Price transparency
What is disclosed before intake, not a clinical rating.
SkinnyRx sells compounded semaglutide and tirzepatide as weekly injections or daily tablets, and it offers a microdose path for people who want a slower start. It currently advertises a $99 first month on either injection. It doesn't show what month two costs until you are inside the intake.
SkinnyRx pays us a commission if you sign up through our links. Partners are listed first on our rankings. Disclosure
SkinnyRx publishes its price before the medical intake — you can see what it costs without handing over your health history first.
On this page
SkinnyRx at a glance
- Price visibility
- Published before intake
- Pharmacy information
- Not publicly named
- Where it operates
- Not published — it does not list the states it operates in before the intake
The verdict
SkinnyRx shows its price before the medical intake, but leaves gaps, such as what the advertised price includes or which pharmacy fills the prescription. It ranks 37 of 65 on price transparency.
The score beside SkinnyRx's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.
Considering SkinnyRx?
Confirm the plan, billing terms and availability before you begin.
What do you get with SkinnyRx?
- Compounded semaglutide or tirzepatide as a once-weekly injection, or as a once-daily tablet.
- A microdose option with slower titration, aimed at people with lower BMIs or a strong sensitivity to side effects.
- Brand-name Wegovy pill and Foundayo through a SkinnyRx membership.
- Review by a US-licensed provider, with a quick video visit in states that require one.
- Free overnight shipping, plus access to the patient care team and providers for questions.
- An app for meal plans, dose logs and weight tracking.
How does SkinnyRx work?
Pay and complete the intake
Payment is taken when you finish the medical intake. If a provider decides you don't qualify, you get a full refund.
Provider review
A licensed clinician reviews your answers. Depending on your state you may have a short video visit, or you may get a prescription within 24 hours.
Shipping
Tracking information arrives within two business days of the prescription, and orders ship free overnight.
Monthly refill check
Near the end of each supply you fill out a refill form. Your provider confirms you can continue, and the next month ships automatically.
How much does SkinnyRx cost?
$99 for the first month (compounded weekly injection, "while supplies last"); tablets $149 for the first month; the monthly price after that is not published before the intake
$99 for the first month (compounded weekly injection, "while supplies last"); tablets $199 for the first month; the monthly price after that is not published before the intake
Not published — it does not list the states it operates in before the intake
Compounded semaglutide and tirzepatide injections are $99 for the first month. The tablets are $149 (semaglutide) and $199 (tirzepatide) for the first month. The site does not publish what you pay from month two. Compounded drugs are not FDA-approved.
- The $99 injection price is a first-month offer, marked "while supplies last".
- The regular monthly price is not shown on the product pages before the intake.
- There's no contract. You can cancel future months before your next renewal.
- If you cancel during a promotional or committed term, the discount can be reversed, so your refund may be smaller than you expect. Bundled subscriptions are not refundable.
- You can pay with Affirm, and FSA or HSA reimbursement may be available.
Considering SkinnyRx?
Confirm the plan, billing terms and availability before you begin.
Who is SkinnyRx best for?
A good fit if
- People who want to try a GLP-1 for a month at a low upfront cost
- Anyone interested in microdosing or a slow titration
- People who would rather take a daily tablet than a weekly shot
Look elsewhere if
- Shoppers who need to know the full monthly price before they hand over health details
- Anyone who wants a named compounding pharmacy
- People planning to cancel early on a discounted or multi-month plan
Considering SkinnyRx?
Confirm the plan, billing terms and availability before you begin.
What are SkinnyRx's pros and cons?
Pros
- Low first-month price on both injections
- Microdosing is offered as a planned program, not only as a starting step
- Injections and daily tablets for both molecules, plus brand-name pill options
- Free overnight shipping, and a full refund if a provider says you don't qualify
Cons
- Only the first-month price is published. What you pay from month two is not shown upfront.
- The $99 offer is labeled "while supplies last"
- Canceling during a promotional term can claw back the discount, and bundled plans are not refundable
- Once a prescription is written and fulfillment starts, the order can't be refunded
- Its partner pharmacies are described as US state-licensed. None is named.
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, including the highest-scoring ones.
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.
What else do people ask about SkinnyRx?
How much is SkinnyRx after the first month?
The site doesn't say. It shows only first-month prices ($99 for the injections, $149 or $199 for the tablets). The ongoing price appears inside the intake.
What is the microdose option?
A slower, lower-dose titration plan for people with a lower BMI or strong side effects. Your provider sets the schedule.
What if I'm not approved?
You get a full refund. SkinnyRx says it is issued within 24 to 48 hours.
Can I cancel anytime?
You can cancel future months before your next renewal. Once a prescription is written and fulfillment begins, that order can't be refunded. Canceling during a promotional term can reverse your discount.
Is compounded semaglutide the same as Wegovy?
No. Compounded semaglutide is made by a state-licensed pharmacy and is not FDA-approved. SkinnyRx sells the brand-name Wegovy pill separately through its membership.
Sources for this review
Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.
How it compares
SkinnyRx ranks 37 of 65 on our price-transparency score. Every prescription GLP-1 program we review 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 shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking.
From $133/mo equivalent on a 3-month supply; 3-month minimum, renews every 11 weeks at checkout rate; final price may varyShow the full pricing note
Standard compounded injection program $297/mo; $2,364 annual prepay equals $197/mo. Oral and microdose offers have separate terms.Show the full pricing note
From $99/mo (compounded sublingual lozenge, auto-refill); injection from $149/mo on auto-refill
$59/mo for compounded semaglutide at any dose, plus a required $199 ANNUAL membership. Billed once a year, not monthly — a first year comes to $907Show the full pricing note
Brand-name Wegovy; medication extra. Self-pay care $299/mo; insured costs depend on benefits. Total ongoing price not published.Show the full pricing note
Read this before you start
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.
Ready to see what SkinnyRx charges you?
Check the current price, and whether SkinnyRx serves your state, before you start the intake.