Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our semaglutide provider ranking, above Trellis Vitality at #84.
Read the Care Bare Rx review →
Provider review
Trellis Vitality cost: $150/mo semaglutide
Attacks rivals for understated headline prices. Four of its five pages do it.
Its blog claims three times to "publish complete pricing" and criticizes competitors whose headline figures "understate the real one" — while its NAD+, glutathione, Lipo-MIC and tesamorelin pages publish only the discounted six-month rate.
Verified August 2026
Reviewed by Marcus Webb
Transparency scorecard
2 of 4 disclosed openly
What Trellis Vitality discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
At a glance
Visit Trellis VitalityPharmacy
Not categorized
Labs
Not published as a requirement, cost or cadence.
States
Published state list
On this page
What it actually costs
$150/moSemaglutide, per month
What this price covers
Medication
Included
Provider visits
Not confirmed
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Not disclosed
The catch — Four of its five products advertise a "starting at" price that is the six-month rate, not a price you can pay for one month. Only the GLP-1s publish a real ladder.
See plans at Trellis VitalityPrices read from Trellis Vitality's own site · August 2026
What they advertise
Compounded semaglutide $150/mo, $140 on three months, $133 on six. Tirzepatide $199/mo, $189 and $179. NAD+ "starting at $129," glutathione "$93," Lipo-MIC+B12 "$130," tesamorelin "$299" — each on a page that says longer plans lower the per-month cost.
What you actually pay
$150/mo compounded semaglutide and $199/mo compounded tirzepatide. For NAD+, glutathione, Lipo-MIC+B12 and tesamorelin the month-to-month rate is not published — the "starting at" figures are six-month rates by each page's own admission.
Money you will meet later
- Its GLP-1 FAQ excludes Connecticut, Ohio and South Carolina "at minimum," against a sitewide claim of all 50 states.
The bottom line
Trellis Vitality prices compounded semaglutide at $150 a month and tirzepatide at $199, with three- and six-month tiers that save a real 5 to 11% and carry no savings label to falsify. It names its pharmacy — VialsRX in Houston — and its prescriber group, and its GLP-1 ladder is the most straightforward part of the site. The rest is not. Four of its five products publish only a "starting at" figure that each page then admits is a longer-plan rate, so the month-to-month price for NAD+, glutathione, Lipo-MIC and tesamorelin is not published at all — on a site whose own blog attacks competitors for exactly that.
Trellis Vitality appears on our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You are buying its GLP-1s, where the full ladder is published and the savings are real without being labeled as a claim.
- You want the pharmacy named — VialsRX, with a Houston address — and the prescriber group named too.
Look elsewhere if
- You are buying NAD+, glutathione, Lipo-MIC or tesamorelin: the month-to-month price for all four is not published.
- You live in Connecticut, Ohio or South Carolina — its GLP-1 FAQ excludes them while the site claims all 50 states.
- You are counting on the "24/7 unified patient care" banner — its own support page says Monday to Friday, 8am to 8pm ET, with a one-business-day reply.
What Trellis Vitality offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
Trellis Vitality does not name the pharmacy that fills your prescription.
What its own site says
Named. Its own pages name VialsRX at 6220 Westpark Dr., Houston, Texas, and name Arora Health & Aesthetics, LLC as the prescriber group. Neither "503A" nor "503B" is stated anywhere.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
Published state list
Claimed as all 50 states, but its own GLP-1 FAQ excludes Connecticut, Ohio and South Carolina "at minimum" — a phrase that leaves the real list open.
The honest cons
The part they would rather you skipped
Trellis publishes a blog attacking competitors for headline prices that "understate the real one," and claims three separate times that it publishes complete pricing itself. Four of its five product pages do the thing the blog condemns. NAD+, glutathione, Lipo-MIC+B12 and tesamorelin each carry only a "starting at" figure, and each of those pages then states that longer plans lower the per-month cost — so the number on display is the six-month rate and the month-to-month price is published nowhere. Only the GLP-1s carry a real ladder. Alongside that, the banner running sitewide promises "24/7 unified patient care" while its own support page gives hours of Monday to Friday, 8am to 8pm ET, with a one-business-day response.
- Four of its five products publish only a discounted six-month rate, on a site whose blog attacks rivals for that exact practice — see this review's knock.
- Its sitewide "24/7 unified patient care" banner is contradicted by its own support page's weekday hours.
- It claims all 50 states while its GLP-1 FAQ excludes Connecticut, Ohio and South Carolina "at minimum."
- Neither "503A" nor "503B" is stated for the pharmacy it does name.
None of this is unique to Trellis Vitality — the whole category shares it.
How it compares
The providers we rank on our semaglutide provider ranking — the most specific board Trellis Vitality sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- Sesame CareA flat, medication-included semaglutide plan — tirzepatide works nothing like it.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Telos RxNames the states it can't serve — but the price you see probably isn't the real one.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
153 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Trellis Vitality's current pricing before you decide. Ours was read from their own site in August 2026.
Facts on this page reflect Trellis Vitality's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Trellis Vitality's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Trellis Vitality
$150/mo · Semaglutide