SkinnyRx Review: Cost & Is It Legit?

SkinnyRx is a telehealth weight-loss program run by Lean Rx, Inc. It sells compounded GLP-1 drugs on a monthly subscription. The prescriber and the shipping are in the price.

Here is how it goes. You fill in an online medical intake of about 35 screens; SkinnyRx says it takes 5 minutes. "Once you complete the medical intake, a licensed clinician will review your information." Depending on your state, you may need a quick video visit first. If the clinician prescribes, a state-licensed pharmacy fills the order and ships it to you with free expedited shipping. Each month you fill in a refill form to get the next supply.

Before any clinician has looked, the intake says your protocol is "reviewed and ready" and runs a countdown: "Prescription reserved for you – expires in 14:55". The medical history includes a required symptoms screen with no "None" option that pitches an additive in the GLP-1, and a required vitamin-B screen. The results page recommends injectable tirzepatide even if you started from the semaglutide page. One consent box covers the terms, privacy policy, telehealth consent and "low-dose microdosing"; it is not pre-ticked.

The menu is compounded semaglutide and compounded tirzepatide. Each comes as an injection or a tablet. SkinnyRx used to list a sublingual semaglutide drop too, but that page now redirects to the home page. The site also lists the brand-name Wegovy pill and the Foundayo pill, through a separate membership with no price shown, and marks both "Unavailable". Its terms say compounded plans are not available in Alabama, Louisiana and Mississippi, so they are offered in 47 states and DC. For what these drugs are, read our pages on compounded semaglutide and compounded tirzepatide.

Yes. SkinnyRx sells compounded semaglutide tablets and compounded tirzepatide tablets. The tablet pages now show only a first-month price: $149 for semaglutide tablets and $199 for tirzepatide tablets. When we read them on October 7, they listed $249 and $299 a month. The sublingual semaglutide drop is gone; its page now redirects to the home page. The brand-name Wegovy pill and the Foundayo pill appear on the home page, through a membership with no stated price, and both are marked "Unavailable". The compounded tablets are not FDA approved. Brand-name tablets are a different product from the compounded ones.

SkinnyRx's product pages now show only a first-month price. The compounded semaglutide and tirzepatide injections are each "$99 first month". Semaglutide tablets are $149 for the first month, and tirzepatide tablets $199. The price covers the drug, the clinician and free expedited shipping. There is no consultation fee and no shipping fee.

The product pages no longer say what you pay after the first month. At checkout, after the $99 first month, the 1-month plan renews at $249 a month for semaglutide injections and $299 for tirzepatide injections. When we read them on October 7, the tablet pages listed $249 a month for semaglutide tablets and $299 for tirzepatide tablets. The pages show one price per form, not a price per dose.

You can pay month to month or prepay 4, 6 or 12 months. Semaglutide injections fall from $249 to $199 a month on the 12-month plan, paid $2,287 upfront. A prepaid plan is paid up front and renews for the same term unless you cancel. If you have side effects, talk to your provider. It does not bill insurance, and the compounded plans carry no membership fee. The Wegovy and Foundayo pills sit behind a membership with no stated price, and both are marked "Unavailable".

What the price buys: the clinician review, the drug, unlimited messages with the care team and free expedited shipping. A longer prepaid plan lowers the monthly rate. Checkout offers add-ons: GLP-1 Booster Capsules at $60 a month and a metabolic health plan with a glucose monitor at $149 a month more.

Three months on the 1-month semaglutide plan come to $597: $99, then $249 twice. We compare month-to-month prices: $249 a month for semaglutide injections ranks 29 of 45 compounded programs we track, against a median of $213.06.

For scale, a pharmacy pays $871.12 for a Wegovy 1.7 mg pen package, effective September 23, 2026. That is an acquisition cost, not what a patient pays.

Compounded tirzepatide at SkinnyRx comes as an injection or as a tablet. The injection page advertises "$99 first month with free overnight shipping", and the tablet page "$199 first month". The injection renews at $299 a month on the 1-month plan, or $289, $250 and $225 a month on 4-, 6- and 12-month prepaid plans. The tablet page gives no price after the first month; on October 7 it listed $299 a month. Neither form carries a membership fee. Shipping is free. The checkout says the "Price remains THE SAME at all doses". For what tirzepatide is, see our compounded tirzepatide page.

SkinnyRx is a real telehealth business, run by Lean Rx, Inc., with clear terms and a licensed clinician on every prescription. But it names no pharmacy, and it has an open FDA warning letter dated February 20, 2026.

The prescribers are "independent licensed physicians". The intake says "State-licensed 503A Compounding Pharmacy". That pharmacy type compounds a drug for one named patient on a prescription, and a state board oversees it. Without a pharmacy name, you cannot match any of them to the FDA register.

The site is plain about what is compounded. Its terms say "Compounded semaglutide is not approved or evaluated for safety, efficacy, or quality by the FDA." Each product page names the molecule and the form.

The care runs through a patient portal, with a video visit only where your state requires one. A licensed clinician reviews your intake and can write the prescription within 24 hours. The order ships within 2 business days.

After that, you have unlimited access to the care team and the providers through the portal. You can ask a clinician about progress, side effects or dose at no extra cost. Each month you fill in a refill form. A companion app for iOS and Android holds meal plans, medication reminders and weight tracking.

SkinnyRx does not state whether you can pick your provider, or whether it asks for labs. It also sells a separate Metabolic Health program, which you can use alone or with a GLP-1 plan.

SkinnyRx has an open FDA warning letter to Lean Rx, Inc. dba SkinnyRx, dated February 20, 2026. The subject is false and misleading claims, and misbranding, by a telehealth seller. The FDA reviewed the site in December 2025. It wrote that it "has observed that your website offers compounded drug products, including semaglutide and tirzepatide drug products."

The letter has no close-out. While it stays open, we do not link to SkinnyRx. No letter names a pharmacy, because SkinnyRx names none, and no other flag is open.

The compounded drugs themselves are not FDA approved, and the terms say so. For side effects, doses and who should not take these drugs, read our pages on semaglutide side effects and tirzepatide side effects, which quote the FDA labels.

You can cancel SkinnyRx at any time: in your account, through the Customer Help Center, or by phone at 1-888-979-9580. The 1-month plan bills month to month, with no minimum term, and the product pages say "No contracts or commitments - cancel anytime".

The trap is the renewal date. The terms say your subscription "will automatically renew for another subscription period unless you cancel at least five (5) days before the applicable renewal processing date." A renewal can be charged up to five days before the next period starts, and a cancellation takes effect at the end of the current period.

The refund rule depends on timing. "You may cancel your order and receive a full refund any time before a licensed provider completes your prescription review." If the provider decides you do not qualify, a full refund is issued within 24 to 48 hours. Once the prescription is completed and fulfillment has begun, the order is not refundable, and a part-used month is not either. Any other refund is case by case, and only after you return all unopened medication to the pharmacy, at your own shipping cost. Pharmacy, prescriber, payment-processing and shipping fees are never refunded.

The 90-day money-back guarantee is a weight-loss guarantee with strict conditions. It refunds what you paid for a compounded plan in your first 90 days only if your recorded weight at the end is equal to or above your starting weight. You must keep a paid membership for 90 days in a row, log your weight and your doses in the SkinnyRx app every week, and claim by email within 14 days after the 90 days end. It can be used once, and not if you have had any earlier refund or credit. If you have side effects, talk to your provider.

SkinnyRx's home page now shows 16 member stories, each labeled "SkinnyRx Weight Loss Program Member" and each with a pounds-lost figure. We don't repeat those figures. The stories are about cravings, energy and confidence; none mentions shipping, the care team or canceling. The Metabolic Health page shows three more short testimonials, about habits: thinking less about food, and short walks that are easy to keep up.

The tirzepatide injection page cites a "4.8/5 star rating on Trustpilot". These are the reviews SkinnyRx chose to publish; this site collects no independent reviews. Read the cost and cancel sections above for what you will pay and what you sign.

Our score combines seven checks. Each one counts for a fixed share of the total, listed below. Commission is not an input.

• Price transparency: 8.14/10 (counts for 20% of the total score). Fees are stated and our latest price re-read matched, but two forms show no price and the product pages now show only first-month prices.
• Cost and value: 4/10 (counts for 15% of the total score). We compare month-to-month prices: $249 a month for semaglutide injections ranks 29 of 45 compounded programs we track, against a median of $213.06.
• Medication and pharmacy traceability: 7.2/10 (counts for 15% of the total score). Pharmacy type stated, no pharmacy named.
• Clinical access and oversight: 8.25/10 (counts for 15% of the total score). A clinician review within 24 hours, no lab policy.
• Safety and enforcement: 8/10 (counts for 20% of the total score). The open warning letter.
• Terms, commitment and refunds: 10/10 (counts for 10% of the total score). Month to month and a written refund rule.
• Availability and fulfillment: 8.88/10 (counts for 5% of the total score). Compounded plans in 47 states and DC; the terms exclude Alabama, Louisiana and Mississippi.

We rescored SkinnyRx on October 16. Price transparency rose from 7.84 to 8.14, because our latest price re-read matched the prices on record. Its rank moved from 15 of 19 to 16 of 20, and cost and value held at 3. The total holds at 7.4. We rescored SkinnyRx on October 26, 2026, when we began ranking every compounded program in one list of 45 instead of by the mix of drugs it sells. Cost and value rose from 3 to 5, and the total from 7.4 to 7.7. We rescored SkinnyRx on October 27, 2026, from its own sign-up checkout: we now rank the $249 a month its 1-month plan charges for semaglutide injections after the $99 first month, since $199 is the 12-month rate, so its rank moved from 25 to 29 of 45 and cost and value fell from 5 to 4. The total moved from 7.7 to 7.6. The method is on our methodology page.