Comparisons
3 min read
7 TrimRx Alternatives Compared (2026): What Each One Actually Costs
Quick answer: In 2026 both Ro and Hims stopped offering compounded GLP-1s to new patients and moved to brand-name medication, which raised total costs across the category. Most remaining providers charge a membership fee plus medication billed separately, so the advertised number is rarely your real monthly cost. Compare the combined total rather than the headline rate. Fig publishes its full price table publicly, starting at $145/month* for compounded semaglutide with no membership fee.
If you are shopping for a TrimRx alternative in 2026, the landscape looks very different than it did a year ago. Two of the largest providers, Ro and Hims, stopped offering compounded GLP-1s to new patients and moved to brand-name medication only. That change reset pricing across the category.
Most providers now split your bill in two: a monthly membership fee, plus medication charged separately. The advertised number is almost always the membership alone. Your real cost is the two added together.
Below we priced seven alternatives on total monthly spend, not headline rates.
The 2026 Shift Nobody Advertises
For several years the affordable end of this market ran on compounded semaglutide and tirzepatide. In 2026 that changed at the top of the market.
Hims settled with Novo Nordisk and stopped offering compounded semaglutide to new patients. Ro made the same move, and now lists brand-name options only.
The practical effect is straightforward. Providers that shifted to brand-name medication generally carry higher total monthly costs, because branded GLP-1s cost more than compounded ones.
This is why an alternatives list written in 2025 will steer you wrong today. Prices and medication options both moved.
What to Compare Across Providers
Four things drive what you actually pay, and headline pricing hides most of them.
Membership fee versus medication price. Most providers charge both. A program advertised at $99 per month can land near $350 per month once medication is added.
Billing every 28 days. Several providers bill on a 28-day cycle rather than monthly. That is 13 charges per calendar year, not 12.
Dose-based pricing. Some providers raise the price as your dose increases. Since titrating upward is standard, your first-month price may not be your sixth-month price. Mochi, Found, and Fig price flat across doses, so ask directly before enrolling anywhere else.
Whether medication pricing is published at all. Ro and Hims do not list medication costs publicly, which means you cannot calculate your total monthly spend until after you have signed up.
The 7 Alternatives, Priced
Figures below reflect publicly listed 2026 self-pay pricing taken from each provider's own site, and exclude insurance. Verify directly before enrolling, since pricing in this category changes often.
Fig
No membership fee, and medication is included in the plan price rather than billed separately. Compounded semaglutide from $145 per month* and compounded tirzepatide from $258 per month* on the 6-month plan, priced flat across doses. The full price table is published publicly, so you can calculate your total before signing up. Charged $0 today, and charged only if a provider prescribes.
1. Ro
Membership is $39 the first month, then $149 per month, or as low as $74 per month if you prepay annually. Ro lists brand-name medication only, including Wegovy, Zepbound, Ozempic, and Foundayo. Ro does not publish medication prices, stating cost depends on treatment and insurance, so your total is not knowable before you enroll.
Read the full Fig vs. Ro comparison
2. Hims and Hers
Hims exited compounded semaglutide for new patients in 2026 following its settlement with Novo Nordisk, and now offers brand-name options including Wegovy, oral Wegovy, and Zepbound. Membership and medication are billed separately. Hims does not publish plan pricing openly, so budget on the assumption that medication is an additional charge.
Read the full Fig vs. Hims comparison
3. Mochi Health
Membership is $39 the first month, then $79 per month. Compounded semaglutide starts at $99 per month and compounded tirzepatide at $199 per month, and medication is not included in the membership. All-in that is roughly $178 per month for semaglutide.
4. Found
Found lists compounded GLP-1s starting at $99 per month with flat pricing as your dose increases, and non-GLP-1 plans from $49 per month. Clinical visits run under $30 each for most members using insurance. Brand-name pricing is far higher, with Wegovy and Zepbound from $650 per month and Ozempic and Mounjaro around $1,100 per month.
Read the full Fig vs. Found comparison
5. Noom Med
Noom bundles medication into most plans and bills quarterly. Microdose GLP-1Rx is $179 per month, GLP-1Rx is $249 per month, and GLP-1Rx Plus is $299 per month, each after the first four-week supply. A telehealth-only track for branded medication is $99 per month with medication billed separately.
6. LifeMD
The program fee is $39 the first month, then $149 per month, and you can cancel anytime. Medication is not included. Self-pay examples on their site list the Wegovy pen starting at $199 and the Zepbound vial at $349 per month, and insured patients may pay as little as a $0 copay.
7. Calibrate
Calibrate is $199 per month with a required three-month commitment, which is $597 up front. Medication runs through your insurance rather than cash-pay, and Calibrate states most commercially insured members pay $25 per month or less in copay. This makes it a poor comparison if you do not have coverage, since the membership is the only part you can price in advance.
Read the full Fig vs. Calibrate comparison
How the Totals Compare
Fig: no membership fee, medication included, published all-in pricing from $145 per month*.
Ro: $149 per month membership, medication not published, brand-name only.
Hims and Hers: membership not published, medication separate, brand-name only.
Mochi: $79 per month membership, $99 semaglutide or $199 tirzepatide, compounded.
Found: compounded from $99 per month flat, visits billed separately.
Noom Med: $179 to $299 per month with medication included, or $99 telehealth only.
LifeMD: $149 per month membership, medication separate, Wegovy pen from $199.
Calibrate: $199 per month with a three-month commitment, medication through insurance.
Two things stand out. Several providers do not publish medication pricing at all, so you cannot calculate your total before enrolling. And the programs with the lowest membership fees are often the ones charging the most for medication.
Where Fig Fits
Fig does not charge a membership fee. Consultations, the injection kit, shipping, and support are included, so the plan price is the price you pay.
Compounded semaglutide starts at $145 per month* on the 6-month plan, and compounded tirzepatide starts at $258 per month* on the same plan. Pricing is flat across doses, so titrating upward does not raise your cost. You are charged $0 today and charged only if a physician prescribes.
Fig's medications are prepared by FDA-registered compounding pharmacies. Compounded semaglutide and tirzepatide are not FDA-approved as finished drug products.
Switching Is Simpler Than Starting Over
If you are already on a GLP-1, you are not restarting from zero. Bring your current medication and dose to the assessment so a physician can pick up where you are.
Cancel your existing membership only after a new prescription is confirmed, so you do not create a gap in treatment.
Frequently Asked Questions
Why did Ro and Hims stop offering compounded semaglutide?
Both moved to brand-name medication for new patients in 2026 following settlement with Novo Nordisk.
Is a membership fee normal?
It is common but not universal. Membership plus medication is the dominant structure, though some providers bundle everything into one plan price.
Why do prices go up over time on some programs?
Some providers price by dose. As you titrate upward, the monthly charge increases. Flat pricing across doses avoids this.
Which TrimRx alternative is cheapest in 2026?
On listed self-pay pricing, the lowest totals come from providers offering compounded medication with flat, dose-independent pricing. Compare the membership and the medication together, not the advertised rate alone.
Can I know my total cost before signing up?
Not with every provider. Ro and Hims do not publish medication prices, so your total is only visible after enrollment.
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