SkinnyRx
Cash-pay compounded GLP-1 provider offering five dosing formats, currently facing an FDA warning letter against its parent company.
Our Verdict
SkinnyRx scores 57.9/100 in our independent evaluation — fair overall, standing out most for experience. Plans start at $199/mo.
What we like
What to watch
Full Review
SkinnyRx, operated by Lean Rx, Inc., sells compounded semaglutide and tirzepatide across five formats — injection, sublingual, and tablet — plus limited brand-name options, at flat monthly cash-pay prices. The company has built a large Trustpilot following (5,390 reviews, 4.8 average) driven largely by praised onboarding support, but neither its founding date, headquarters, nor leadership are publicly disclosed. In February 2026 the FDA reportedly issued a warning letter to parent company Lean Rx, Inc., a material compliance flag for a compounded-medication seller. A minority of reviews describe oral/sublingual formats as ineffective despite upfront payment, a pattern worth weighing against the strong aggregate rating.
Last researched: Sep 19, 2026 · Prices checked: Oct 9, 2026
SkinnyRx GLP-1 pricing: month 1 vs. month 2+
The advertised price is often only the first month. This is what each plan costs once intro pricing ends.
All-in prices: medication plus any required membership. Verified 2026-09-26. Model your own year →
| Plan | Month 1 | Month 2+ | Year one | What to know |
|---|---|---|---|---|
| Semaglutide (Injection/Sublingual) Compounded · Patient-reported | $199 | $199–$249/mo | $2,388–$2,938 | Can rise to $249Same price at every dose Injection/sublingual $199/mo; tablet format $249/mo. |
| Tirzepatide Injection Compounded · Patient-reported | $299 | $299/mo | $3,588 | No price jump after month 1Same price at every dose Single flat rate across doses per third-party pricing roundup. |
Pricing
Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.
| Treatment | Category | Price/mo | Includes | Notes |
|---|---|---|---|---|
| Semaglutide Injection | Weight Loss / GLP-1 | $199 | ● Consults○ Lab work● Shipping | Subscription required |
| Semaglutide Sublingual | Weight Loss / GLP-1 | $199 | ● Consults○ Lab work● Shipping | Subscription required |
| Semaglutide Tablets | Weight Loss / GLP-1 | $249 | ● Consults○ Lab work● Shipping | Subscription required |
| Tirzepatide Injection | Weight Loss / GLP-1 | $299 | ● Consults○ Lab work● Shipping | Subscription required |
Where SkinnyRx medication comes from
SkinnyRx says only 'licensed 503A partner pharmacies'. FDA's Feb 2026 warning letter says its labels wrongly implied SkinnyRx was the compounder.
We couldn't find a named pharmacy for SkinnyRx. Before you order, ask which pharmacy fills your prescription and check its license with your state board of pharmacy.
Score Breakdown
How SkinnyRx Stacks Up
SkinnyRx — Frequently Asked Questions
Is SkinnyRx legit?
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We rate SkinnyRx's trust & safety at 45/100 (below average), based on FDA compliance, licensing, and pricing transparency. Its overall score across all five of our scoring dimensions is 57.9/100 — see the full breakdown above.
How much does SkinnyRx cost?
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SkinnyRx's plans start at $199/mo. Exact pricing varies by treatment — see the pricing table above for a breakdown by product. Prices were last verified 2026-09-19.
Does SkinnyRx require a subscription?
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Yes — every SkinnyRx plan we track requires an ongoing subscription.
What does SkinnyRx treat?
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SkinnyRx offers treatment in: Weight Loss / GLP-1.