SkinnyRx review
Publishes a complete four-term ladder for both molecules — and advertises only the rung that costs a year up front, at $199 against a month-to-month rate of $349.
- Semaglutide
- $349/mo month-to-month ($299 on 4 months, $249 on 6, $199 only on 12)
- Tirzepatide
- $399/mo month-to-month ($349 on 4 months, $329 on 6, $299 only on 12)
- Coverage
- Most states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$4,188
Tirzepatide · modeled / year
$4,788
Pricing verified August 2026
The Index scorecard
SkinnyRx scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- A complete four-term ladder for both molecules is published rather than gated, so the cost of not committing is knowable before signup
- Both compounded molecules are offered, with the same term structure on each
- The twelve-month rate is genuinely low for the category if a year is a commitment you were going to make anyway
The tradeoffs
- The '$199/month' it advertises everywhere is the TWELVE-MONTH rung. The rate you can stop after a month is $349 — 75% higher — and the figure appears without that term attached
- An FDA warning letter is on public record against Lean Rx, Inc. dba SkinnyRx, issued 20 February 2026. We disclose it and we do not treat it as disqualifying
- Brand names appear in its catalog with no purchasable price behind them — shown, not sellable
- Compounded semaglutide and tirzepatide are not FDA-approved products
The bottom line
Best for: Shoppers who have already decided on a long commitment and want the term priced openly rather than hidden behind an intake — not price-first shoppers comparing on the advertised figure. Publishes a complete four-term ladder for both molecules — and advertises only the rung that costs a year up front, at $199 against a month-to-month rate of $349.
Ranked #60 of 529 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 528 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to SkinnyRx.
- #75Queen RX— Queen RX sells one flat bundle covering whichever of semaglutide, tirzepatide, or liraglutide a patient is prescribed: $299 as a one-time purchase for a virtual consult, 3 months of medication, and supplies.71/100
- #76Rivo Health— Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.71/100
- #77Goldspan Health— Goldspan Health sells compounded semaglutide at $229 and tirzepatide at $299 every 28 days, with daily sublingual and low-dose versions of both at lower prices, through a storefront operated by a different company.71/100
- #78altRX— altRx is a compounded GLP-1 telehealth platform run through Usable Health, PC and its affiliated medical practices, offering semaglutide and tirzepatide at a flat 'same price at every dose' rate with no membership fee.70/100
- #79Bionomy Health— Bionomy Health is a physician-led, direct-to-consumer men's telehealth service selling compounded GLP-1 weight-loss medication alongside testosterone, peptides and longevity protocols.70/100
- #80Fresh Day Meds— Fresh Day Meds is a multi-category telehealth brand (weight loss, hair, testosterone, sexual wellness, longevity) selling compounded semaglutide and tirzepatide with no membership fee and free shipping.70/100
The 18 programs nearest this one
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.