Lean Rx is a Sacramento-based telehealth technology platform offering compounded GLP-1 weight loss medications.
Lean Rx — FDA warning letter, February 2026. Addressed to Lean Rx, Inc. dba SkinnyRx, and public in FDA’s warning-letter database.
- SemaglutideFrom $266/mo
- TirzepatideFrom $399/mo
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- Semaglutide
- From $266/mo (starting dose, compounded)
- Tirzepatide
- From $399/mo (starting dose, compounded)
- Coverage
- Not disclosed
- Brand-name
- Compounded only
The scorecard
Lean Rx scored on our six published factors. See the methodology.
What we like
- Both semaglutide and tirzepatide offered
- Three formulations: injectable, sublingual, and tablet
- Upfront pricing with no hidden fees advertised
- Semaglutide starts at a low $266/month
- Telehealth call with a licensed provider before prescribing
The caveats
- Compounded-only; no FDA-approved branded options
- No published state availability list
- Platform is technology only, not a healthcare provider itself
- Provider credentials not detailed on site
- FDA issued a warning letter to Lean Rx, Inc. dba SkinnyRx in February 2026; it is public in FDA's warning-letter database
The verdict
Best for: Patients wanting compounded GLP-1 in injectable, sublingual, or tablet form.
Ranked #258 of 548 providers we have reviewed — for comparison, read the CoreAge Rx review, ranked #1. In the ranking it sits between Lavender Sky Health at #257, 66/100 above and Lemonaid Health at #259, 66/100 below, with the Levers Health write-up the next one down.
A grade C is a ranking, not an instruction to stop looking: the closest rivals to Lean Rx are scored on the identical rubric, so the comparison is like for like. For the wider picture, every review we have published ranks the field on the same six factors. We have also compared it head to head: CoreAge Rx vs Lean Rx goes to CoreAge Rx, 94/100 to 66/100.
Compare Lean Rx
Compare with other providers
The closest reviews to Lean Rx by Verdict Score — the realistic shortlist if you are weighing this one up.
- #229Society of You— Society of You is a US telehealth brand (Society Management Group) offering compounded GLP-1 weight-loss medication filled through named partner pharmacies (Emerald and Striker).68/100
- #230Velvet Rx— Velvet Rx is a cash-pay telehealth platform offering compounded semaglutide, compounded tirzepatide, and an oral GLP-1 across three publicly-listed SKUs ranging from $139 to $199 'today'…68/100
- #231Fierce Health— Fierce Health is a direct-to-consumer telehealth brand selling compounded semaglutide and tirzepatide in both standard and microdose programs, alongside a longevity catalog.68/100
- #232Found— An insurance-brokered GLP-1 marketplace whose $99/mo headline is the best of four different prices, unlocked only with both insurance and a 12-month prepay.65/100
- #233System Labs— One flat $179 a month at every dose, month to month, with a named medical board standing behind it — but a single tirzepatide program, with no semaglutide, no tablet and no brand-name option to switch to.65/100
- #234Belle Health— Nine-year-old Utah telehealth firm offering compounded and brand GLP-1s in all fifty states.67/100
Pricing, states and verification reflect Lean Rx's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Lean Rx's site. Not medical advice; see our disclosure.