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Tirzepatide access

TrimRx vs Maximus: Which One Offers Tirzepatide? (2026)

TrimRx $149/mo vs Maximus $133/mo. 2026 comparison of pricing, medication and support, with 12-month totals rather than first-month offers.

Published · Pricing as published in our provider dataset, synced · Editorial scores 9.7 and 7.0 out of 10

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Anyone shortlisting TrimRx against Maximus is choosing between two direct-pay GLP-1 programs that solve the same problem in materially different ways.

TrimRx will prescribe tirzepatide, the dual GIP/GLP-1 agonist; Maximus, on published information, will not. If you already know you want tirzepatide, that decides it before price enters the conversation.

Everything here is drawn from each provider's own published pricing and program detail, then extended into six- and twelve-month totals so the two become comparable. Gaps in a provider's disclosure are reported as gaps, because they are part of what you are buying.

The short answer

Lowest 12-month cost
Maximus$1,596 against $1,788 at TrimRx, on each provider's own best published pricing.
Most predictable bill
TrimRxPrice locked for the life of the plan, so titration does not change what you are charged.
Tirzepatide access
TrimRxTirzepatide at $249/mo; the other side publishes semaglutide only.
Longest public track record
TrimRx18,420 patient reviews against 2,896.

TrimRx and Maximus, side by side

Read the second row before the first: the advertised price and the price you actually run at are frequently different numbers.

 TrimRxMaximus
Advertised priceGLP-1 from $149/mo, GLP-1+GIP from $249/mo$132.99/mo
Rate after promotions$149/mo$133/mo
Pricing structurePrice locked for the life of the planFlat rate at every dose
MedicationCompounded semaglutide and compounded tirzepatide (GLP-1+GIP)Compounded semaglutide
Tirzepatide$249/moNot published
Support modelNo coaching program statedNo coaching program stated
Price transparencyPublished upfrontPublished upfront
Payment optionsHSA/FSA, Affirm, Klarna and AfterpayCard only, no financing published
ShippingFree shipping, arrives in 1-2 daysHome delivery
Patient reviews18,4202,896
eRxDoctor score9.7/107.0/10

Cost over a full course of treatment

Almost every complaint about telehealth GLP-1 pricing traces back to comparing month one instead of month twelve. Below, both are carried out to six and twelve months so the comparison holds at the point it matters.

 TrimRxMaximus
First month$149$133
Months 2 onward$149/mo$133/mo
6-month total$894$798
12-month total$1,788$1,596
Best published planNo multi-month discount publishedNo multi-month discount published

The twelve-month spread is $192. That is the number to hold TrimRx against: it has to justify roughly $16 extra every month.

Semaglutide, tirzepatide, and having somewhere to go next

Semaglutide is a GLP-1 receptor agonist. Tirzepatide adds GIP activity, and in head-to-head trial data it has produced larger average weight reductions. That does not make it the right first choice for everyone — it is typically more expensive and the side-effect profile is its own conversation — but it is the usual next step when semaglutide underdelivers.

TrimRx publishes both, with tirzepatide at $249/mo. Maximus publishes compounded semaglutide, so switching molecules would mean switching provider, repeating an intake and losing whatever pricing you had locked in.

If you are confident semaglutide is where you will stay, this difference costs you nothing. If you are not, it is worth more than a small monthly saving.

TrimRx in detail

TrimRx: 100k+ happy customers, 4.8 Excellent Rating. Compounded GLP-1 from $149/month and GLP-1+GIP from $249/month with Lifetime Price Protection, free 1–2 day shipping, 24/7 support, HSA/FSA eligible.

The process is online intake, no clinic visit, then free shipping, arrives in 1-2 days. On money, expect price locked for the life of the plan — published upfront.

What continues after the first shipment: unlimited 24/7 specialist access, appointments and messaging. Formulary: compounded semaglutide and compounded tirzepatide (GLP-1+GIP).

TrimRx pros

  • Cancel anytime
  • No insurance required, no monthly membership, no hidden fees
  • 0% interest financing through Affirm, Klarna, or Afterpay
  • HSA/FSA eligible, use pre-tax dollars toward treatment

TrimRx cons

  • Direct-pay model, insurance is not billed
  • Compounded medication only, no branded Ozempic, Wegovy, or Zepbound
  • GLP-1+GIP option at $249/month is higher than GLP-1-only entry price

Set beside Maximus, the thing to weigh: compounded medication only, and insurance is never billed.

A closer look at Maximus

The pitch is a low flat rate with a simple direct-pay structure and nothing bolted on. $132.99 per Month

You start with telemedicine intake, no clinic visits; medication arrives via home delivery. The price behaves as flat rate at every dose.

On the clinical side, prescriptions approved by licensed doctors, filled through U.S. pharmacies, prescribing compounded semaglutide.

Maximus pros

  • Simple, straightforward direct-pay model
  • Prescriptions approved by licensed doctors
  • Medication filled through trusted U.S. pharmacies
  • Low flat rate at $132.99/month

Maximus cons

  • No published outcome or weight loss guarantee
  • Limited published detail on tirzepatide availability and program features
  • Compounded medication only, no branded Ozempic, Wegovy, or Zepbound

Against TrimRx specifically, the trade you are making: the smallest patient base here, with limited published detail on tirzepatide.

Who each program is actually built for

Choose TrimRx if:

  • you want the price you sign up at to survive titration
  • delivery works the way you want it to: free shipping, arrives in 1-2 days
  • you want to start on their timeline: online intake, no clinic visit
  • the level of clinical contact suits you: unlimited 24/7 specialist access, appointments and messaging

Choose Maximus if:

  • you want to start on their timeline: telemedicine intake, no clinic visits
  • the level of clinical contact suits you: prescriptions approved by licensed doctors, filled through U.S. pharmacies
  • delivery works the way you want it to: home delivery
  • you want the price you sign up at to survive titration

Where each program concedes something

On price. Maximus is the cheaper program at $133/mo against $149/mo. What Maximus gives up for that is the smallest patient base here, with limited published detail on tirzepatide; what TrimRx charges for is Lifetime Price Protection, so the number you sign up at is the number you pay at every dose.

On medication. TrimRx covers compounded semaglutide and compounded tirzepatide (GLP-1+GIP); Maximus covers compounded semaglutide. Only TrimRx publishes a tirzepatide route, which matters if semaglutide underdelivers.

On clinical contact. The support models differ — unlimited 24/7 specialist access, appointments and messaging against prescriptions approved by licensed doctors, filled through U.S. pharmacies — and that difference is felt in week two, not week one.

On predictability. The pricing structures differ (price locked for the life of the plan versus flat rate at every dose), and structure, not headline rate, determines the twelve-month bill.

What the evidence actually says

Both platforms sell access to the same drug class, so the clinical record below applies equally to each.

SURMOUNT-4 found that continuing tirzepatide maintained and extended weight reduction, while withdrawing it led to substantial regain, per JAMA, SURMOUNT-4.

The SELECT trial found semaglutide reduced major adverse cardiovascular events in adults with overweight or obesity and established cardiovascular disease, without diabetes, per NEJM, SELECT.

Which is to say: the medication decision belongs with a clinician, and the platform decision belongs with a spreadsheet.

TrimRx vs Maximus: common questions

Which is cheaper to start, TrimRx or Maximus?

Maximus, at $133 against $149. Note that the cheapest first month and the cheapest year are often different providers here — check the 12-month row of the cost table before deciding on the entry price.

Which costs less over a year, TrimRx or Maximus?

Maximus, at roughly $1,596 for twelve months against $1,788 at TrimRx, using each provider's own best published pricing. Those totals cover medication and program fees as published; they exclude anything a provider bills separately, and they assume you stay on the same plan for the full year.

Do TrimRx or Maximus take insurance?

Both run on a direct-pay basis: you pay the platform and it does not bill your insurer. TrimRx accepts HSA/FSA funds, which is the closest thing to a benefit offset available here.

Which has more patient reviews, TrimRx or Maximus?

TrimRx, with 18,420 against 2,896. Ratings across this market cluster tightly, so volume is the more useful signal: it indicates how much operational load the platform has already absorbed, not how good the medication is.

How fast can I start with TrimRx compared with Maximus?

TrimRx advertises online intake, no clinic visit, with free shipping, arrives in 1-2 days. Maximus advertises telemedicine intake, no clinic visits, with home delivery. Both are subject to clinician review and to whether your state and health history clear, so treat the advertised timeline as a best case rather than a commitment.

Does TrimRx or Maximus offer tirzepatide?

TrimRx does, at $249/mo. Maximus publishes compounded semaglutide only, so moving to tirzepatide would mean moving provider — a new intake, a new price, and the loss of any rate you had locked in.

Do TrimRx and Maximus prescribe the same medication?

Both dispense compounded GLP-1 preparations. TrimRx lists compounded semaglutide and compounded tirzepatide (GLP-1+GIP) and Maximus lists compounded semaglutide, so the molecules overlap even where the formulary does not match exactly.

The verdict

Maximus is the cheaper year by $192, and for a straightforward course of treatment that settles it.

The case for TrimRx is Lifetime Price Protection, so the number you sign up at is the number you pay at every dose. That is worth $16 a month to some patients and nothing at all to others — be honest about which you are.

Get the maintenance-dose price in writing from whichever one you pick. That single question prevents most of the regret in this category.

Keep comparing

See every provider in context on the weight loss rankings, or browse the full comparison index.

Disclaimers and methodology

Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.

Some links are affiliate links and may generate commission at no extra cost to you.

Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.

eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by TrimRx or Maximus, and does not sell treatment. Read our ranking methodology.