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Grade C74/100 IndexPartner

SkinnyRx Review: Price, Pros & Cons

By The WeighLab Bench, Tools & Data Desk

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.

In this review

Compounded drugs are not FDA-approved. Treatment requires a clinician's assessment. Understand compounded GLP-1 treatment.

Check SkinnyRx prices Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. See our disclosure.

Prices 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
Not confirmed

Semaglutide · estimated annual cost

$2,988

Tirzepatide · estimated annual cost

$3,588

Who SkinnyRx may suit

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.

Where the value is

  • 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

The tradeoffs

  • 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

How SkinnyRx prices its injections

SkinnyRx leads with a $99 first month on both compounded injections. From month two the price goes up: $249 a month for semaglutide and $299 for tirzepatide, billed as a monthly subscription. Prepaid plans bring semaglutide down.

PlanSemaglutide injectionTirzepatide injection
First month$99$99
Month to month after that$249/mo$299/mo
12-month plan$199/mo$225/mo

Semaglutide also has four- and six-month plans at $225 and $215 a month. Budget on the month-two price, not the $99. Its banner says the $99 offer runs "while supplies last," with no end date given.

Considering SkinnyRx?

Check the plan total, billing period and cancellation terms before you enroll. A clinician decides whether treatment is appropriate.

SkinnyRx pays us a commission if you start there. This does not change its Index score.

What you can get

Both molecules come in two forms: a weekly injection, or a daily tablet with its own first-month price ($149 for semaglutide tablets, $199 for tirzepatide tablets). Microdosing is offered on three of the four. The catalog lists the Wegovy pill and the Foundayo pill through a separate SkinnyRx membership, but both are marked unavailable. Sermorelin is sold at $199 a month.

FSA and HSA cards are accepted, and so is Affirm financing. Shipping is free and overnight. The app adds medication reminders, meal ideas and weight logging, and an optional metabolic add-on pairs it with a glucose monitor.

From intake to your door

You take a five-minute online assessment and pay. A licensed clinician reviews it, and depending on your state you may get a short video visit or a prescription within 24 hours. Tracking arrives within two business days of the prescription being written. Its medical director is Dr. Sajad Zalzala. It says the pharmacies it uses run third-party potency and sterility tests on every compounded lot, but it doesn't name them.

Refills aren't automatic in the clinical sense. Near the end of each month you fill out a refill form, a provider decides whether you continue, and then it ships.

Canceling and refunds

You get a full refund if you cancel before a provider finishes reviewing your prescription, or if you're found ineligible. Once the prescription is written and fulfillment starts, that order is non-refundable. You can cancel future months anytime, but do it before the next shipment is prepared.

Read the promo clause before prepaying. If you cancel a discounted or committed plan early, SkinnyRx may take back the discount, so your refund can come in under the unused portion. Bundled subscriptions are non-refundable.

The Index scorecard

SkinnyRx scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month71/100
Price Transparency84/100
Nationwide Access82/100
Formulation Options73/100
Clinical Oversight66/100
Contract Flexibility58/100

The bottom line

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.

Compare the total cost of other GLP-1 programs and alternatives to SkinnyRx before deciding. A clinician should help you choose the right treatment.

Other programs to compare with SkinnyRx

These are partners: we may earn a commission if you sign up, at no cost to you.

  • Strut HealthPartner

    Semaglutide modeled $99/mo · Tirzepatide modeled $149/mo

    Strut sells compounded semaglutide from $99 a month as a lozenge or $129 as a weekly injection, and tirzepatide from $149, all on auto-refill.

  • bmiMDPartner

    Semaglutide modeled $159/mo · Tirzepatide modeled $249/mo

    bmiMD charges $159 a month for compounded semaglutide and $249 for tirzepatide month to month, the same at every dose, with lower prices on three-, six- and twelve-month plans.

  • RxSpan MDPartner

    Semaglutide modeled $249/mo · Tirzepatide modeled $329/mo

    RxSpan MD puts injections, oral capsules and three brand-name drugs on one account, with every price and plan length published; one month of the semaglutide injection is $249.

Compare with other providers

The providers whose Cost-Efficiency Index scores sit closest to SkinnyRx's. See the alternatives to SkinnyRx.

Explore more provider reviews

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

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