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Head-to-head comparison

Harper Meds vs Trellis Vitality

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.

Ranked #217
Harper Meds

DTC telehealth weight-loss program (Nexus Health Solutions LLC) offering flat-rate compounded semaglutide and tirzepatide, with the consultation, prescription.

$149/mo sema · $196/mo tirz · Verified July 2026

Marked down on: Membership fee is non-refundable once paid

FDAWarning letter issued to Nexus Health Solutions LLC dba Harper Meds in June 2026. See the FDA warning-letter database.

vs
Ranked #50Desk pick
Trellis Vitality

Trellis Vitality prices both molecules flat at every dose before intake and names its pharmacy and prescriber, while its own GLP-1 FAQ contradicts the all-50-states banner above it.

From $150/mo sema · From $199/mo tirz · Verified September 2026

Marked down on: The banner says all 50 states while the GLP-1 program's own FAQ says it is not offered in every state, naming Connecticut, Ohio and South Carolina.

Trellis Vitality takes this head-to-head with the higher Desk Score, 81/100 (B−) against 66/100 (C) for Harper Meds. Harper 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.

Harper Meds

66/100

C

Overall

Trellis Vitality

81/100

B−

Price transparency

94
94

State access

24
86

Molecule range

66
66

Onboarding speed

75
78

Support responsiveness

78
73

Licensing & trust

57
83

The spec sheet

FieldHarper MedsTrellis Vitality
Semaglutide$149/mo$149/moFrom $150/moFrom $150/mo (all doses, compounded)
Tirzepatide$196/mo$196/moFrom $199/moFrom $199/mo (all doses, compounded)
CoverageNot listed on Harper Meds's site (checked July 2026)All 50 states claimed; GLP-1 not offered in every state
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forFlat-rate compounded GLP-1 with everything bundled into one price.Anyone who wants a flat dose price and will check whether their state is one the GLP-1 program actually covers.
Desk Score66/100C81/100B−

The verdict

Desk pick — Trellis Vitality

Trellis Vitality takes this head-to-head with the higher Desk Score, 81/100 (B−) against 66/100 (C) for Harper Meds. Harper Meds still holds its ground where its strengths line up with yours.

Choose Harper Meds if…

Flat-rate compounded GLP-1 with everything bundled into one price.

$149/mo sema · $196/mo tirz

FDAWarning letter issued to Nexus Health Solutions LLC dba Harper Meds in June 2026. See the FDA warning-letter database.

Choose Trellis Vitality if…

Anyone who wants a flat dose price and will check whether their state is one the GLP-1 program actually covers.

From $150/mo sema · From $199/mo tirz · All 50 states claimed; GLP-1 not offered in every state

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: Harper Meds · Trellis Vitality.

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

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.