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Head-to-head for women

Good Girl Rx vs Trellis Vitality

Good Girl Rx and Trellis Vitality both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.

By Luna Editorial Team, PublisherUpdated

What matters when choosing between them

For compounded injectable semaglutide, Good Girl Rx lists $179/month and Trellis Vitality lists $150/month. These are published calendar-month prices; eligibility, dose, labs and the final prescription can affect what you pay.

Good Girl Rx: the care model

Good Girl Rx is a women-focused telehealth brand founded by Savannah Chrisley, who now owns it outright. Her founder's letter describes her own experience with endometriosis, hormonal imbalance and prediabetes as the reason she started it. It sells compounded semaglutide and tirzepatide (as injections, low-dose "microdose" plans and dissolving tablets), the Wegovy pill, brand-name Ozempic, Wegovy and Zepbound, plus NAD+, sermorelin, glutathione and B12 products.

Read our Good Girl Rx review →

Trellis Vitality: the care model

Trellis Vitality is an online clinic based in Austin, Texas, that sells five clinician-guided injectable programs: [compounded semaglutide](/compounded-vs-brand-name-glp1-for-women) and tirzepatide for weight, plus NAD+, glutathione, a Lipo-MIC and B12 blend, and tesamorelin. Its GLP-1 pricing is one of the clearest tables we have read, and since the summer it has added at-home lab work to the weight program. The rest of the catalog is priced far less clearly, and the cancellation terms are thin. Prices below are from Trellis's own site, read in October 2026.

Read our Trellis Vitality review →

Good Girl Rx

Ranked #73 for women · Grade C

Best for: Women who want injectable, microdose, sublingual and brand-name routes on one account and are reading the safety page as carefully as the price page.

Visit Good Girl Rx
vs

Trellis Vitality

Higher score

Ranked #47 for women · Grade B−

Best for: Women who want a low, dose-flat GLP-1 price with lab tracking of muscle and fat, and who get their hormone care somewhere else.

Visit Trellis Vitality

The verdict for women

Higher Luna Fit Score: Trellis Vitality

Trellis Vitality edges out Good Girl Rx on the Luna Fit Score, 80 to 73 (B− vs C). Women who want a low, dose-flat GLP-1 price with lab tracking of muscle and fat, and who get their hormone care somewhere else. The reasoning behind that number is in the Trellis Vitality scorecard.

Good Girl Rx is still a genuine option — a women-first brand with the clearest contraception guidance we have found on any provider's site. Weigh the six women's-health factors below against your own priorities; what we found reviewing Good Girl Rx goes through each of them, and if neither of these two is the one, our ranked shortlist of Good Girl Rx alternatives widens the field.

Side-by-side on the six factors

Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.

Good Girl Rx Trellis Vitality
PCOS & hormonal suitability8274
Good
Trellis
Clinical oversight & labs7288
Good
Trellis
Price transparency7480
Good
Trellis
Nationwide access7082
Good
Trellis
Ongoing support7880
Good
Trellis
Cancellation fairness5574
Good
Trellis

Price, access & features

Swipe or scroll to compare →

DetailGood Girl RxTrellis Vitality
Luna Fit Score73/100 · C80/100 · B−
Overall rank#73#47
Semaglutide$179/mo month-to-month (from $134/mo on a 12-month prepay)$150/mo month-to-month injection (its one-month plan, same price at every dose); $140/mo on a three-month plan or $133/mo on six (how longer plans are billed is not stated)
Tirzepatide$329/mo month-to-month (from $235/mo on a 12-month prepay)$199/mo month-to-month injection (its one-month plan, same price at every dose); $189/mo on a three-month plan or $179/mo on six (how longer plans are billed is not stated)
CoverageCertain states (no list published)All 50 states site-wide, but its GLP-1 page says the program is not offered in Connecticut, Ohio or South Carolina at minimum
Brand-name accessYesCompounded only
Oral / sublingualYesInjection only

Good Girl Rx

Ranked #73 · Grade C

What we like

  • The best contraception guidance in the ranking: a two-month semaglutide washout before a planned pregnancy, and a warning that tirzepatide can blunt oral contraceptives for four weeks after starting AND after every dose increase
  • Four routes for each molecule — injection, microdose, sublingual dissolving tablet and brand — so a switch does not mean changing provider
  • Publishes a full per-plan price table for every product rather than one headline figure

The caveats

  • Every advertised 'from' price is a 12-month plan paid upfront, and all sales are final once checkout is complete — a year's commitment with no way back
  • The microdose one-month rate is HIGHER than the standard injection one-month rate; the microdose discount exists only on prepay
  • Prices are described as an 'average monthly cost', so the flat-looking tiers may not be flat

Trellis Vitality

Ranked #47 · Grade B−

What we like

  • Semaglutide at $150 a month and tirzepatide at $199 on the one-month plan, lower than most published figures we review
  • Its price table says every dose costs the same, so titrating up does not raise the bill
  • An at-home lab kit sets a metabolic and body-composition baseline, with a re-test at 90 days

The caveats

  • No hormone therapy of any kind, and nothing on the site addresses PCOS
  • Says it serves all 50 states, but its GLP-1 page excludes Connecticut, Ohio and South Carolina at minimum
  • Does not say how three- and six-month plans are billed, or what happens if you cancel one early

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Neither Good Girl Rx nor Trellis Vitality is only worth comparing with the other. Good Girl Rx is also written up against CoreAge Rx, 20 points apart on the Luna Fit Score — see how Good Girl Rx and CoreAge Rx compare on the Luna Fit Score. Trellis Vitality is also written up against CoreAge Rx, 13 points apart — see the Trellis Vitality–CoreAge Rx head-to-head.

Or browse the full comparison hub.