Head-to-head comparison
Belle Health vs Trillium Meds
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Belle Health is a national DTC telehealth platform offering compounded semaglutide and tirzepatide with flat-rate pricing — the same monthly cost at every dose, with no escalation surcharge as you titrate up.
$119/mo sema · $199/mo (3-month prepay) tirz · Verified July 2026
Marked down on: $199 tirzepatide price requires a 3-month bundle commitment
FDAWarning letter issued to Belle Health LLC dba Belle in February 2026. See the FDA warning-letter database.
Desk Score
Trillium Meds is a small, owner-operated telehealth platform based in Portland.
$119/mo (3-month prepay) sema · $199/mo (3-month prepay) tirz · Verified July 2026
Marked down on: No labs, coaching, or clinical monitoring included — telehealth Rx and pharmacy fulfillment only
Belle Health takes this head-to-head with the higher Desk Score, 80/100 (B−) against 77/100 (C+) for Trillium Meds. Trillium Meds still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Belle Health
80/100
B−
Trillium Meds
77/100
C+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Belle Health | Trillium Meds |
|---|---|---|
| Semaglutide | $119/mo$119/mo | $119/mo3-month prepay$119/mo (3-month plan, compounded) |
| Tirzepatide | $199/mo3-month prepay$199/mo (all doses, 3-month plan, compounded) | $199/mo3-month prepay$199/mo (3-month plan, compounded) |
| Coverage | All 50 states | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Flat-rate compounded GLP-1 with free weekly dietitian sessions. | LegitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo). |
| Desk Score | 80/100B− | 77/100C+ |
The verdict
Desk pick — Belle HealthBelle Health takes this head-to-head with the higher Desk Score, 80/100 (B−) against 77/100 (C+) for Trillium Meds. Trillium Meds still holds its ground where its strengths line up with yours.
Choose Belle Health if…
Flat-rate compounded GLP-1 with free weekly dietitian sessions.
$119/mo sema · $199/mo (3-month prepay) tirz · All 50 states
FDAWarning letter issued to Belle Health LLC dba Belle in February 2026. See the FDA warning-letter database.
Choose Trillium Meds if…
LegitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo).
$119/mo (3-month prepay) sema · $199/mo (3-month prepay) tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Belle Health · Trillium Meds.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
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- Gimme Care vs Trillium Meds
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.