SkinnyRx review
SkinnyRx is a compounded semaglutide and tirzepatide service that prices both on the storefront before any questionnaire, sells a deliberate microdose ladder rather than treating low doses as a way station, and carries a LegitScript seal that resolves — but every figure it shows is an "as low as" and it names none of its pharmacies.
SkinnyRx publishes its price before the medical intake — you can see what it costs without handing over your health history first.
On this page
- Semaglutide
- "As low as $199/mo" (compounded weekly injection; the asterisk is a plan ladder, so $199 is the bottom rung rather than the price of one month, and a microdose option is sold at the same address)
- Tirzepatide
- "As low as $299/mo" (compounded weekly injection; same plan-ladder asterisk, and the homepage advertises $249 and $199 tiers without saying which product each belongs to)
- Coverage
- Not published — it does not list the states it operates in before the intake
- Price visible
- Before intake
The verdict
SkinnyRx prints its price before the medical intake, which is the entry condition rather than the finish, and gives some of it back on the rest of the question — what the advertised figure is attached to, or who fills the prescription. It lands at 23 of 31.
The number beside SkinnyRx's name answers one question — can you find out what this costs before you hand over your medical history? — and it is dominated by that. A program is credited for naming the pharmacies that compound its medicine and for a certification whose seal actually resolves, and docked when the advertised rate needs a commitment, when a second fee sits outside it, when the seller's own terms say the published figure is not what it will charge, and when the FDA has a warning letter on file. What the price turns out to be is not an input at all, which is why a cheaper program can sit below a dearer one here.
Who it is for, and who it is not
A good fit if
You want to compare before you hand anything over
SkinnyRx publishes what it charges before the medical intake, so you can weigh it against anything else on this page without first giving a company your health history.
Look elsewhere if
You want to check the pharmacy
SkinnyRx does not publicly name the compounding pharmacy that fills its prescriptions. That is common and it is not an accusation, but the one thing you would most want to verify about a compounded medicine is the one thing you cannot.
You want a seller with nothing on the public record
The agency's public record has an entry naming this company. What it is, who exactly it names and when it was issued are set out in their own section on this page, where we link the agency rather than summarizing it. It has changed neither where this program sits here nor whether we are paid for a click to it — and you should know both of those at once, which is why it is on the page rather than left out.
What it actually costs
Both figures below are reproduced exactly as we recorded them, with every condition attached. They are long on purpose: a monthly rate quoted without the term that buys it, the cadence it is billed on, or the dose it applies to is the single most common way a price on a page like this turns out to be untrue.
"As low as $199/mo" (compounded weekly injection; the asterisk is a plan ladder, so $199 is the bottom rung rather than the price of one month, and a microdose option is sold at the same address)
"As low as $299/mo" (compounded weekly injection; same plan-ladder asterisk, and the homepage advertises $249 and $199 tiers without saying which product each belongs to)
Not published — it does not list the states it operates in before the intake
SkinnyRx pays us a commission if you start care through this link — as does every company with a review here, which is what decides who gets one, so this is not a survey of the market. See our disclosure, and weigh the trade-offs above against the evidence rather than taking our word for it. SkinnyRx sells a prescription medicine, not a probiotic; this site's ranked shelf is the metabolic probiotic ranking, and a supplement is a different decision from a drug.
The pharmacy behind the medicine
It does not name its pharmacy. SkinnyRx does not publicly disclose which compounding pharmacy fills its prescriptions. That is common and it is not an accusation — but it does mean the one thing you would most want to verify about a compounded medicine is the one thing you cannot.
A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program on this page, including the ones that score highest, and it is the most important sentence on it.
The honest read
What it does well
- Both molecules are priced on the storefront before any questionnaire — no account, no health history, no email first
- A LegitScript seal that actually resolves to an issued certification rather than to a keyword search, which is rarer on this page than it should be
- It sells a microdose ladder as a deliberate program rather than as a stepping stone, and says plainly who it is for — lower starting weights and people who react strongly to a standard titration
- No contract and no minimum term in its own words, with future months cancellable before the next shipment is prepared, and a full refund if a clinician decides you do not qualify
What to check first
- Every published figure is an "as low as": $199 and $299 are the bottom rungs of a plan ladder, and the page never says what a single month costs
- Its homepage advertises $299, $249 and $199 tiers without attaching each to a product, so three numbers are in front of you before you can tell which is which
- It names no compounding pharmacy. It describes them only by class — that its partners are 503A and state-licensed — which is a category, not an address you can check
- It does not publish the states it serves, so coverage is something you find out inside the intake
- Leaving inside a promotional or committed term can claw the discount back, and bundled subscriptions are non-refundable outright
- Compounded medications are not FDA-approved finished products
What is on the public record
FDA warning letter
FDA issued a warning letter to Lean Rx, Inc. dba SkinnyRx in February 2026. It is on the public record in FDA's warning-letter database.
We link the agency's own index rather than summarize what the letter says. It changes neither where this program sits in our ranking nor whether we are paid for a click to it, and you should know both of those at once.
How it compares
SkinnyRx sits at 23 of 31 on this page. Every prescription GLP-1 program this site links out to is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.
Because SkinnyRx prints a figure before the intake rather than after it, it is also a ranked row on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking. Each is this same question narrowed to the programs that answer it, with every figure printed as we recorded it and its conditions attached rather than trimmed to fit a column.
- Found review
Brand-name Wegovy from $650/mo for the medication ALONE — its Branded plan bills membership separately at $99-$149 per cycle on top, so the real month-to-month floor is nearer $799; compounded semaglutide is $299/mo month-to-month, $199/mo only on a 12-month prepayShow the full pricing note
- Sesame Care review
From $149/mo (1.5 mg dose, compounded oral)
- Strut Health review
From $99/mo (compounded oral)
- Direct Meds review
From $249/mo (compounded oral)
- MadeMed review
$239/mo on the shortest plan it sells (compounded weekly injection its page describes as enhanced with L-carnitine, billed $717 up front every 3 months; no month-to-month rung exists — $199/mo needs 6 months at $1,194 up front, and a vial ships every 2 months against a 3-month billing cycle)Show the full pricing note
Read this before you start
Checked on SkinnyRx's own site on . Prices change — confirm on SkinnyRx's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.