Is SkinnyRx legit? reviews, its FDA letter and costs

SkinnyRx is a real telehealth business: clinicians from affiliated medical practices decide whether to prescribe, licensed US pharmacies fill the orders, and its site shows a LegitScript seal that read certified when we checked. It also received an FDA warning letter in February 2026 about how it marketed its compounded GLP-1s, it publishes only first-month prices, and its BBB file holds 166 complaints in three years. Here is what we confirmed on SkinnyRx’s own pages, the FDA’s site and review sites, as of Nov 9, 2026.

SkinnyRx is one of the providers that pay us when you sign up through our links. This page reports its public record in full, the FDA letter and complaints included, and its place in our rankings comes from our published score.

Who runs SkinnyRx

SkinnyRx’s terms of service (last updated Sept 22, 2026) name Lean Rx, Inc. as the company that owns and runs the site, and the FDA and BBB list it at 2108 N Street in Sacramento, California. BBB gives a business start date of Jan 19, 2019.

The terms say in capital letters that Lean Rx is not a health care provider or a pharmacy. According to its terms and pages:

• Providers from its affiliated medical practices, which it describes as separate professional corporations, decide whether to prescribe after an online consultation.
• Pharmacies that SkinnyRx doesn’t own or control dispense the medication under their own licenses. Its pages call them licensed US pharmacies and say they run third-party quality tests on each compounded lot.
• Brand-name medication filled outside its partner pharmacies is bought and billed through that pharmacy or the maker’s program.
• SkinnyRx doesn’t take commercial insurance and isn’t enrolled in Medicare or Medicaid.
• Compounded medication isn’t available in Alabama, Louisiana or Mississippi; brand-name options may be available in every state.

Licensing and LegitScript

SkinnyRx’s footer shows LegitScript seal 20928997, and when we loaded that seal from LegitScript’s server on Nov 9, 2026 it read “LegitScript Certified.” LegitScript’s own lookup form didn’t load for us, so the seal is what we checked. LegitScript checks how an online health business handles licensing and pharmacy rules; it isn’t a rating of the care you’ll get.

SkinnyRx doesn’t name its pharmacies on its site or say whether they are 503A or 503B pharmacies. The pharmacy that filled your order is printed on the label.

The FDA warning letter

On Feb 20, 2026, the FDA’s Center for Drug Evaluation and Research sent SkinnyRx a warning letter after reviewing skinnyrx.com in December 2025. The FDA posted it on Mar 3, 2026, the same day it announced warning letters to 30 telehealth companies over compounded GLP-1 marketing. The letter named two problems:

• The labels in its photos. Pictures of its compounded semaglutide and tirzepatide showed “SkinnyRx” on the label, suggesting SkinnyRx compounded them when it doesn’t.
• Claims tied to brand-name drugs. The FDA quoted 3 lines that linked its compounded products to FDA-approved GLP-1s such as Mounjaro and Zepbound, by family or by active ingredient. Compounded drugs aren’t FDA-approved, and the FDA said the claims implied they were.

The FDA said those claims made the products misbranded and asked SkinnyRx to reply in writing within 15 working days, suggesting it identify the companies that produce its compounded products. A warning letter is the FDA’s formal notice that it believes the law was broken; it isn’t a fine, a recall or a finding about a batch of medicine. SkinnyRx’s pages now say compounded drugs aren’t FDA-approved or evaluated for safety, effectiveness or quality, and that product images are illustrative.

What SkinnyRx sells

GLP-1 medicines carry a boxed warning: the FDA labels for semaglutide (Wegovy) and tirzepatide (Zepbound) warn that the drugs caused thyroid C-cell tumors in rodents and that people with a personal or family history of medullary thyroid carcinoma or MEN 2 shouldn’t use them.

SkinnyRx sells compounded semaglutide and tirzepatide as weekly injections or daily tablets, with microdose options, and the FDA-approved Wegovy pill and Foundayo through a membership.

Compounded semaglutide and tirzepatide are not Wegovy, Ozempic or Zepbound and not generics of them. A compounding pharmacy prepares them, and they aren’t FDA-approved; the FDA says it doesn’t review compounded drugs for safety, effectiveness or quality before they’re marketed. For where the tablet form stands, see our guide to the tirzepatide pill.

What SkinnyRx costs

As of Nov 9, 2026, SkinnyRx publishes first-month prices only:

The injection pages carry a “$99 GLP-1 Injections: While Supplies Last” banner. Its terms say renewals can be charged up to 5 days before your next period starts, and its refund text says discounts can be reversed if you cancel before the end of a promotional or committed term. Because the price from month two isn’t published, get it in writing before you pay. To compare with programs that publish an ongoing price, see our weight loss price index.

SkinnyRx reviews and complaints

Both read on Nov 9, 2026:

Scroll sideways to see the full table

BBB gives two reasons for the B-: the number of complaints, and 1 complaint it lists as unresolved.

We read the 10 most recent complaints, filed from Aug 30 to Oct 12, 2026. Three themes repeat:

• Paid, then waiting. Customers describe weeks without medication after paying, or late deliveries.
• Charges they didn’t expect. One customer’s 6-month plan renewed for another 6 months automatically; another saw no price for the next shipment before it was charged; another was sent several months of tablets at once.
• Refunds not given. Customers who said the tablets didn’t help them asked for refunds and say they didn’t get them.

SkinnyRx answered 9 of the 10 on BBB; BBB lists 2 as resolved and 1 as unresolved. Trustpilot and BBB show very different pictures: Trustpilot’s score is built mostly from customers SkinnyRx invites, while the BBB mostly hears from people with a dispute.

Refunds and cancellation

• Before the review. You can cancel and get a full refund any time before a provider finishes reviewing your prescription.
• After fulfillment starts. The order is non-refundable. SkinnyRx doesn’t refund partly used subscription periods, and bundles are non-refundable. Any other refund is at its discretion and only after unopened medication goes back to the pharmacy, at your cost; pharmacy, provider, shipping and processing fees are never refunded.
• Cancel 5 days ahead. Subscriptions renew automatically unless you cancel at least 5 days before the renewal is processed.
• The 90-day guarantee. If you keep a paid membership for 90 days in a row, log your weight and every dose in its app each week, and weigh the same or more at the end, you can claim back what you paid for the program in those 90 days, within 14 days. It can be used once.

The bottom line

SkinnyRx is a legitimate telehealth business with affiliated prescribers, licensed pharmacies and a LegitScript seal that read certified. Its February 2026 FDA warning letter was about marketing, not about a batch of medicine, and its pages now say compounded drugs aren’t FDA-approved. The practical problem is price: you see only what the first month costs, and its BBB file shows customers surprised by later charges. If you sign up, get the ongoing monthly price in writing, avoid bundles until you know the medication suits you, and cancel at least 5 days before any renewal you don’t want.

Other options

Our SkinnyRx review scores it against the other programs we list. If you’d rather see the ongoing price before you start, compare:

• The best online GLP-1 programs
• Oral GLP-1 programs
• The cheapest GLP-1 programs online

For the rules behind compounded GLP-1s, read is compounded semaglutide legal and safe?