Alternatives
Alternatives to SkinnyRx
SkinnyRx scores 74/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
SkinnyRx at a glance
- Semaglutide
- $249/moMonth to month after a $99 first month ($199/mo on a 12-month plan)
- Tirzepatide
- $299/moMonth to month after a $99 first month ($225/mo on a 12-month plan)
- Coverage
- Most states
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
7 of the 8 programs below list semaglutide for less than SkinnyRx's $249 a month. 7 of the 8 list tirzepatide for less than its $299 a month.
SkinnyRx charges $99 for the first month of compounded semaglutide or tirzepatide, then $249 or $299 a month; prepaid plans bring semaglutide down to $199 a month.
Best for: Shoppers who want a cheap first month to see how they tolerate a GLP-1, and who will budget for the price from month two.
What SkinnyRx does well
- The first month of either injection is $99, so trying the medication costs little
- Prepaid plans lower the price: semaglutide renews at $225 a month on four months, $215 on six and $199 on twelve
- Both compounded molecules come as a weekly injection or a daily tablet
- FSA and HSA cards are accepted, and every order ships free overnight
Why readers look for an alternative
- From month two the injection is $249 for semaglutide or $299 for tirzepatide, well above the $99 you see first
- An FDA warning letter is on public record against Lean Rx, Inc. dba SkinnyRx, issued February 2026
- Brand-name drugs appear in its catalog, but the Wegovy pill is listed as unavailable
- Compounded semaglutide and tirzepatide are not FDA-approved products
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with SkinnyRx: $150/mo less for semaglutide · $150/mo less for tirzepatide · no oral option
- 02C77/ 100Index
Coivas
Coivas is a telehealth platform whose clinical provider is Beluga Health, selling compounded semaglutide from $119 a month and tirzepatide from $199 a month in all 50 states, with no membership fee.
- Sema
- $119/moStarting price during a fall sale, compounded
- Tirz
- $199/moStarting price, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with SkinnyRx: $130/mo less for semaglutide · $100/mo less for tirzepatide · no oral option
- 03C77/ 100Index
NuBloom
NuBloom is a women's metabolic-health telehealth practice founded and medically led by Dr. Marianne Pinkston Mueller.
- Sema
- $149/moMonthly plan, compounded
- Tirz
- $279/moMonthly plan, compounded; a 2.5 mg microdose plan is $249/mo
- Coverage
- 49 states
- Brand
- Compounded
Compared with SkinnyRx: $100/mo less for semaglutide · $20/mo less for tirzepatide · no oral option
- 04C77/ 100Index
FormBlends
FormBlends charges one price at every dose: $190 a month for compounded semaglutide and $239 for tirzepatide month to month, after a cheaper first month, with no membership fee.
- Sema
- $190/moAll doses, month to month, compounded
- Tirz
- $239/moAll doses, month to month, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with SkinnyRx: $59/mo less for semaglutide · $60/mo less for tirzepatide · no oral option
- 05C77/ 100Index
Happy Care Meds
Happy Care Meds offers dose-priced compounded injections in 28-day supplies, with higher-dose maintenance quotes of $139 semaglutide and $209 tirzepatide.
- Sema
- $139 per 4 weeksPublished higher-dose maintenance tiers, 1.5–2.5 mg weekly; lower-dose tiers $119–$129
- Tirz
- $209 per 4 weeksPublished 15 mg weekly maintenance tier; lower-dose tiers $139–$199
- Coverage
- Multi-state
- Brand
- Compounded
Compared with SkinnyRx: $110/mo less for semaglutide · $90/mo less for tirzepatide · no oral option
- 06C77/ 100Index
Rx.com
Offers a flat price at every dose, no automatic renewals and a named dispensing pharmacy, with lower rates on prepaid plans.
- Sema
- $175/moMonth-to-month; $165 on three months, $146 on six and $99 on twelve, prepaid
- Tirz
- $285/moMonth-to-month; $265 on three months, $259 on six and $149 on twelve, prepaid
- Coverage
- Multi-state
- Brand
- Compounded
Compared with SkinnyRx: $74/mo less for semaglutide · $14/mo less for tirzepatide · no oral option
- 07C77/ 100Index
TrimRx
TrimRx's terms price compounded semaglutide at $199 for the first month and $299 a month after, and tirzepatide at $349 then $399, while its homepage advertises both from $179 and $259.
- Sema
- $299/moMonth-to-month refill price; first month $199, compounded
- Tirz
- $399/moMonth-to-month refill price; first month $349, compounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with SkinnyRx: $50/mo more for semaglutide · $100/mo more for tirzepatide · also lists brand-name GLP-1s · no oral option
- 08C77/ 100Index
StaveMD
StaveMD lists compounded semaglutide, as a weekly shot or a dissolving tablet, from $199 a month and tirzepatide from $249, with a refund on any month whose medication hasn't been ordered yet.
- Sema
- $199/moStarting price, compounded injection or dissolving tablet
- Tirz
- $249/moStarting price, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with SkinnyRx: $50/mo less for semaglutide · $50/mo less for tirzepatide
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.