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SkinnyRx review

SkinnyRx starts compounded semaglutide or tirzepatide injections at $99 for the first month and tablets at $149 to $199, with free overnight shipping on every order. It does not publish what you pay from the second month. It also sells the FDA-approved Wegovy pill and Foundayo through a membership from $248 a month. Compounded medication is not available in Alabama, Louisiana or Mississippi.

By the RxLineup editorial team · Fact-checked against provider sites and FDA labels · Updated

· How we rate

Advertiser disclosure

RxLineup earns a fee when you click a link to a provider and complete a qualifying step. Only providers that pay us appear in our rankings and reviews. Our guides also name providers that don’t pay us, so you can see the whole market.

We don’t cover every program on the market. Prices change often, so confirm the details with the provider before you enroll.

Full disclosure
SkinnyRx logo

Rated 7.9 out of 10, Good

How we score

From $99 Compounded semaglutide, for the first month

Only providers that pay us appear in our rankings and reviews, and we’re paid when you sign up through our links. How we make money

Check eligibility with SkinnyRx (opens in a new tab)

on skinnyrx.com

Medications
Sema, Tirz, Oral GLP-1, Wegovy pill, Foundayo
Insurance
Self-pay
Same price at every dose
Not stated

What we like and what to watch

Strengths

  • $99 first month on injections
  • Free overnight shipping
  • Compounded injections or tablets, or the Wegovy pill and Foundayo
  • Clinician consults included
  • Not charged if ineligible

Drawbacks

  • Only first-month prices are published for compounded plans
  • Compounded medication not available in AL, LA or MS
  • Non-refundable once fulfillment starts
  • What the $248 brand-name membership price covers isn’t stated

Best for

A low first month and overnight delivery.

How SkinnyRx scores

Scored out of 10 on our five weighted criteria. The overall score, 7.9, is their weighted average. How we rate

  • Price & value 30%

  • Clinical care 25%

  • Medication options 20%

  • Transparency 15%

  • Experience 10%

What it costs

SkinnyRx pricing, checked Nov 6, 2026
Item Price
Compounded semaglutide $99 for the first month
Compounded tirzepatide $99 for the first month
Membership No membership fee published for compounded plans. The Wegovy pill and Foundayo are sold through a SkinnyRx Membership, listed “From $248/month”; its terms say branded medication is billed by a third-party pharmacy or the maker’s program and the membership fee isn’t refundable, so what the $248 covers isn’t stated –
Insurance Insurance not required. FSA/HSA accepted Self-pay

– Not published by SkinnyRx.

Want a full estimate with membership and dose changes? Try the GLP-1 cost calculator.

Medications offered

Unbranded injection pen on a warm limestone surface

Compounded medications are prepared by licensed pharmacies and are not FDA-approved.

Safety

One of these treatments carries an FDA boxed warning, the strongest warning on a label: GLP-1 medications.

SemaglutideNot FDA-approved
GLP-1 medications carry a boxed warning for thyroid C-cell tumors and are not for people with a personal or family history of medullary thyroid carcinoma or MEN 2. FDA label
TirzepatideNot FDA-approved
GLP-1 medications carry a boxed warning for thyroid C-cell tumors and are not for people with a personal or family history of medullary thyroid carcinoma or MEN 2. FDA label
Compounded GLP-1sCompounded; not FDA-approved
GLP-1 medications carry a boxed warning for thyroid C-cell tumors and are not for people with a personal or family history of medullary thyroid carcinoma or MEN 2.
Wegovy pillFDA-approved for long-term weight reduction (adults)
GLP-1 medications carry a boxed warning for thyroid C-cell tumors and are not for people with a personal or family history of medullary thyroid carcinoma or MEN 2.
FoundayoFDA-approved for long-term weight reduction (adults)
GLP-1 medications carry a boxed warning for thyroid C-cell tumors and are not for people with a personal or family history of medullary thyroid carcinoma or MEN 2.

Not medical advice. A licensed clinician decides whether a treatment is right for you; read the full prescribing information before you start.

What’s included

  • Compounded tablets, or the Wegovy pill and Foundayo through a membership
  • Clinician consults at no extra cost in the patient portal
  • Free overnight shipping on every order
  • Not charged if you are not eligible

How it works

Four steps, from the first questionnaire to ongoing dose changes.

Plain shipping box on a sunny front step

  1. Answer an online health questionnaire

    Your history, current medications and goals. It usually takes a few minutes.

  2. A licensed clinician reviews it

    If SkinnyRx needs more information, they’ll message you or book a visit.

  3. Medication ships to your door

    If you are prescribed, a licensed pharmacy ships your medication and supplies.

  4. Ongoing check-ins and dose changes

    Your clinician adjusts your dose over time and helps with side effects.

Is SkinnyRx legit?

What SkinnyRx’s own pages show, checked on Nov 6, 2026. LegitScript and a named pharmacy are checks on who prescribes and who fills; neither rates the care.

Who prescribes
Online medical intake; licensed clinician reviews; depending on state a quick video visit or a prescription within 24 hours; clinician consults at no extra cost through the portal, with unlimited access to the care team; monthly refill form and check-in; medical director Sajad Zalzala, M.D.
LegitScript
Displays LegitScript certification, a third-party check against licensing and pharmacy rules. It isn’t a rating of the care.
Pharmacy
Doesn’t name its pharmacy on its pages.
Prices
Publishes 5 prices before you sign up.
Refunds and terms
Not charged, or a full refund within 24 to 48 hours, if you are not eligible. Its terms add a 90-day money-back guarantee if your weight logged in its app hasn’t gone down after 90 days, provided you log your weight and every dose each week.
Last checked
November 6, 2026, against 9 of its own pages.

What customers say about SkinnyRx

Ratings, complaints and FDA letters as each source showed them on Nov 6, 2026, good or bad. Scores and the order of each list come from our published rating method.

Trustpilot
TrustScore 4.8 out of 5 from 5,401 reviews.Trustpilot page, checked Nov 6, 2026 (opens in a new tab)
Better Business Bureau
Profile for SkinnyRX. B- rating, not BBB accredited. 166 complaints in the last 3 years (84 in the last 12 months). BBB’s reasons for the rating: 166 complaints, 1 of them not resolved.BBB profile, checked Nov 6, 2026 (opens in a new tab)
FDA warning letters
FDA sent Lean Rx, Inc. (d/b/a SkinnyRx) a warning letter on Feb 20, 2026 about false or misleading claims concerning compounded semaglutide and tirzepatide on its website.FDA letter of Feb 20, 2026 (opens in a new tab)
Who runs it
Lean Rx, Inc. (d/b/a SkinnyRx). Address on its own pages: 2108 N Street, Suite N, Sacramento, California. It says it is not a healthcare provider or a pharmacy.Its own page, checked Nov 6, 2026 (opens in a new tab)

The fine print

Prices
As listed on skinnyrx.com when we checked on Nov 6, 2026. Prices change often and some are introductory, so confirm the total before you pay.
Refunds and guarantee
Not charged, or a full refund within 24 to 48 hours, if you are not eligible. Its terms add a 90-day money-back guarantee if your weight logged in its app hasn’t gone down after 90 days, provided you log your weight and every dose each week.
Availability
Compounded medication not available in Alabama, Louisiana or Mississippi; brand-name pills may be available in every state
LegitScript certified
Yes

Alternatives

Other highly rated programs, highest score first, and how each compares head to head.

  1. 01
    Eden

    A flat all-in price with a results warranty

    Rated 9.1 out of 10, Excellent

    From $99/mo

    Visit site for Eden (opens in a new tab)
  2. 02
    Measured

    Low compounded prices, plus prior authorization help for brand-name GLP-1s

    Rated 9.0 out of 10, Excellent

    From $199/mo

    Visit site for Measured (opens in a new tab)
  3. 03
    MEDGm

    Labs and video access included, with tablets and brand-name options

    Rated 8.9 out of 10, Excellent

    From $299/mo

    Visit site for MEDGm (opens in a new tab)
  4. 04
    Gala GLP-1

    Coaching and app support at a low flat price

    Rated 8.8 out of 10, Excellent

    From $129/mo

    Visit site for Gala GLP-1 (opens in a new tab)

Guides to read before you choose

More on weight loss

All 28 weight loss reviews

Questions, answered

Is SkinnyRx legit?
SkinnyRx is run by Lean Rx, Inc. and is LegitScript certified. A licensed clinician reviews your intake, by a short video visit or within 24 hours depending on your state, and consults through the patient portal cost nothing extra. Its compounded semaglutide and tirzepatide are not FDA-approved; the Wegovy pill and Foundayo it also sells are.

How much does SkinnyRx cost?
As of November 2026, SkinnyRx publishes first-month prices only for its compounded plans: $99 for semaglutide or tirzepatide injections, $149 for semaglutide tablets and $199 for tirzepatide tablets. The price from the second month on is not published. The Wegovy pill and Foundayo are listed from $248 a month through a SkinnyRx Membership. Shipping is free and overnight.

Does SkinnyRx take insurance?
Insurance is not required, and its terms say it doesn’t accept commercial insurance, Medicare or Medicaid. FSA and HSA cards are accepted.

What GLP-1 medications does SkinnyRx prescribe?
SkinnyRx offers Semaglutide (compounded), Tirzepatide (compounded), Oral compounded, Wegovy pill, Foundayo. A licensed clinician decides whether a medication is appropriate for you. Compounded medications are not FDA-approved.

Can I cancel SkinnyRx?
Non-refundable once fulfillment starts Not charged, or a full refund within 24 to 48 hours, if you are not eligible. Its terms add a 90-day money-back guarantee if your weight logged in its app hasn’t gone down after 90 days, provided you log your weight and every dose each week.

Is SkinnyRx available in my state?
SkinnyRx serves: Compounded medication not available in Alabama, Louisiana or Mississippi; brand-name pills may be available in every state.

What do customers say about SkinnyRx?
On Trustpilot, SkinnyRx has a TrustScore of 4.8 out of 5 from 5,401 reviews. The BBB gives SkinnyRX a B- rating (not accredited), with 166 complaints in the last 3 years. Checked Nov 6, 2026.

Where is SkinnyRx located and who runs it?
SkinnyRx is run by Lean Rx, Inc. (d/b/a SkinnyRx). Its own pages give the address 2108 N Street, Suite N, Sacramento, California. It says it is not a healthcare provider or a pharmacy. Checked Nov 6, 2026.

Is SkinnyRx FDA-approved?
The FDA approves drugs, not telehealth companies, so SkinnyRx itself isn’t FDA-approved, and neither is any other telehealth company. Of what it prescribes, Wegovy pill and Foundayo are FDA-approved. Its compounded semaglutide, tirzepatide and oral GLP-1 are made by compounding pharmacies and aren’t FDA-approved. A licensed clinician decides what, if anything, you’re prescribed.

Does SkinnyRx have a promo code?
On Nov 6, 2026, SkinnyRx’s own pages showed a “$99 GLP-1 Injections: While Supplies Last” banner, the first-month price of its compounded injections; and a pop-up on its homepage offering up to 43% off. We don’t have a code of our own for SkinnyRx, so check the final price at checkout.

Sources (checked Nov 6, 2026)

  1. SkinnyRx: homepage
  2. SkinnyRx: Semaglutide injectable page
  3. SkinnyRx: Tirzepatide injectable page
  4. SkinnyRx: Semaglutide tablets page
  5. SkinnyRx: Tirzepatide tablets page
  6. SkinnyRx: Wegovy page
  7. SkinnyRx: Foundayo page
  8. SkinnyRx: FAQ
  9. SkinnyRx: Terms
  10. Trustpilot: SkinnyRx
  11. BBB profile: SkinnyRX
  12. FDA warning letter to Lean Rx, Inc. (d/b/a SkinnyRx) (Feb 20, 2026)
  13. SkinnyRx offer page, checked Nov 6, 2026

SkinnyRx

7.9/10 ·  From $99 for the first month

Check eligibility with SkinnyRx (opens in a new tab)