Provider review
SkinnyRx review
The advertised price is a twelve-month rate, and nothing on the page says so.
Its headline figure is the twelve-month rung of a four-rung ladder; the rate you can buy one month at a time is materially higher.
Price, exactly as they publish it
$349 / month month-to-month for compounded semaglutide; $199/mo is the twelve-month plan rate, with $249 (6 months) and $299 (4 months) in between
FDA warning letter
The FDA issued a warning letter to Lean Rx, Inc. dba SkinnyRx in February 2026. It is on the public record in the FDA's warning-letter database, which we link rather than summarise. FDA warning-letter database ↗
Semaglutide is prescription-only and compounded semaglutide is not the FDA-approved brand product — decide with a clinician. Prices are as the provider published them when we last checked; confirm current terms before you buy.
How Semawise makes money (plainly)
Here's the honest version: some of the links on this site are affiliate links, routed through the Katalys network. Click one and go on to start a treatment or buy something, and we may earn a commission — without costing you a single penny more. That's what keeps the lights on and the answers free. The part that matters: a commission never buys a softer review, a different price, or kinder pros and cons. What it does buy is position — affiliate partners are listed ahead of providers we have no relationship with, and we say so on each board rather than only here. Want the longer version? It's all in our full disclosure.
The verdict
SkinnyRx sells both molecules in three forms each — a weekly injection, a sublingual, and a daily dissolving tablet — and the tirzepatide tablet is the genuinely rare thing here, priced the same as the injection rather than as a premium. Read the price twice, though. Every figure the site advertises is the twelve-month rate on a ladder that also runs at six, four and one month, and the headline never calls it a commitment; the month-to-month rung costs meaningfully more, and the same twelve-month figure is what the site hands to search engines as its price. The refund terms deserve the same second read: a money-back guarantee sits on the marketing rail while the policy underneath says the order stops being refundable once a provider signs off on it, partially used periods are not refunded, and cancelling inside a term can claw the discount back. There are no labs, no named medical director, no third-party certification and no published state list, and the branded pens on the menu cannot actually be bought.
The trade-off we'd want you to read first
Every advertised price is the twelve-month rate with no commitment named beside it: the headline reads “Starting at $299/mo” for tirzepatide while the month-to-month rung is $399, and semaglutide is $199 advertised against $349 month-to-month
Who it suits, and who it doesn't
A good fit if
- You want the dual-agonist molecule as a tablet rather than an injection, and you have priced that route elsewhere and found nothing
- You know you will stay on treatment for a year and you would rather commit up front than pay by the month
- You have already worked the drug question through with your own doctor and want a prescriber and a pharmacy, not oversight
Look elsewhere if
- You are comparing monthly costs across this board — the number this provider advertises is not one you can buy a single month of
- You want to try a provider for a month or two before deciding, since the cheapest rate here is the one that locks you in longest
- You want baseline bloodwork or any monitoring schedule — none is required and none is offered
- You want the brand-name product, because the branded pages here are marketing rather than a route you can buy
- You want to confirm your state is served before handing over your details
How the programme actually works
A telehealth weight-loss shop selling compounded semaglutide and compounded tirzepatide, each as a weekly injection, a sublingual form and a daily tablet, plus separately priced lower-dose microdose lines. Intake is fully online; providers are stated to be US-based, licensed and board certified, and medication is dispensed through 503A pharmacies. Unlimited provider messaging and free shipping are included, and you are not charged if the provider decides you do not qualify. What the public pages do not make clear is that every price they show is the twelve-month rate: the tirzepatide headline reads “Starting at $299/mo” while the month-to-month rung is $399, and that same twelve-month figure is what the site publishes as the price in its structured data, so search engines are handed it too. It also runs marketing pages for Wegovy, the Foundayo pill, Mounjaro and Zepbound, none of which can actually be bought.
At a glance
- Pricing structure
- Varies by dose, plan or tier
- Consult
- Included in the price
- Compounding pharmacy
- States a 503A facility class, but does not name the pharmacy
- Labs
- Not required
- Dietitian support
- Not included
Source and full evidence quote in our Provenance Register.
What it does well
- Compounded tirzepatide as a dissolving tablet, priced identically to the injection at every rung — a route almost nothing else on this board offers
- Both molecules in three forms each — injection, sublingual and daily tablet — so needle aversion does not mean changing provider
- Lower-dose microdose lines are sold as their own products with their own published ladders rather than quoted at the full-dose price
- Unlimited provider messaging and free shipping are included rather than sold as add-ons
- You are not charged if the provider decides you do not qualify — payment is taken after the intake and an ineligible applicant is refunded within 24–48 hours
The other trade-offs
- The twelve-month rate is also what its schema.org product markup publishes as the price, so search engines and AI assistants are given a commitment rate as though it were the monthly one
- A “90-day money-back guarantee” sits on the marketing rail while the refund policy says the order is non-refundable once a provider completes the prescription review and fulfilment begins, partially used subscription periods are not refunded, and bundled subscriptions are non-refundable outright
- Cancelling inside a committed term can have the discount clawed back, so a refund is not simply the unused portion returned
- No labs or bloodwork are required or offered, and no monitoring cadence is published anywhere
- No LegitScript certification, no accreditation badge and no named medical director — the credential claims are the company's own with nothing third-party to check them against
- Its Wegovy, Foundayo, Mounjaro and Zepbound pages are marketing only — every one is unpurchasable in the site's own price data, so there is no brand-name route here at all
- No pharmacy is named anywhere; the FAQ states only that “503A pharmacies are licensed by state boards of pharmacy and are FDA-compliant”, which describes the category rather than who fills your order
- No served-states list, exclusion list or coverage map appears anywhere on the site
- Compounded, not the brand-name product, and the sublingual and tablet routes are the least-studied form of either molecule
If this one isn't it
If SkinnyRx is not it, these are not our favourites and they are not the ones that pay the most — each is the provider closest to this one that does better on the axis this one does worst on. The axis is named on every card, with both providers’ own published wording underneath, so you can check the claim rather than take it.
Better on price stability across doses
Trimi
Charges the same at every dose, where SkinnyRx's price moves with the plan or the dose.
- Trimi
- One price at every dose
- SkinnyRx
- Price varies by dose, plan or tier
$99/mo (annual)
Trimi — price stability across doses: Check TrimiBetter on what's included besides the drug
RxSpan MD
Includes more care in the price than SkinnyRx does — not just the medication.
- RxSpan MD
- Consult included · Dietitian support
- SkinnyRx
- Consult included
$249/mo month-to-month
RxSpan MD — what's included besides the drug: Check RxSpan MDBetter on how clear the price is
CoreAge Rx
Its headline figure maps onto a monthly bill more directly than SkinnyRx's does.
- CoreAge Rx
- One all-in monthly figure that does not move with your dose.
- SkinnyRx
- Published monthly figure; confirm the total before you commit.
$99/mo flat
CoreAge Rx — how clear the price is: Check CoreAge Rx
Any link on this page may earn us a commission if you go on to start care, at no extra cost to you — see our full disclosure. The cards above are chosen by the rule stated at the top of this section, which is computed from published figures and has no access to which providers pay us.
Before you buy
Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as brand-name Wegovy or Ozempic. Whatever you decide, decide it with a clinician who knows your history — and go into that conversation with real numbers.
Where this sits on the board
SkinnyRx is one of 48 telehealth semaglutide programmes we track. The board puts every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to, rather than only in the small print.
Semaglutide is prescription-only and compounded semaglutide is not the FDA-approved brand product — decide with a clinician. Prices are as the provider published them when we last checked; confirm current terms before you buy.