply |
| Tirzepatide - 3-Month Plan | $316/month | 0% installments over 12 months via Affirm | 12-week supply, single shipment |
| Tirzepatide - 6-Month Plan | $299/month | 0% installments over 12 months via Affirm | 24-week supply |
| Tirzepatide - 12-Month Plan | $283/month | 0% installments over 12 months via Affirm | 48-week supply |
Enrollment/Processing Fee
Retained even on same-day cancellation. Not always clearly disclosed before payment.
Cancellation Fee
Multiple customers report unexpected cancellation fees.
Initial Consultation
However, payment is processed BEFORE consultation in many reported cases.
Shipping
Expedited shipping claimed but delivery delays reported.
Semaglutide from $174/month (12-month plan) and tirzepatide from $283/month. First-order promos at $179/$279.
Impact: Attractive initial pricing draws customers in.
Multi-month plans can be financed at 0% APR over 12 months through Affirm.
Impact: Makes multi-month plans accessible without large upfront payment.
Unlike many telehealth competitors (Henry Meds F rating), TrimRx is BBB Accredited and responds to complaints.
Impact: BBB escalation is a viable resolution channel.
Specific staff members consistently praised: Natalie Barbee NP, Aranza Gutiérrez, Dahamar A., Laura Roldan.
Impact: When customers connect with good staff, experience can be positive.
70% of negative reviews cite price increases after first order. Customers enrolled in annual plans without consent.
Impact: Financial harm of $500-$2,800 for unauthorized charges.
129 BBB complaints in 12 months. $179-$299 retained even on same-day cancellations.
Impact: Customers lose $179-$299 minimum even when cancelling immediately.
Ads show FDA-approved drug imagery, claim 'FDA-registered,' but dispense compounded medications.
Impact: Patients expecting brand-name medications receive compounded alternatives.
Multiple reports of CASA pharmacy medication being ineffective, bright red colored, zero results.
Impact: Patients spend hundreds on potentially substandard medication.
Advertises '90-Day Guaranteed Results or Money Back' but customers report refunds are systematically denied.
Impact: False sense of security leads to larger purchases.
Clear pricing, 30-day money-back guarantee, B+ BBB rating, reliable delivery, FDA-approved options available. No hidden fees. $50-170/month more than TrimRx promotional price but dramatically better consumer protection.
Comparable pricing without hidden enrollment fees. Better transparency. No bait-and-switch reports at TrimRx's scale. Requires 6-month prepay commitment.
Comprehensive care with coaching, A+ BBB rating, insurance accepted, FDA-approved medications. $200+/month more but includes medical oversight and genuine consumer protections.
Click ad (commonly TikTok, Facebook, Instagram) or visit trimrx.com
Complete online intake form with health information
Payment processed - often BEFORE speaking with a provider
Prescription written and sent to pharmacy partner (CASA or others)
Medication shipped to patient
Time to First Prescription
Variable. Some report fast delivery, others report weeks of waiting with no tracking information.
Consultation Format
Telehealth - provider contacts patient via text message. Multiple reports of no actual video/phone consultation before prescription.
Provider Type
Board-certified physicians and nurse practitioners (Natalie Barbee NP specifically praised by some customers).
Video Option
Text-based primarily. Some customers report never speaking to a doctor before being charged and prescribed.
"After being on GLP 1 medication through other companies & as a nurse I know what I am talking about - medication received from TRIMRX hired pharmacy CASA and it did NOTHING. Bright red in color - No appetite suppressant whatsoever - no weight loss - no changes at all."
— Trustpilot, 1-star review, Mary Smith, February 2026
Quality Concerns: Multiple reports of: (1) Medication from CASA pharmacy being 'watered down' and ineffective, (2) Bright red colored medication that produced zero appetite suppression or weight loss, (3) Wrong medication sent (ordered Zepbound/tirzepatide, received Ozempic/semaglutide), (4) No disclosure that medications are compounded until after payment.
3.4/5 stars (Average)
610 reviews
Extremely polarized: 60% five-star, 26% one-star. Ranked #53 of 61 in Weight Loss Service category. Replies to 58% of negative reviews.
Not Rated (under review)
129 complaints in last 12 months
BBB Accredited. Rating being reviewed/updated. 129 complaints closed in 12 months is very high volume.
Mixed
Limited discussion
Some users report positive experiences, others warn of scam-like practices.
"Easy to make my virtual appt, the provider Natalie Barbee Nurse Practitioner helped me with all my questions, very professional. On this month I have one year using that medication, I already lost 38 pounds. Thank you so much again."
— Trustpilot, 5-star review, Alicia R., February 2026
Bait-and-Switch / Unauthorized Charges
"I purchased 1 month of medication from Trimrx and they charged my Credit Card for the whole year without permission. It was supposed to be $235 and they charged me $2,820. I cannot reach them through phone, text, or email."
— BBB Complaint, January 20, 2026
Non-Refundable Fees
"I applied for meds January 5th. They billed $2,098. I called to cancel. They retain $299 to cover annual processing and enrollment charge even though I never received medication. These resources include 'provider reviews, prescription processing, and administrative logistics.'"
— BBB Complaint, January 16, 2026
Medication Quality
"0 Stars NEEDS to be an option! Pharmacies they work with including CASA have awful reviews for providing watered down ineffective medications. Medication received did NOTHING. Bright red in color - No appetite suppressant whatsoever. The woman I spoke to said they don't ever do refunds even though the website states money back guarantees."
— Trustpilot, 1-star review, Mary Smith, February 2026
Deceptive Advertising
"TrimRx's online advertisement said in print and by voice they offer 'FDA-approved' medications and featured images of Lilly's Zepbound. TrimRx entraps consumers into a rushed process that does not include opportunity for direct patient consultation before they take your payment. It is only after payment the customer learns these are NOT FDA approved but compounded medications."
— Trustpilot, 1-star review, Kim Kleeh, February 2026
888-896-1612 - Customers report: long hold times (30+ minutes), being told support is unavailable, no callbacks, AI-generated text responses instead of human support
hello@trimrx.com, guarantee@trimrx.com
Patient portal messaging. Customers report slow or no responses, portal accounts deleted after complaints.
Patient communication portal. Multiple reports of messages going unanswered and accounts being deleted.
Based on 610 Trustpilot reviews and 129 BBB complaints (2025-2026)
Best Case
Some customers report responsive and helpful support staff (Aranza Gutiérrez, Dahamar A. praised)
Typical
Days to weeks for portal/email responses. Phone support often unavailable or extremely long hold times.
Worst Case
Complete non-response for weeks, portal accounts deleted, no callbacks despite promises, AI-generated automated texts
Patient safety risk is moderate-high due to medication quality concerns from pharmacy partner CASA, wrong medications being sent, and prescriptions without proper consultation.
Financial risk is high. Multiple pathways to unexpected charges. Affirm financing particularly risky as disputes are harder than credit card chargebacks.
Service risk is high. When problems occur, resolution is extremely difficult to achieve.
Auto-Renewal
YES - Multiple customers report being auto-enrolled in annual plans when selecting monthly. Billing structure unclear at signup.
Billing Transparency
POOR - Customers consistently report: (1) Promotional prices not carried to subsequent orders, (2) Being charged for annual plans when selecting monthly, (3) Non-refundable enrollment fees not clearly disclosed, (4) Payment processed before doctor consultation.
Payment Methods
Credit card, debit card, Affirm financing (0% APR installments over 12 months for multi-month plans).
Financing
Affirm financing available for 3-month, 6-month, and 12-month plans. NOTE: Affirm disputes are harder to win than credit card chargebacks - company has successfully contested Affirm disputes by citing eligibility requirements.
State Restrictions
Exact state availability not publicly disclosed on website.
State-Specific Requirements
Claims to operate through licensed providers. Compliance with Ryan Haight Act for telehealth prescribing uncertain given reports of prescriptions without video/phone consultation.
Pharmacy Board Actions
No known state pharmacy board actions against TrimRx directly. Pharmacy partner CASA has independent review concerns.
Reports of ineffective medication from pharmacy partner CASA, wrong medications sent, prescriptions without proper consultation
Promotional pricing is competitive but effective cost is much higher after hidden enrollment fees ($179-$299) and price increases on subsequent orders
Deceptive advertising (FDA-approved imagery for compounded products), hidden fees, bait-and-switch pricing, money-back guarantee not honored
129 BBB complaints in 12 months, phone support unavailable, portal messages unanswered, some good individual staff
Unauthorized charges for annual plans, non-refundable fees on same-day cancellations, orders shipped after confirmed cancellation, patient accounts deleted after complaints
TrimRx's attractive promotional pricing masks significant problems. The company advertises one price but charges another, retains $179-$299 non-refundable fees even on same-day cancellations, sends compounded medications while advertising FDA-approved drugs, uses a pharmacy partner (CASA) with reports of ineffective medication, and advertises a money-back guarantee it doesn't honor. While some customers have positive experiences (60% 5-star on Trustpilot), the 26% one-star rate and 129 BBB complaints in 12 months indicate that a very significant portion of customers experience serious problems. This is NOT a provider we can recommend when established alternatives like Ro ($349/month), Hims ($199/month), and others offer better transparency, consumer protection, and reliability.
Best Alternative: Ro Body Program — Clear pricing ($349/month), genuine 30-day money-back guarantee, B+ BBB rating, reliable delivery, no hidden fees, FDA-approved options available. Slightly more expensive than TrimRx promo pricing but dramatically safer.
Others: Hims & Hers ($199/month prepaid - comparable pricing, better transparency), Eden ($249/month - flat pricing, overnight shipping), Calibrate ($499/month - premium with coaching, A+ BBB)
We verified: Trustpilot 3.4/5 rating from 610 reviews (accessed February 12, 2026), BBB Accredited status with 129 complaints in 12 months (accessed February 12, 2026), BBB complaint details including company responses (accessed February 12, 2026), Pricing information from company website and user-provided data, Company contact information: 888-896-1612, hello@trimrx.com, Company address: 12636 High Bluff Dr Ste 400, San Diego, CA 92130.
We could not verify: Exact medication quality from CASA pharmacy (would require lab testing), Total customer count (company claims 100,000+ but unverified), Specific physician credentials (not publicly listed), All pharmacy partners used, Whether money-back guarantee terms have specific exclusions.
This review is based on publicly available information including 610 Trustpilot reviews, 129 BBB complaints and company responses, Reddit discussions, independent review sites, and company-published materials.
This review is for informational purposes only and does not constitute medical advice. Consult a qualified healthcare provider before starting any weight loss medication.
AllGLP1.com may earn affiliate commissions from alternative providers recommended in this review. This does not influence factual findings.
