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Head-to-head dispatch

Royal Medical Center vs Trimi

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.

Dispatch #421
Royal Medical Center

Royal Medical Center is a physician-led nationwide telehealth practice centered on hormone therapy that also offers a compounded tirzepatide weight-loss program (no semaglutide).

Marked down on: Operating legal entity not disclosed — only the 'Royal Medical Center' brand surfaced

vs
Dispatch #21Desk pick
Trimi

Both molecules on one membership at a keen flat price, shipped free to all 50 states.

Marked down on: Compounded only — no brand-name Ozempic/Wegovy or Mounjaro/Zepbound

Trimi takes this head-to-head with the higher Desk Score, 84/100 (B) against 51/100 (C) for Royal Medical Center. Royal Medical Center 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.

Royal Medical Center

51/100

C

Overall

Trimi

84/100

B

Price transparency

78
95

State access

24
96

Molecule range

53
80

Onboarding speed

41
88

Support responsiveness

58
82

Licensing & trust

45
80

The spec sheet

FieldRoyal Medical CenterTrimi
SemaglutideNot disclosed$175/mo month-to-month · $99/mo only on a 12-month prepay ($1,188 in one charge)
Tirzepatide$450/mo (2.5 mg dose, compounded)$235/mo month-to-month · $125/mo only on a 12-month prepay ($1,500 in one charge)
CoverageCoverage not publishedAll 50 states
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forReaders who want credentialed MD founder with itemized dose-strength pricing.Cost-first patients who want both molecules at the cheapest sticker price and don't need brand-name or oral routes.
Desk Score51/100C84/100B

The verdict

Desk pick — Trimi

Trimi takes this head-to-head with the higher Desk Score, 84/100 (B) against 51/100 (C) for Royal Medical Center. Royal Medical Center still holds its ground where its strengths line up with yours.

Choose Royal Medical Center if…

Readers who want credentialed MD founder with itemized dose-strength pricing.

Not disclosed sema · $450/mo (2.5 mg dose, compounded) tirz · Coverage not published

Choose Trimi if…

Cost-first patients who want both molecules at the cheapest sticker price and don't need brand-name or oral routes.

$175/mo month-to-month · $99/mo only on a 12-month prepay ($1,188 in one charge) sema · $235/mo month-to-month · $125/mo only on a 12-month prepay ($1,500 in one charge) 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 file on a provider reads the same either way. Read full breakdowns: Royal Medical Center · Trimi.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

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.