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SkinnyRx Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.3/10

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

6.3
★★★☆☆6.3/10

SkinnyRx falls below our bar on oversight: the FDA has issued it a warning letter. Its brand semaglutide tablets cost $248 a month, 8% below the $268.68 median among the sellers we compare.

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$248/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 October 2026

SkinnyRx sells compounded semaglutide and tirzepatide as weekly injections and daily tablets, with a microdose option, plus brand-name Ozempic, Wegovy, Mounjaro and Zepbound. Compounded injections are advertised at $99 for the first month; the rate from month two is not published before intake. Brand pens are listed at $1,400 a month, and the Wegovy and Foundayo pills from $248 a month through its membership. The company received an FDA warning letter in February 2026.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $248/moPrice after intakeIncludes medication + consult47 states

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 6.3/10 overall.

Is there a SkinnyRx promo or coupon code?

We know of no promo or coupon code for SkinnyRx. Its listed price is $99 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.

What customers say about SkinnyRx

Praised for

  • Reps are patient and explain options and how to start
  • Staff fix account, address and delivery problems quickly
  • Deliveries and check-ins run smoothly over long plans

Complained about

  • Some say the medication, especially the oral tablets, did not work for them
  • Auto-renewals or charges they did not expect, with refunds refused
  • Hard to reach anyone, and promised callbacks do not happen

Many 5-star reviews were invited after a sales or support call. A summary of customer reviews on the sites linked above, read on the date shown. These are customers’ own accounts; they are not part of our score.

SkinnyRx logo
6.3 / 10
Our editorial rating
Visit SkinnyRx →

from $99/mo · no insurance needed

SkinnyRx at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$99/mo
What's included
Medication · Consult · Shipping
Availability
47 states
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%

5.6/10

$248/month is 8% below the $268.68 median for brand semaglutide tablets across the sellers we compare.

Effectiveness25%

10.0/10

Dispenses orforglipron, semaglutide and tirzepatide, including the FDA-approved product. 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%

2.0/10

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

Accessibility10%

9.5/10

Serves 47 of 50 states.

Support10%

7.0/10

The price covers the medication, clinician visits and shipping.

6weighted dimensions
734sellers 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 October 2026
  • Checked the listed price across 10 dose or plan tiers
  • Checked state coverage: 47 states
  • 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 $248, tirzepatide $1,400, orforglipron $248. That leaves out membership fees, first-month rates and insurance copays.
  • SkinnyRx serves 47 of 50 states, so check that yours is one of them.
  • The FDA has issued SkinnyRx a warning letter. It is covered in the enforcement section below; read what it alleges before you decide.

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.

Cancel any time
Yes
Minimum commitment
None stated; subscriptions auto-renew until canceled at least 5 days before the renewal date
Refund policy
Full refund before a provider completes the prescription review; no refunds for partially used subscription periods

Medications SkinnyRx lists

SkinnyRx lists Wegovy, Ozempic, Zepbound, Mounjaro, Foundayo, compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.

Pricing

Prices re-verified

Weekly injection. First month only; the ongoing monthly rate is not shown before intakeCompounded
$99/mo
semaglutide

"$99 first month" on the product page, with a sitewide banner reading "$99 GLP-1 Injections: While Supplies Last". Microdose available. Free overnight shipping.

Daily tablet. First month only; the ongoing monthly rate is not shown before intakeCompounded
$149/mo
semaglutide

"$149 first month" on the semaglutide tablets page.

Weekly injection. First month only; the ongoing monthly rate is not shown before intakeCompounded
$99/mo
tirzepatide

"$99 first month with free overnight shipping" on the product page. Microdose available.

Daily tablet. First month only; the ongoing monthly rate is not shown before intakeCompounded
$199/mo
tirzepatide

"$199 first month" on the tirzepatide tablets page. Microdose available.

Ozempic pen, monthly plan, pay in full each month or financeBrand-name
$1,400/mo
semaglutide

"$1,400/mo*" on /products/ozempic. "*Price shown applies to Monthly plan paid upfront or with buy now, pay later programs." The page says no membership fee and one price at every dose.

Wegovy pen, monthly plan, pay in full each month or financeBrand-name
$1,400/mo
semaglutide

"$1,400/mo*" on /products/wegovy-injectable. "*Price shown applies to Monthly plan paid upfront or with buy now, pay later programs." The page says no membership fee and one price at every dose. The Wegovy pill is sold separately through a SkinnyRx membership, from $248/month.

Mounjaro pen, monthly plan, pay in full each month or financeBrand-name
$1,400/mo
tirzepatide

"$1,400/mo*" on /products/mounjaro. "*Price shown applies to Monthly plan paid upfront or with buy now, pay later programs." The page says no membership fee and one price at every dose.

Zepbound pen, monthly plan, pay in full each month or financeBrand-name
$1,400/mo
tirzepatide

"$1,400/mo*" on /products/zepbound. "*Price shown applies to Monthly plan paid upfront or with buy now, pay later programs." The page says no membership fee and one price at every dose. The Foundayo (orforglipron) pill is sold separately through a membership, from $248/month.

Wegovy pill, from; one combined monthly price (the site does not split the fee and the medication)Brand-name
$248/mo
semaglutide

"From $248/month" on /products/wegovy: "Once-daily tablet with semaglutide, available via SkinnyRx Membership".

Foundayo pill, from; one combined monthly price (the site does not split the fee and the medication)Brand-name
$248/mo
orforglipron

"From $248/month" on /products/foundayo and the homepage: "Once-daily tablet with orforglipron, available via SkinnyRx Membership".

Check the price yourself before you pay

Every figure here comes from SkinnyRx's own website, as of 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 $248 a month, 8% below the $268.68 median for brand semaglutide tablets across the sellers we compare
  • Tirzepatide costs $1,400 a month, close to the $1,299 median for brand-name tirzepatide across the sellers we compare
  • Orforglipron costs $248 a month, close to the $248 median for brand orforglipron tablets across the sellers we compare
  • The monthly price includes the medication, clinician visits and shipping
  • Serves 47 states

Against it

  • 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
  • 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 compounded semaglutide and tirzepatide are not 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 $248/month.

  • Compounded semaglutide (injection): $99 for the first month
  • Compounded semaglutide (tablet): $149 for the first month
  • Compounded tirzepatide (injection): $99 for the first month
  • Compounded tirzepatide (tablet): $199 for the first month
  • Ozempic pen: $1,400/month
  • Wegovy pill: $248/month

For brand semaglutide tablets, the median across the sellers we compare is $268.68/month, so SkinnyRx's $248 lands mid-market. Price is unlikely to be the deciding factor. Before you pay, compare SkinnyRx's cancellation terms with other sellers' cancellation and refund policies.

Wellorithm dispenses semaglutide and tirzepatide from $247/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 choice is between an FDA-approved pen and a compounded preparation that costs less. Compounding is lawful and often appropriate, but a compounded product is not an approved one, and the price gap is largely that difference. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy. The Wegovy pill is priced by dose; what it costs each way you can pay compares the routes.

Safety and disclosure

SkinnyRx tells you the 47 states it serves. 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. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If SkinnyRx will not tell you, treat that as a warning sign. Across the market, the FDA's GLP-1 warning letters are mostly about what sellers said rather than what pharmacies made. How we weigh oversight, disclosure and price is set out in our scoring methodology.

Who should look elsewhere

  • 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.

Our read

SkinnyRx lands mid-market on price. The catch is disclosure, which is why SkinnyRx scores low on Trust & Safety: settle the pharmacy and pricing questions above before the price decides for you. Direct Meds is the nearest comparison we review, and worth reading alongside this. 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. Its brand semaglutide tablets cost $248 a month, 8% below the $268.68 median among the sellers we compare.

Score: 6.3/10Best for: starting below a standard dose, with microdose tiersFrom: $248/mo

Before you pay SkinnyRx

Starting at $248 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 two counts, another seller does better.

  • If the standing monthly cost is what decides it, consider WellMedRx (from $49/mo).
  • If you want a human checking in, not just a prescription, consider Eden.

If none of these fits, our guide to alternatives to SkinnyRx sets more sellers in the same category beside SkinnyRx on price, states and what the price includes.

Alternatives to SkinnyRx

9.1/ 10
Verified partner

Collective

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

★★★★★9.1/10

Editorial score · methodology

$59/mo+ membership
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →
9.3/ 10
Verified partner

Embody

Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies

★★★★★9.3/10

Editorial score · methodology

$79/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →
7.9/ 10
Verified partner

Luvo Health

Best for: moving between compounded and brand without changing seller

★★★★☆7.9/10

Editorial score · methodology

$179/mo
CompoundedSemaglutideTirzepatideGonadorelinNAD+LegitScript Verified
Get StartedRead full Luvo Health review →

Compare SkinnyRx head to head

Our head-to-head pages for SkinnyRx are SkinnyRx vs Found, SkinnyRx vs Ro, SkinnyRx vs Fridays, SkinnyRx vs TrimRx, SkinnyRx vs Hers, and SkinnyRx vs Noom.

Frequently Asked Questions

SkinnyRx sells compounded semaglutide and tirzepatide as weekly injections and daily tablets, with a microdose option, plus brand-name Ozempic, Wegovy, Mounjaro and Zepbound. Compounded injections are advertised at $99 for the first month; the rate from month two is not published before intake. Brand pens are listed at $1,400 a month, and the Wegovy and Foundayo pills from $248 a month through its membership. The company received an FDA warning letter in February 2026. We rate it 6.3/10 overall.
SkinnyRx starts at $99 a month. The pricing table above lists every tier.
SkinnyRx names 47 states. Check that yours is on the list before you go any further.
SkinnyRx lists Wegovy, Ozempic, Zepbound, Mounjaro, Foundayo, compounded semaglutide and compounded tirzepatide. It lists both FDA-approved brand-name products and cheaper compounded versions.
SkinnyRx lists both. Compounded semaglutide and tirzepatide come out of a licensed compounding pharmacy and cost less. The brand pens are the FDA-approved reference products and cost more. What you give up on each path is set out in the review above.
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. Ask which pharmacy fills the prescription before you pay, so you can check its license. Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Other sellers we cover include SnagRx, Lttl, and YourEra. Which one fits depends on the medication, the monthly price you can sustain and whether it ships to your state, so compare those three facts before you switch.

How to check SkinnyRx yourself

Every seller that ships to your state, side by side: Arkansas, Idaho, Minnesota, New Mexico, Oklahoma, Oregon, Virginia, West Virginia and every other state.

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 October 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 (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.

See SkinnyRx's current pricing

Plans start at $248 a month. Whether you qualify is a clinician's decision, made after your intake.