Midi Health vs SkinnyRx
Midi Health and SkinnyRx sell different medications; this is what separates them.
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Midi Health
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Midi Health →
If you are choosing between Midi Health and SkinnyRx, price alone will not settle it. SkinnyRx leads our six-part score, 5.9 to 4.6. One of the two has an FDA warning letter on record, covered below.
Midi Health vs SkinnyRx price
SkinnyRx publishes $149.25 a month. Midi Health does not post a GLP-1 price we can quote, so you would only learn its cost after an intake.
Medications and formats
SkinnyRx lists semaglutide and tirzepatide; Midi Health does not name its drug.
On format, Midi Health posts no priced format, while SkinnyRx prices compounded injections and an oral option.
Where each one treats patients
Midi Health lists 50 states, and SkinnyRx does not publish where it ships.
Pricing
Midi Health
Per-visit self-pay fee, NOT a monthly medication price; GLP-1 medication billed separately or through insurance. No compounded medication price is published on the current site.
Per-visit self-pay fee; medication not included. Under insurance you instead pay your standard copay + deductible.
SkinnyRx
'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 as $199/mo*' on /products/semaglutide-oral; once-daily.
'As low as $249/mo*' on /products/semaglutide-tablets.
'As low as $224.25/mo*' and 'Starting at $224.25/mo with free overnight shipping'; microdose available; once-weekly.
'As low as $224.25/mo*' on /products/tirzepatide-tablets; once-daily.
'$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.'
'$1,400/mo*' on /products/wegovy-injectable. Wegovy PILL is listed 'Unavailable' ('available via SkinnyRx Membership', fee not published).
'$1,400/mo*' on /products/mounjaro.
'$1,400/mo*' on /products/zepbound. Foundayo (orforglipron) pill also listed but 'Unavailable' — price not published.
What each price covers
SkinnyRx's price also covers the clinician visit, the medication itself and shipping, which Midi Health does not claim.
Midi Health does not say what its price includes.
SkinnyRx is silent on lab work and coaching.
That matters most for the drug: unless Midi Health confirms otherwise, budget for medication on top of its listed price.
Midi Health
Inclusions not disclosed.
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, SkinnyRx scores 5.9 and Midi Health 4.6 out of 10.
Midi Health is stronger on trust & safety (5.0 vs 1.0) and accessibility (10.0 vs 5.0).
SkinnyRx is stronger on value (6.5 vs 3.0), effectiveness (10.0 vs 5.0), user experience (3.0 vs 2.5) and support (7.0 vs 5.0).
Midi Health
4.6/10
SkinnyRx
5.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent SkinnyRx a warning letter dated February 20, 2026 (letter 717989), and it is still open.
Midi Health has no FDA warning letter on record with us.
Features & Coverage
| Feature | Midi Health | SkinnyRx |
|---|---|---|
| Starting Price | Not published | $149.25/mo |
| Features | ✓5 features | 3 features |
| States Available | 50 | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 1 letter |
About Midi Health
Medicare, Medicaid, and Medi-Cal are all refused at Midi Health, though commercial insurance is taken. The platform covers menopause and perimenopause nationwide, in 50 states. GLP-1s are not sold here as a standalone weight-loss product; a clinician may add one at their discretion, a metabolic-health adjunct inside the menopause care framework.
Read our full Midi Health 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
Midi Health
What we like
- Serves all 50 states
- We found no FDA warning letters issued to Midi Health
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Ask which pharmacy fills the prescription before you pay, so you can check its license
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
SkinnyRx wins this one, 5.9 to 4.6, above all for starting below a standard dose, with microdose tiers. Midi Health fits better if coverage in all 50 states, which most sellers will not confirm is your priority.
Choose Midi Health if…
You want coverage in all 50 states, which most sellers will not confirm.
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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Sesame Care
Oral orforglipron alongside the injectables
From $59/mo
Get started →Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →Midi Health vs SkinnyRx: FAQ
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