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Hims vs SkinnyRx

SkinnyRx costs $49.75 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Hims logo

Hims

6.8
★★★☆☆3.4/5

Best for: knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC

Visit Hims →
VS
SkinnyRx logo

SkinnyRx

5.9
★★★☆☆3/5

Best for: starting below a standard dose, with microdose tiers

Visit SkinnyRx →

If you are choosing between Hims and SkinnyRx, the first difference is cost: SkinnyRx is $49.75 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Hims leads our six-part score, 6.8 to 5.9. Both have drawn an FDA warning letter.

Hims vs SkinnyRx price

SkinnyRx is the cheaper way in: $149.25 a month against $199 a month at Hims. That is $49.75 less each month (25% lower), or about $597 over a year of treatment.

Drug by drug: Semaglutide is cheaper at SkinnyRx ($149.25 a month vs $199 a month); tirzepatide is cheaper at SkinnyRx ($224.25 a month vs $299 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, Hims prices compounded injections and brand-name pens, while SkinnyRx prices compounded injections and an oral option.

If you want the FDA-approved brand rather than a compounded version, Hims is the only one of the two with a brand-name price.

Where each one treats patients

Hims lists 50 states, and SkinnyRx does not publish where it ships.

Pricing

Hims

StartingCompounded
$199/mo
semaglutide
StartingBrand-name
$299/mo
tirzepatide

Brand Zepbound from $299/mo medication-only; requires Hims Weight Loss Membership ($149/mo)

SkinnyRx

As low asCompounded
$149.25/mo
semaglutide

'As low as $149.25/mo*' — plan-length/promo dependent (matches the sitewide '25% lower prices' promo, $199 x 0.75); standard single-month rate not published pre-intake. Microdose available; free overnight shipping.

As low asCompounded · oral
$199/mo
semaglutide

'As low as $199/mo*' on /products/semaglutide-oral; once-daily.

As low asCompounded
$249/mo
semaglutide

'As low as $249/mo*' on /products/semaglutide-tablets.

As low asCompounded
$224.25/mo
tirzepatide

'As low as $224.25/mo*' and 'Starting at $224.25/mo with free overnight shipping'; microdose available; once-weekly.

As low asCompounded
$224.25/mo
tirzepatide

'As low as $224.25/mo*' on /products/tirzepatide-tablets; once-daily.

Monthly planCompounded
$1400/mo
semaglutide

'$1,400/mo*' — '*Price shown applies to Monthly plan paid upfront or with buy now, pay later programs.' 'No membership fees. Same price at every dose.'

Monthly planCompounded
$1400/mo
semaglutide

'$1,400/mo*' on /products/wegovy-injectable. Wegovy PILL is listed 'Unavailable' ('available via SkinnyRx Membership', fee not published).

Monthly planCompounded
$1400/mo
tirzepatide

'$1,400/mo*' on /products/mounjaro.

Monthly planCompounded
$1400/mo
tirzepatide

'$1,400/mo*' on /products/zepbound. Foundayo (orforglipron) pill also listed but 'Unavailable' — price not published.

What each price covers

Both prices cover the medication itself.

SkinnyRx's price also covers the clinician visit and shipping, which Hims does not claim.

Hims is silent on shipping and lab work.

SkinnyRx is silent on lab work and coaching.

Hims

Covered by the monthly price

Medication

In the price

Clinician visits

Charged on top

Shipping

Not stated

Lab work

Not stated

Coaching

Charged on top

SkinnyRx

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Hims scores 6.8 and SkinnyRx 5.9 out of 10.

Hims is stronger on user experience (8.0 vs 3.0), trust & safety (7.0 vs 1.0) and accessibility (10.0 vs 5.0).

SkinnyRx is stronger on value (6.5 vs 3.0) and support (7.0 vs 3.0).

Effectiveness is within half a point.

How we score

Hims

6.8/10

Overall

SkinnyRx

5.9/10

Value25%

3.0A
vs
B
6.5

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

7.0A
vs
B
1.0

Accessibility10%

10.0A
vs
B
5.0

Support10%

3.0A
vs
B
7.0

FDA warning letters

The FDA sent Hims a warning letter dated September 9, 2025 (letter 716567), and it is still open.

The FDA sent SkinnyRx a warning letter dated February 20, 2026 (letter 717989), and it is still open.

Features & Coverage

FeatureHimsSkinnyRx
Starting Price$199/mo✓$149.25/mo
Features2 features✓3 features
States Available50Not disclosed
Compounded✓ Yes✓ Yes
Brand Name✓ Yes—
FSA/HSA Accepted——
FDA Warning Letters1 letter1 letter

About Hims

Hims is a major men's telehealth brand. Its weight loss offering is compounded semaglutide on a 6-month plan.

Read our full Hims review →

About SkinnyRx

SkinnyRx sells compounded semaglutide and tirzepatide as injectables, with a microdosing option, prescribed by licensed US clinicians. The consult and free overnight shipping are bundled into a single monthly cash price.

Read our full SkinnyRx review →

Pros & Cons

Hims

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication
  • Serves all 50 states
  • Names 4 pharmacies that fill its prescriptions, which most sellers do not

Watch-outs

  • Not included in the monthly price: clinician visits, coaching
  • The FDA has issued Hims a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality

SkinnyRx

What we like

  • Semaglutide costs $149.25 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $224.25 a month, 10% below the $250 median for compounded tirzepatide across the sellers we compare
  • The monthly price includes the medication, clinician visits and shipping
  • Offers both oral and injectable options, so the format is your choice

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • The FDA has issued SkinnyRx a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: SkinnyRx

SkinnyRx is where we would start, above all for starting below a standard dose, with microdose tiers. It also costs $49.75 less each month than Hims. Hims fits better if knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC is your priority.

Choose Hims if…

You want knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC and an opening price near $199 a month.

Choose SkinnyRx if…

You want starting below a standard dose, with microdose tiers and an opening price near $149.25 a month.

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9.2

He & She MD

Starting below a standard dose, with microdose tiers

5.9

Wellorithm

Compounded semaglutide at $247/month

6.6

Willow

Seeing what it charges before you answer any medical questions

Hims vs SkinnyRx: FAQ

SkinnyRx. It starts at $149.25 a month; Hims starts at $199 a month, $49.75 more per month.
Yes, both sell semaglutide and tirzepatide.
Hims lists 50 states; SkinnyRx does not publish where it ships. Confirm your state before paying.
Both include the medication itself. Only SkinnyRx includes the clinician visit and shipping.
Hims has an open FDA warning letter from September 9, 2025. SkinnyRx has an open FDA warning letter from February 20, 2026.
SkinnyRx pays us a commission on sign-ups through our links; Hims does not. Scores are computed the same way for both.

Or see the full category ranking.

Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.