SkinnyRx in brief
SkinnyRx suits someone who wants compounded semaglutide or tirzepatide as a weekly shot or a daily tablet, with free overnight shipping and FSA/HSA cards accepted. Injections start at $99 for the first month, but the public pages never print what month two costs, and compounded orders are closed to Alabama, Louisiana and Mississippi.
SkinnyRx — FDA warning letter, February 2026. Addressed to Lean Rx, Inc. dba SkinnyRx, and public in FDA’s warning-letter database.
- Price$99 first month
Assume we may earn a commission, at no cost to you. Partners we work with carry a small, fixed edge in where they are listed; the scores themselves are not adjusted.
- Semaglutide
- From $99 first month (injection; renewal price not published)
- Tirzepatide
- From $99 first month (injection; renewal price not published)
- Coverage
- 47 states and Washington DC — excludes Alabama, Louisiana and Mississippi
- Brand-name
- Compounded only
SkinnyRx pricing
As listed on SkinnyRx's own site, October 2026.
| Plan | Price | Billing | What's included |
|---|---|---|---|
| Compounded semaglutide injection | Price $99 first month | Billing Introductory price; the ongoing monthly rate is not printed on the public pages | Includes Clinician review, medication, free overnight shipping |
| Compounded tirzepatide injection | Price $99 first month | Billing Introductory price; the ongoing monthly rate is not printed on the public pages | Includes Clinician review, medication, free overnight shipping |
| Compounded semaglutide tablets | Price $149 first month | Billing Introductory price; one tablet a day | Includes Clinician review, medication, shipping |
| Compounded tirzepatide tablets | Price $199 first month | Billing Introductory price; one tablet a day | Includes Clinician review, medication, shipping |
| Wegovy pill or Foundayo pill | Price Listed as unavailable | Billing Offered only through a separate SkinnyRx membership | Includes No price published for the medication |
| See plans on SkinnyRx | |||
Our take on SkinnyRx
SkinnyRx sells four compounded GLP-1 products: injectable semaglutide, injectable tirzepatide, a once-daily semaglutide tablet and a once-daily tirzepatide tablet. Each one carries a "first month" price on the home page: $99 for either injection, $149 for the semaglutide tablet and $199 for the tirzepatide tablet. A banner across the top of every page reads "$99 GLP-1 Injections: While Supplies Last," and a pop-up promises "up to 43% off." What the product pages do not do is tell you the monthly rate after that first shipment. That is the single most useful number for anyone planning a year of treatment, and on SkinnyRx it is missing from the pages a shopper can read without signing up.
The company behind the brand is Lean Rx, Inc., and its medical director is named on the home page as Sajad Zalzala, M.D. Prescriptions come from licensed clinicians who review a written intake; depending on your state, that may mean a short video visit instead. Medication ships from a state-licensed 503A compounding pharmacy, and the site describes potency testing every three to six months and sterility testing on each lot. It does not name the pharmacy. Compounded semaglutide and tirzepatide are not FDA-approved, and SkinnyRx says so in its own footer.
Brand-name drugs are where the marketing runs ahead of the store. The hero line mentions "FDA-approved Wegovy, Foundayo and other GLP-1s," yet both the Wegovy pill and the Foundayo pill cards are labeled Unavailable, sold only through a separate SkinnyRx membership. If you want a brand-name prescription filled today, look elsewhere.
Where SkinnyRx does well is convenience. There is a companion app for dose reminders, meal ideas and weight logging, clinician questions are included at no extra charge through the patient portal, and the intake keeps your answers moving one screen at a time. A microdose version is offered on three of the four GLP-1 products for people who want a gentler start.
Signing up, paying and canceling
What SkinnyRx's own site shows a new patient.
- We walked the intake with dummy details in October 2026. It is two long sections: fifteen screens on goals, height, weight and birth date, then eighteen screens of medical history, including a page that pitches a vitamin B additive. The next step asks for a full shipping address and phone number. We stopped there, and no renewal price had appeared at any point along the way.
- The refund terms are stricter than the "cancel anytime" tone suggests. You get a full refund only if you cancel before a clinician finishes reviewing your prescription. Once the pharmacy starts filling it, the order is non-refundable, and leaving a discounted multi-month term early can claw back the discount.
- You can stop future months at any time, but the cancellation has to land before your next shipment is prepared. Each month you also fill out a short refill check-in before the medication ships again.
- Sermorelin is the one product with a clear public checkout: $199 charged today, renewing every month at $199. None of the GLP-1 products shows that kind of renewal line before you sign up.
The scorecard
SkinnyRx scored on our six published factors. See the methodology.
What we like
- Public first-month prices: $99 for either injection, $149 for the semaglutide tablet and $199 for the tirzepatide tablet
- 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 public pages never print the price after the first month, so ask for the renewal amount before you pay
- 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
SkinnyRx: common questions
How much does SkinnyRx cost?
SkinnyRx charges $99 for the first month of compounded semaglutide or tirzepatide injections, $149 for the first month of semaglutide tablets and $199 for tirzepatide tablets. Its public pages do not list the monthly price after that first month, so ask for the renewal amount before you pay.
Is SkinnyRx legit?
SkinnyRx is run by Lean Rx, Inc., names a medical director, uses licensed clinicians and ships from a state-licensed compounding pharmacy. It is a real telehealth service. Keep in mind that its compounded drugs are not FDA-approved and that the pharmacy is not named on the site.
What states does SkinnyRx serve?
SkinnyRx's terms say its compounded medications are not available in Alabama, Louisiana or Mississippi, and the site will not accept orders for them from those states. Branded medications may be offered in every state, though the brand-name pills were listed as unavailable in October 2026.
Can I get a refund from SkinnyRx?
You get a full refund if you cancel before a clinician finishes your prescription review, or if the clinician decides you do not qualify. After the pharmacy begins filling the order, it is non-refundable, and partial months are not refunded.
Does SkinnyRx take insurance?
No. SkinnyRx does not bill insurance and does not require it. It accepts major credit cards and FSA or HSA cards, and it offers Affirm financing on eligible purchases.
The verdict
Best for: People who want a GLP-1 tablet or shot with free overnight shipping, and who will ask for the renewal price before paying. Sells compounded semaglutide and tirzepatide as a weekly shot or a daily tablet, with first-month prices on its home page — but no public page prints what month two costs.
Ranked #152 of 548 providers we have reviewed — for comparison, read our CoreAge Rx review, ranked #1. In the ranking it sits between MyDrHank at #151, 68/100 above and SnagRx at #153, 68/100 below, with the Willow write-up 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 548 providers is the place to start if you are still shortlisting. We have also compared it head to head: CoreAge Rx vs SkinnyRx goes to CoreAge Rx, 94/100 to 68/100.
Compare SkinnyRx
Compare with other providers
The closest reviews to SkinnyRx by Verdict Score — the realistic shortlist if you are weighing this one up.
- #174Transparent Meds— Transparent Meds is an online GLP-1 weight-care service that connects you with licensed medical providers and leads with upfront pricing: compounded weekly injections of semaglutide at an intro $149/month…70/100
- #175Trava Health— Houston-based DTC telehealth offering compounded semaglutide+B12 and tirzepatide+B12 through SIX named 503A compounding pharmacy partners disclosed on Trava's own Terms + Telehealth Consent pages…70/100
- #176Wholesome Clinic— Wholesome Clinic is a Frisco, Texas integrative-psychiatry and wellness practice offering medical weight loss via telehealth across seven states.70/100
- #177Wellorithm— Four compounded formats at identical prices, plus four branded pens on the same account — but no static pricing page anywhere.67/100
- #178MyFastRx— A cash-pay compounded GLP-1 seller whose flat all-dose pricing is genuinely fair, and whose advertising almost never quotes it.69/100
- #179AHBARx— Prices both molecules openly before the intake, then hands the reader a set of legal pages that were never finished.69/100
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.