Compounded semaglutide · 1-month plan · checked Oct 21
Check price for bmiMDOn bmiMD's site · partner link
Comparison · updated October 25, 2026
bmiMD vs SkinnyRx: Costs, care and treatment fit
bmiMD and SkinnyRx differ in what you pay and which medicines they list. Compounded medicines are not FDA-approved.
First month, ask the renewal price · checked Sep 26
Check price for SkinnyRxOn SkinnyRx's site · partner link
These two prices are different kinds of bill, so read the line under each price before you compare them.
bmiMD and SkinnyRx pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money
Which should you choose, bmiMD or SkinnyRx?
Short answer: Choose SkinnyRx if you want a pill or another option without needles. If that doesn't matter to you, compare their plans below.
bmiMD is best for
Users who want an established, large-scale platform with same-day consults and strong promo pricing.
Choose SkinnyRx if
- you want a pill or another option without needles
- you put weight on customer ratings (4.8 on Trustpilot against 4.4)
The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.
By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
bmiMD vs SkinnyRx side by side
| bmiMD | SkinnyRx | |
|---|---|---|
| Price | from $129/moFrom $99 on a plan | $99First month, ask the renewal price |
| Medicine | BothBrand-name and compounded | |
| Needle-free option | Not listed | Yes, a pill or other oral form |
| Insurance | BothNo insurance listed | |
| Consultation | Included (usually same-day telehealth) | Included |
| Shipping | Free | Free (overnight on all orders) |
| Where it ships | All 50 states, per bmiMD: its compounded semaglutide and tirzepatide pages say both programs are available in all 50 states | 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states |
| Trustpilot | 4.4 / 5 across 871 reviews | 4.8 / 5 across 4,100 reviews |
| BBB rating | F (not accredited) | Not tracked |
| Our score | 7.2/10 Good | 5/10 Mixed |
| Assessment limits | BothChecked Oct 16, 2026; a rating claim didn't match Trustpilot. | |
What bmiMD and SkinnyRx plans cost
bmiMD
Included clinician visits and shipping, with usually same-day consultations and a choice of monthly or prepaid injection plans.
- Compounded Semaglutide (12-month plan)$99$99/month on the shopping offer's 12-month plan, billed $1,188 up front. Confirm the renewal amount before subscribing (checked October 21, 2026)
- Compounded Tirzepatide (12-month plan)$139$139/month on the shopping offer's 12-month plan, billed $1,668 up front. Confirm the renewal amount before subscribing (checked October 21, 2026)
- Compounded Semaglutide (1-month plan)$129$129/month on the shopping offer's one-month plan, total $129. Confirm the renewal amount before subscribing (checked October 21, 2026)
All 13 bmiMD plans
- Compounded Semaglutide (3-month plan)$119$119/month on the shopping offer, billed $357 for three months. Confirm renewal terms (checked October 21, 2026)
- Compounded Semaglutide (6-month plan)$109$109/month on the shopping offer, billed $654 for six months. Confirm renewal terms (checked October 21, 2026)
- Compounded Semaglutide Microdose$159Separately recorded microdose ladder: $159/month for one month, $149 for three, $129 for six, $119 on the 12-month plan, billed $1,428 up front (verified 2026-10-17 on bmiMD's semaglutide microdose page). The current standard-injection shopping offer has different prices
- Compounded Tirzepatide (1-month plan)$179$179/month on the shopping offer's one-month plan, total $179. Confirm the renewal amount before subscribing (checked October 21, 2026)
- Compounded Tirzepatide (3-month plan)$159$159/month on the shopping offer, billed $477 for three months. Confirm renewal terms (checked October 21, 2026)
- Compounded Tirzepatide (6-month plan)$149$149/month on the shopping offer, billed $894 for six months. Confirm renewal terms (checked October 21, 2026)
- Compounded Tirzepatide Microdose$249Separately recorded microdose ladder: $249/month for one month, $229 for three, $189 for six, $179 on the 12-month plan, billed $2,148 up front (verified 2026-10-17 on bmiMD's tirzepatide microdose page). The current standard-injection shopping offer has different prices
- Zepbound (brand-name)$233Listed at 'Starting as low as $233/mo' on the weight loss quiz. Not shown in the site navigation (verified 2026-09-03)
- Mounjaro (brand-name)$249Listed at 'Starting as low as $249/mo' on the weight loss quiz. Not shown in the site navigation (verified 2026-09-03)
- Ozempic (brand-name)$249Listed at 'Starting as low as $249/mo' on the weight loss quiz. Not shown in the site navigation (verified 2026-09-03)
How bmiMD bills
The shopping-page offers list $129 for one month of semaglutide or $179 for one month of tirzepatide. The $99/mo and $139/mo rates require 12-month plans billed $1,188 or $1,668 up front, respectively, checked October 21, 2026. Confirm the selected offer and renewal terms before paying; other BMI pages may show different rates.
We checked bmiMD's prices on October 21, 2026.
SkinnyRx
A four-product compounded menu with separate injection and dissolving-tablet pages for semaglutide and tirzepatide. Compare the exact formulation, introductory bill and renewal terms; the different routes are not established as clinically equivalent.
- Compounded Semaglutide (injectable)$99Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
- Compounded Semaglutide (tablets)$149Oral dissolving tablet, quoted at $149 for the first month. Confirm the exact dispensing directions and later bill; merchant guidance differs on placement.
- Compounded Tirzepatide (injectable)$99Once-weekly tirzepatide injection, a GLP-1 and GIP dual agonist, quoted at $99 for the first month on its product page.
All 4 SkinnyRx plans
- Compounded Tirzepatide (tablets)$199Oral dissolving tablet, quoted at $199 for the first month. Confirm the exact dispensing directions and later bill; this is not an FDA-approved oral tirzepatide product.
How SkinnyRx bills
$99 is a first month rate quoted on the compounded semaglutide and tirzepatide injection product pages. SkinnyRx does not publish a month two price; its terms say the renewal rate is described during checkout.
We checked SkinnyRx's prices on September 26, 2026.
What to watch for with bmiMD and SkinnyRx
bmiMD
- The shopping offer's $99/mo semaglutide rate is a 12-month plan billed $1,188 up front, and once your first order goes to the pharmacy, that payment is non-refundable if you cancel voluntarily; you can take the remaining shipments or convert their value to bmiMD credit. The shopping pages list one month at $129 for semaglutide or $179 for tirzepatide; confirm renewal terms
- 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
bmiMD's strengths, cautions and terms
Strengths
- 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
More to watch for
- A $100 non-refundable intake processing fee applies if you cancel after submitting your intake form, which is earlier than approval; decide before you order. To stop a renewal, cancel at least 7 days before the renewal date under the refund policy checked October 15, 2026
- Medicines listed
- Semaglutide (compounded)
- Tirzepatide (compounded)
- Semaglutide microdose (compounded)
- Tirzepatide microdose (compounded)
- Zepbound (brand-name tirzepatide, live product page, not shown in the site navigation, verified 2026-09-03)
- Ozempic (brand-name semaglutide, live product page, not shown in the site navigation, verified 2026-09-03)
- Mounjaro (brand-name tirzepatide, live product page, not shown in the site navigation, verified 2026-09-03)
- Insurance
- No insurance support listed
- Consultation
- Included (usually same-day telehealth)
- Shipping
- Free
- States
- All 50 states, per bmiMD: its compounded semaglutide and tirzepatide pages say both programs are available in all 50 states. Availability can vary by program, so confirm your state during sign-up.
- Cancellation
- Pause or cancel by 11:59 p.m. ET at least 7 days before your renewal date (refund policy, checked October 23, 2026); the earlier terms-of-use record says 48 hours, so use the 7-day deadline. A $100 non-refundable intake processing fee applies if you cancel after submitting your intake form. Multi-month plans are non-refundable for a voluntary cancellation once your first order goes to the pharmacy; you can take the remaining shipments or convert their value to credit. If your provider cancels treatment for documented medical reasons, the policy allows credit or a refund for unshipped orders, less completed shipments.
SkinnyRx
- 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.
SkinnyRx's strengths, cautions and terms
Strengths
- Four product-specific options to discuss with a clinician: semaglutide or tirzepatide, each as an injection or a dissolving tablet
- $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
- A public Trustpilot profile provides service feedback to read alongside the FDA record and the written billing terms; those reviews do not establish tablet effectiveness
More to watch for
- 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
- Medicines listed
- Semaglutide (compounded, injectable)
- Wegovy Pill (brand-name oral semaglutide, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Foundayo Pill (brand-name orforglipron, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Semaglutide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Tirzepatide (compounded, injectable)
- Tirzepatide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free (overnight on all orders)
- States
- 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states
- Cancellation
- The September 22 terms allow renewal processing up to five days before the next period and require cancellation at least five days before the applicable renewal-processing date. They include non-refundable fees, return-before-refund conditions and possible reversal of promotional discounts. Product FAQs use simpler cancellation/refund wording. Ask support for the exact deadline, refund eligibility and any return requirement in writing before paying; canceling is not a guaranteed refund.
Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.
bmiMD vs SkinnyRx: common questions
Is bmiMD or SkinnyRx cheaper?
At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.
- bmiMDfrom $129/mofrom $99 on a plan
- SkinnyRx$99first month, ask the renewal price
Which is better, bmiMD or SkinnyRx?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
Do bmiMD and SkinnyRx offer brand-name medication?
bmiMD and SkinnyRx both list brand-name and compounded medication.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do bmiMD and SkinnyRx take insurance?
Neither bmiMD nor SkinnyRx lists insurance support.
Where these facts come from
bmiMD:prices checked October 21, 2026, score evidence assessed October 16, 2026.Read our bmiMD review
SkinnyRx:prices checked September 26, 2026, score evidence assessed October 16, 2026.Read our SkinnyRx review
We score on a published methodology, and partnership never changes a score or a fact here.
What should you compare next?
- Compare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.
- Compare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.
- Compare tirzepatide providers and pricesReview provider options, price units and treatment context across the wider tirzepatide market.
Before you sign up, read our trust checks: is bmiMD legit and is SkinnyRx legit.