Head-to-head comparison
Bliv 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
Bliv is a telehealth provider selling personalized compounded GLP-1 programs.
From $116/mo (lowest dose rung) sema · From $199/mo (lowest dose rung) tirz · Verified August 2026
Marked down on: The advertised rates are 'as low as' figures footnoted 'based on plan structure and eligibility', and the plan selector sits behind the medical intake — the rate you are offered is not knowable before you hand over a medical history
FDAWarning letter issued to Bliv Wellness LLC dba Bliv 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
Trillium Meds takes this head-to-head with the higher Desk Score, 77/100 (C+) against 59/100 (C) for Bliv. Bliv 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.
Bliv
59/100
C
Trillium Meds
77/100
C+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Bliv | Trillium Meds |
|---|---|---|
| Semaglutide | From $116/molowest dose rung$116/mo (as low as, varies by plan and eligibility, compounded) | $119/mo3-month prepay$119/mo (3-month plan, compounded) |
| Tirzepatide | From $199/molowest dose rung$199/mo (as low as, varies by plan and eligibility, compounded) | $199/mo3-month prepay$199/mo (3-month plan, compounded) |
| Coverage | Not listed on Bliv's site (checked August 2026) | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Mainstream telehealth GLP-1 access. | LegitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo). |
| Desk Score | 59/100C | 77/100C+ |
The verdict
Desk pick — Trillium MedsTrillium Meds takes this head-to-head with the higher Desk Score, 77/100 (C+) against 59/100 (C) for Bliv. Bliv still holds its ground where its strengths line up with yours.
Choose Bliv if…
Mainstream telehealth GLP-1 access.
From $116/mo (lowest dose rung) sema · From $199/mo (lowest dose rung) tirz
FDAWarning letter issued to Bliv Wellness LLC dba Bliv 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: Bliv · 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
- Bliv vs CoreAge Rx
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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.