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SkinnyRx Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 5.9/10

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

5.9
★★★☆☆3/5

SkinnyRx falls below our bar on oversight: the FDA has issued it a warning letter. Read the breakdown below before you give it money.

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$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

See plans →

Prices checked August 2026

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 (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
GLP-1 from $149.25/moPrice after intakeIncludes medication + consultOral + injectable

Is SkinnyRx legit?

SkinnyRx is a real, operating US company, and the FDA has issued it a warning letter. The letter is summarized at the top of this review. Read what it alleges before you decide, and raise it with the clinician who would prescribe for you. We rate SkinnyRx 5.9/10 overall.

Is there a SkinnyRx promo or coupon code?

We know of no promo or coupon code for SkinnyRx. Its listed price is $149.25 a month. Coupon sites advertising "SkinnyRx discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

See how SkinnyRx compares on our rankings of the best semaglutide providers and the best tirzepatide providers.

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
What's included
Medication · Consult · Shipping
FDA status
1 FDA warning letter (details 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 a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.

Value25%

6.5/10

$149.25/month is 19% below the $185 median for compounded semaglutide across the sellers we compare.

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

No price appears until the medical intake is finished.

Trust & Safety15%

1.0/10

The FDA has issued it a warning letter. No pharmacy is named for its prescriptions. Its price appears only after the medical intake.

Accessibility10%

5.0/10

No state list is available to check, so this is held at the midpoint rather than scored on reach.

Support10%

7.0/10

The price covers the medication, clinician visits and shipping.

6weighted dimensions
588sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →

What we checked on SkinnyRx

Last checked August 2026
  • Checked the listed price across 9 dose or plan tiers
  • Checked what the monthly price covers, and what it leaves out
  • Checked FDA warning letters for SkinnyRx

Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.

What signing up with SkinnyRx involves

What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.

  1. 1SkinnyRx shows a price only after you finish its medical questionnaire, so you cannot compare costs until you have shared health information.
  2. 2Ask SkinnyRx which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
  3. 3The monthly price includes the medication, clinician visits and shipping.
Price shown only after intake
  • Lowest ongoing monthly price: semaglutide $149.25, tirzepatide $224.25. That leaves out membership fees, first-month rates and insurance copays.
  • Confirm that SkinnyRx serves your state before you start.
  • The FDA has issued SkinnyRx a warning letter. It is covered in the enforcement section below; read what it alleges before you decide.
  • 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.

Contacting SkinnyRx

Email
SkinnyRx offers email support

Cancelling SkinnyRx

Taken from the terms SkinnyRx publishes. Terms change, so check the current policy before you subscribe.

Refund policy
90-day money-back guarantee

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 costs $149.25 a month, 19% below the $185 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

Against it

  • 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

What SkinnyRx charges

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

  • 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: $1,400/month

For compounded semaglutide, the median across the sellers we compare is $185/month, so SkinnyRx's $149.25 is genuinely below the middle, not just advertised that way.

Found dispenses semaglutide and tirzepatide from $149/month, which makes it the fair comparison to run before you commit 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 proven equal to the shot.

Safety and disclosure

Before you start an intake, ask SkinnyRx which states it serves, which pharmacy fills its prescriptions and what the monthly price includes. The FDA has issued SkinnyRx a warning letter, summarized at the top of this page. A letter flags a problem rather than ruling a seller out, so read what it says before deciding what it means for you. The pharmacy question matters most here because the medication is compounded. If SkinnyRx will not name the pharmacy, treat that as a warning sign. How we weigh oversight, disclosure and price is set out in our scoring methodology.

Who should look elsewhere

  • You want the FDA-approved pen specifically. Everything listed here is compounded.
  • You need insurance to cover the cost. Check whether SkinnyRx bills your plan before you start.
  • A seller's regulatory history matters to you more than price. Read the warning letter summarized 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 warning letter is what to weigh against that, not a footnote to it. Whatever you decide, read the warning letter summarized at the top of this page first, and raise it with the clinician who would prescribe for you.

The Bottom Line

SkinnyRx falls below our bar on oversight: the FDA has issued it a warning letter. Read the breakdown below before you give it money.

Score: 5.9/10Best for: starting below a standard dose, with microdose tiersFrom: $149.25/mo

Before you pay SkinnyRx

Starting at $149.25 a month. Check today's price, then start the intake.

Where SkinnyRx is the wrong choice

No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.

  • If you need the FDA-approved pen rather than a compounded vial, consider Sesame Care.
  • If the standing monthly cost is what decides it, consider Collective (from $59/mo).
  • If you want a human checking in, not just a prescription, consider Found.

Alternatives to SkinnyRx

5.7/ 10
Verified partner

HumeCare+

Best for: an oral route if you will not self-inject

★★★☆☆2.9/5

Editorial score · methodology

$199/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full HumeCare+ review →
6.5/ 10
Verified partner

Sesame Care

Best for: oral orforglipron alongside the injectables

★★★☆☆3.3/5

Editorial score · methodology

$59/mo
CompoundedSemaglutideTirzepatideOrforglipron
Get StartedRead full Sesame Care review →
8.4/ 10
Verified partner

Collective

Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top

★★★★☆4.2/5

Editorial score · methodology

$59/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →

Compare SkinnyRx head to head

The sellers closest to SkinnyRx on medication and price.

Frequently Asked Questions

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. We rate it 5.9/10 overall.
SkinnyRx starts at $149.25 a month. The pricing table above lists every tier.
Ask SkinnyRx whether it serves your state before you start the intake, and get the answer in writing.
SkinnyRx sells semaglutide (sold as Wegovy and Ozempic) and tirzepatide (sold as Zepbound and Mounjaro). Every dose it lists is compounded. A needle-free oral form is listed as well.
SkinnyRx lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
Check whether SkinnyRx bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
SkinnyRx says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. SkinnyRx runs that whole sequence on its own site.
The FDA warning letter is the one that matters, and it is summarized at the top of this review. Also weigh these before you buy: 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.

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 Framework— U.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 Standards— Accreditation 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@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.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@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.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 a month. Whether you qualify is a clinician's decision, made after your intake.