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Ranked #150 · Grade C

SkinnyRx review

Sells compounded tirzepatide as a tablet at the same price as the injection, which few rows here do — but its headline rate is the twelve-month rung, charged as a single up-front payment, and the company carries an FDA warning letter from February 2026.

Pricing last checked on SkinnyRx's own site .

SkinnyRx — FDA warning letter, February 2026. Addressed to Lean Rx, Inc. dba SkinnyRx, and public in FDA’s warning-letter database.

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Semaglutide
$349/mo month-to-month, $299/mo on 4 months, $249/mo on 6 months, $199/mo on a 12-mo prepay
Tirzepatide
$399/mo month-to-month either route, $349/mo on the 3-4 month tier, $329/mo on 6 months, $299/mo on a 12-mo prepay
Coverage
47 states and Washington DC — excludes Alabama, Louisiana and Mississippi
Brand-name
Compounded only

The scorecard

SkinnyRx scored on our six published factors. See the methodology.

Real-world results72/100
Price honesty48/100
Prescriber access72/100
Formulary choice84/100
Cancellation fairness72/100
Member support68/100

What we like

  • Compounded tirzepatide tablets cost exactly what the injection costs at all four terms — $399, $349, $329 and $299 — so avoiding the needle carries no premium here
  • Every term and its rate is visible on the product pages before any medical intake, so the ladder can be compared without handing over personal details
  • Both molecules by both routes — injectable and tablet or sublingual — plus a separate low-dose line with its own page
  • Publishes concrete terms rather than vague ones: free shipping, unlimited provider messaging, a 90-day money-back guarantee, and no charge at all if a clinician decides you are not a candidate
  • Names the states it does not serve instead of saying 'select states': 47 states and Washington DC, with the three exclusions stated

The caveats

  • The advertised 'as low as $199/mo' semaglutide and '$299/mo' tirzepatide are the twelve-month rungs; month-to-month is $349 and $399. The shop-price helper filters the one-month plan out before picking the longest term, so the monthly rate exists in the data and is engineered not to appear in the headline
  • Those discounted rungs are not paid monthly: checkout charges rate × months in one payment on the day you order — $2,388 for the semaglutide year, $3,588 for the tirzepatide year — and auto-renews for the full amount each term. Affirm financing only appears on plans longer than one month, which are exactly the ones needing the lump sum
  • The microdose SKUs cost the same as the full dose at every shared term and have a HIGHER floor ($229 against $199 on semaglutide, $319 against $299 on tirzepatide) because they stop at eight months — more money for less drug, and no page says so
  • No brand product can actually be bought: Ozempic, Wegovy, Mounjaro and Zepbound carry no purchase price, and the Wegovy and Foundayo pills are marked unavailable. The only priced route there is a $49/mo membership 'plus medication cost', and that cost is not published
  • Compounded only and not FDA-approved, dispensed by four pharmacies named in section 11 of the Terms but classified nowhere — the strings "503A" and "503B" do not appear in those Terms at all — and with no named medical director for the program
  • 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: People who want tirzepatide by mouth without paying a premium for skipping the needle, and who can pay a year up front — that is the only tier where the price stops being expensive. Sells compounded tirzepatide as a tablet at the same price as the injection, which few rows here do — but its headline rate is the twelve-month rung, charged as a single up-front payment, and the company carries an FDA warning letter from February 2026.

Ranked #150 of 539 providers we have reviewed — for comparison, read our ruling on CoreAge Rx, our #1 pick. In the ranking it sits between MyDrHank at #149, 68/100 above and SnagRx at #151, 68/100 below, with the Andrew Meds ruling the next one down.

Weighing it against something else? Every provider we would put in front of SkinnyRx is ranked on price honesty, prescriber access and cancellation terms.If you would rather start from the top of the field, our full board of 539 providers is the place to start if you are still shortlisting. We have also ruled on it directly: CoreAge Rx vs SkinnyRx goes to CoreAge Rx, 94/100 to 68/100.

Compare with other providers

The closest rulings to SkinnyRx by Verdict Score — the realistic shortlist if you are weighing this one up.

Browse all 539 rulings, ranked →

Pricing, states and verification reflect SkinnyRx's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on SkinnyRx's site. Not medical advice; see our disclosure.

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