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SkinnyRx Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6/10

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

6.0
★★★☆☆3/5

SkinnyRx falls below our bar on medical oversight. Read the breakdown below before you give it money.

$149.25/mo

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

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No insurance neededVetted by our editors

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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.

By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
GLP-1 from $149.25/moPrice after intakeIncludes medication + consultOral + injectable

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★★★★4/5

Editorial score · methodology

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Best for: compounded semaglutide at $249/month

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Best for: tirzepatide at $169/month, 37% under the register median

★★★★4.4/5

Editorial score · methodology

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SkinnyRx logo
3.0 / 5
Our editorial rating
Visit SkinnyRx

from $149.25/mo · no insurance needed

SkinnyRx at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$149.25/mo ('As low as $149.25/mo*' — plan-length/promo dependent (matches the sitewide '25% lower prices' promo, $199 x 0.75); s...)
What's included
Medication · Consult · Shipping
FDA status
1 FDA warning letter on record — see below

How SkinnyRx scores

Six columns, each one computed from something SkinnyRx has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where it publishes nothing, that absence is what gets scored. Every seller in the register goes through the same six columns.

Value25%

6.7/10

$149.25/month is 21% below the register median of $189 for compounded semaglutide.

Effectiveness25%

10.0/10

Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).

User Experience15%

3.0/10

On the seller's own pages, no price appears until the medical intake is finished.

Trust & Safety15%

1.0/10

1 FDA warning letter on record; does not name a dispensing pharmacy; withholds price until after the intake. Our verification confidence is medium.

Accessibility10%

5.0/10

Publishes no list of states served, so coverage cannot be confirmed either way. Capped at the midpoint — this measures disclosure, not reach.

Support10%

7.0/10

The price covers medication, consult, shipping.

6weighted dimensions
560sellers in the register
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

A seller that will not show a price before an intake loses points on Value and carries that note in its review. Withholding the number is itself a finding. How we score →

What we checked on SkinnyRx

Last checked July 2026
  • Re-read the price on file across 9 dose or plan tiers
  • Established what the monthly figure covers, and what it leaves out
  • Searched our FDA enforcement register for this operator

Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below. Editorial confidence in this data: medium.

What signing up with SkinnyRx involves

Assembled from this seller’s entry in the register — the price record, the state list, the dispensing pharmacy where one is named, and what the monthly figure covers. It describes what a reader can expect to meet on the way to a prescription, and what is missing from the seller’s own disclosures. It is not a clinical judgment and not a prescribing decision.

  1. 1SkinnyRx does not show a price until you have worked through its medical questionnaire. Budget for the fact that you cannot compare it against anything until you have handed over health information.
  2. 2The intake is a written questionnaire. No live video visit or baseline bloodwork is recorded as required.
  3. 3SkinnyRx does not say which pharmacy dispenses the medication. That is common here and it means you cannot check the pharmacy's record before you buy.
  4. 4The monthly price is recorded as covering medication, consult, shipping.
Price shown only after intake
  • Cheapest standing monthly prices on record: semaglutide $149.25, tirzepatide $224.25. Membership fees, first-month rates and insured copays are excluded from those figures.
  • No state list is published, so whether SkinnyRx serves your state cannot be confirmed from its site.
  • 1 FDA warning letter on record. The letter itself is linked in the enforcement section below — read what it alleges rather than the fact that it exists.
  • The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.

SkinnyRx support, as documented

GLP-1 medications SkinnyRx offers

Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.

Pricing

Prices re-verified

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.

Check the price yourself before you pay

Every figure here was read off SkinnyRx's own checkout on the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.

See SkinnyRx pricing →

In its favor

  • Semaglutide at $149.25 a month, within the normal band around this register's $189 median for the same drug and form
  • The monthly figure covers medication, consult, shipping
  • Both oral and injectable options are on record, so the format is a choice rather than a condition

Against it

  • No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
  • No state list is on record here, so whether it serves your state cannot be confirmed from this page
  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • 1 FDA warning letter matched to this operator in our enforcement register — read what the letter alleges, since a letter discloses a problem rather than disqualifying a seller
  • 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

What SkinnyRx charges

The standing price at SkinnyRx is $149.25/month. That sits at the affordable end of what we track.

  • Compounded semaglutide — $149.25/month
  • Oral semaglutide — $199/month
  • Compounded semaglutide — $249/month
  • Compounded tirzepatide — $224.25/month
  • Compounded tirzepatide — $224.25/month
  • Compounded semaglutide — $1400/month

Across the GLP-1 providers in our register the median standing price is about $169/month, so SkinnyRx is genuinely under the middle rather than merely advertising that it is.

Found dispenses semaglutide and tirzepatide from $149/month, which makes it the honest comparison to run before committing here.

What SkinnyRx dispenses

SkinnyRx prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two best-evidenced weight-loss molecules currently on the market. The medication is compounded rather than dispensed as an approved pen. Compounding serves real clinical needs and is entirely lawful; what it is not is reviewed, and the cost difference reflects that.

A needle-free oral option is genuinely uncommon and is the reason some readers will look at SkinnyRx at all. Set expectations on the evidence, though: the published weight-loss trials for these molecules used injections. Oral and sublingual delivery of peptides is far less studied, so treat it as a route that solves the needle problem rather than as a demonstrated equal to the shot.

What we could verify

SkinnyRx publishes little that can be checked from outside an intake. FDA has sent this operator a warning letter, and we flag it at the top of the page. A letter is a disclosure, not a disqualification: read what it actually says before deciding what it means for you. Because the medication is compounded and no dispensing pharmacy is named publicly, the single most useful question to ask at intake is which licensed pharmacy fills the prescription. A seller that will not answer that has told you something. How we weigh oversight, disclosure and price evidence is set out in our scoring methodology.

Who should look elsewhere

  • You want the FDA-approved pen specifically. Nothing here is the approved finished product.
  • You need to bill insurance. Like most of this market, this is cash-pay.
  • A regulatory record matters to you more than price does — read the warning letter flagged above before deciding.

It fits if

  • the lowest standing monthly cost is what you are solving for
  • injections are the thing keeping you from starting

Our read

SkinnyRx competes on price, and at $149.25/month it competes well. The FDA letter on file is the thing to weigh against that, not a footnote to it. Whatever you decide, read the warning letter flagged at the top of this page first, and raise it with the clinician you would be prescribing through.

The Bottom Line

SkinnyRx falls below our bar on medical oversight. Read the breakdown below before you give it money.

Score: 6/10Best for: starting below a standard dose, with microdose tiersFrom: $149.25/mo

Before you pay SkinnyRx

Starting at $149.25/month. Check today's price, then book the free consultation.

Where SkinnyRx is the wrong choice

No seller in this register suits every reader, and saying otherwise would be the easiest way to sell one. On these four counts another entry does better.

  • If you need the FDA-approved pen rather than a compounded vial, consider Found.
  • If the standing monthly cost is what decides it, consider Telos Rx (from $99/mo).
  • If you want a human checking in, not just a prescription, consider Oak.

Frequently Asked Questions

Glossary

The words sellers use, defined. Tap any term.

Regulatory notice

SkinnyRx has an FDA warning letter on record, dated February 20, 2026

This letter concerns false & misleading claims/misbranded. A warning letter is public correspondence from FDA, not an adjudication. On its own it establishes no finding of illegal activity, and a company that gets one often answers with corrective action.

Read the full letter →

Sources

Cited across this SkinnyRx review: primary regulatory filings, and peer-reviewed studies.

Sources & methodology — as of August 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)GLP Watchdog.
  2. 2.FDA — Compounding and the 503A Pharmacy FrameworkU.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board StandardsAccreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)Kaiser Family Foundation.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)New England Journal of Medicine.PMID: 33567185.
  7. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDAU.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDAU.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDAU.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDAU.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)New England Journal of Medicine.PMID: 40334173.

See SkinnyRx's current pricing

Plans start at $149.25/month. The free consultation is where you learn whether you qualify, and what it costs today.