bmiMD vs SkinnyRx: Which GLP-1 Provider Is Better?
Short answer: bmiMD scores higher on our rubric, 8.0/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.
bmiMD beats SkinnyRx overall, scoring 8/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: bmiMD is from $159/mo; SkinnyRx is $99 first month, rises after. Choose bmiMD for users who want an established, large-scale platform with same-day consults and strong promo pricing. Choose SkinnyRx for users who want a choice of compounded glp-1 format, a weekly injection or a daily tablet taken under the tongue, at a low first month price.
A side-by-side look at bmiMD and SkinnyRx to help you decide. We compare them on:
- •Starting price and billing period
- •Our overall score, out of 10
- •Medication type, brand-name or compounded
- •Whether they accept insurance
- •Who each one is best for
bmiMD
#2 of 36bmiMD's compounded injections cost $159/month for semaglutide or $249/month for tirzepatide. Lower advertised rates require prepayment: $1,428 or $2,148 for 12 months, respectively. Clinician visits and shipping are included. Compare the full payment and cancellation terms before choosing a plan.
Visit bmiMDSkinnyRx
#28 of 36Direct-to-consumer telehealth platform operated by Lean Rx, Inc. (Sacramento, CA). Its Treatments menu carries four compounded GLP-1 formats, semaglutide and tirzepatide each as a once-weekly injection or a once-daily tablet taken under the tongue, plus two brand-name oral pills, the Wegovy Pill and the Foundayo Pill, both badged FDA-approved and both shown as Unavailable and offered through a SkinnyRx Membership. Every advertised price is a first month rate. Compounded medications are not sold in Alabama, Louisiana or Mississippi. Cash-pay only with HSA/FSA accepted; does not bill insurance. 4,100+ Trustpilot reviews at 4.8 stars.
Visit SkinnyRx| Feature | bmiMD | SkinnyRx |
|---|---|---|
| Why each one | Included clinician visits and shipping, with usually same-day consultations and a choice of monthly or prepaid injection plans. | Both GLP-1 molecules in both administration routes: semaglutide and tirzepatide, each as a once-weekly injection or a once-daily tablet taken under the tongue. The tirzepatide tablet in particular is a format almost no other DTC platform offers, and the two brand-name oral pills it lists alongside them are currently shown as Unavailable. |
| Our Score | 8/10 | 5.3/10 |
| Headline Price | from $159/mo | $99 first month, rises after |
| Medication Type | Both | Both |
| Insurance Accepted | No | No |
| Best For | Users who want an established, large-scale platform with same-day consults and strong promo pricing | Users who want a choice of compounded GLP-1 format, a weekly injection or a daily tablet taken under the tongue, at a low first month price |
| Watch out for | The $119/mo semaglutide headline is a 12-month plan billed $1,428 up front, and the refund policy says all sales are final with no refunds for partially used subscription periods. Paying one month at a time costs $159 for semaglutide and $249 for tirzepatide | Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term. |
| Ranking | #2 | #28 |
| Get started | Visit bmiMD | Visit SkinnyRx |
Pros & Cons Compared
bmiMD
Pros
- +Clinician visits and shipping are included in the standard injection plans; consultations are usually available the same day, according to bmiMD
- +An established public Trustpilot profile: 4.4/5 from 871 reviews, checked September 12, 2026
- +No charge if the clinician finds you ineligible: bmiMD says it releases the card authorization hold
- +HSA/FSA accepted for all programs
Cons
- −The $119/mo semaglutide headline is a 12-month plan billed $1,428 up front, and the refund policy says all sales are final with no refunds for partially used subscription periods. Paying one month at a time costs $159 for semaglutide and $249 for tirzepatide
- −Brand-name Zepbound, Ozempic and Mounjaro are sold but kept out of the site navigation, and their prices surface only inside the weight loss quiz at $233/mo, $249/mo and $249/mo. Ask for them by name if a brand-name drug is what you want
- −A $50 non-refundable cancellation fee applies once your intake form is sent, which is earlier than approval; decide before you order, and cancel at least 48 hours ahead of your monthly processing date
SkinnyRx
Pros
- +Four compounded formats, both molecules as both a weekly injection and a daily tablet taken under the tongue, including the tirzepatide tablet that almost no competitor offers
- +$99 for the first month on both the compounded semaglutide and the compounded tirzepatide injection, quoted on each product page, among the lowest entry rates in the compounded segment
- +Fast onboarding: a short online intake, a prescription within 24 hours where no video visit is required, and free overnight shipping on all orders with tracking within 2 business days
- +4,100+ Trustpilot reviews at 4.8 stars, among the strongest aggregate social-proof signals in the GLP-1 telehealth category
Cons
- −Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term.
- −SkinnyRx names its medical director, Sajad Zalzala, M.D., and names AyaRx as the telemedicine partner behind its medical services, but it does not name the compounding pharmacy that fills prescriptions and it publishes no founders or executive team.
- −Cash-pay only, does not bill commercial insurance, Medicare, or Medicaid. HSA/FSA payments are accepted, which is the main way to soften the cost.
- −Independent reviews flag inconsistent customer-service responsiveness, a real consideration since titration support and dose adjustments run through chat
- −FDA warning letter #717989, issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx, cites misleading labels and website claims for compounded GLP-1s. It is a labeling/marketing record, not an unsafe-medication finding
Our Verdict
bmiMD edges out SkinnyRx with a score of 8/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: bmiMD is from $159/mo; SkinnyRx is $99 first month, rises after.
Reviews and pricing sources
Related comparisons
More head-to-head comparisons involving bmiMD and SkinnyRx.
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- Compare bmiMD and MEDVi$179 first month, then $299/mo
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- Compare bmiMD and TMatesfrom $158/mo
- Compare SkinnyRx and MEDGmfrom $169/mo
- Compare SkinnyRx and Luvo Healthfrom $249/4 weeks
- Compare SkinnyRx and AgelessRxfrom $199/mo + $50/mo clinical oversight
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Our pick of these two: bmiMD · 8.0/10