Fella Health vs SkinnyRx: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: Fella Health scores higher on our rubric, 7.4/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit SkinnyRx - from $199/mo →or find your match

Fella Health beats SkinnyRx overall, scoring 7.4/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: Fella Health is $299/mo month-to-month; SkinnyRx is from $199/mo. Choose Fella Health for men who want a men-focused weight loss program with a money-back guarantee. Choose SkinnyRx for users who want flexibility in compounded glp-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point.

A side-by-side look at Fella Health and SkinnyRx to help you decide. We compare them on:

•Starting price per month
•Our overall score, out of 10
•Medication type, brand-name or compounded
•Whether they accept insurance
•Who each one is best for

Higher Rated

Fella Health

#27 of 54

7.4/10

Men's health focused GLP-1 program with tailored support and a money-back guarantee for qualifying patients.

Visit Fella Health

SkinnyRx

#48 of 54

5.3/10

Direct-to-consumer telehealth platform offering compounded GLP-1 medications across five formats, injectable and sublingual semaglutide, semaglutide tablets, and tirzepatide as either injectable or tablets. Operated by Lean Rx, Inc. (Sacramento, CA). Compounded only, does not prescribe brand-name Wegovy/Zepbound/Ozempic/Mounjaro. Cash-pay only with HSA/FSA accepted; does not bill insurance. 4,100+ Trustpilot reviews at 4.8 stars.

Visit SkinnyRx

Feature	Fella Health	SkinnyRx
Why each one	Men-only weight loss platform with brand-name FDA-approved medications only (no compounded) and a 6-month money-back guarantee.	The broadest compounded-GLP-1 menu in DTC telehealth, five medication formats including the uncommon sublingual semaglutide and even rarer oral tirzepatide tablets. Most competitors offer one or two formats; SkinnyRx covers every administration route a compounded patient might prefer.
Our Score	7.4/10	5.3/10
Headline Price	$299/mo month-to-month	from $199/mo
Medication Type	Brand	Compounded
Insurance Accepted	No	No
Best For	Men who want a men-focused weight loss program with a money-back guarantee	Users who want flexibility in compounded GLP-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point
Watch out for	Men only, women cannot use Fella Health's programs	No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere
Ranking	#27	#48
Get started	Visit Fella Health	Visit SkinnyRx

Pros & Cons Compared

Fella Health

Pros

+Brand-name FDA-approved medications only (Wegovy, Zepbound), no compounded alternatives, ensuring maximum safety and efficacy
+6-month money-back guarantee if you don't lose 5% body weight, one of the strongest guarantees in the industry
+Free lab work included with all plans for comprehensive metabolic monitoring
+$165/mo with 12-month commitment is competitive for brand-name GLP-1 access

Cons

−Men only, women cannot use Fella Health's programs
−12-month commitment required for best pricing ($165/mo), month-to-month is $299/mo
−No compounded options available, if you want lower-cost compounded semaglutide, look elsewhere
−Limited to select states only, not available in AK, HI, AL, MS, and several others

SkinnyRx

Pros

+Five medication formats, the broadest compounded-GLP-1 menu in DTC telehealth, including the rare oral tirzepatide tablet that almost no competitor offers
+$199/mo entry price for both injectable and sublingual semaglutide is competitive in the mid-tier compounded segment
+Fast onboarding: 5-10 minute online questionnaire, physician review in 24-48 hours, medication delivered in 3-7 business days with temperature-controlled shipping
+4,100+ Trustpilot reviews at 4.8 stars, among the strongest aggregate social-proof signals in the GLP-1 telehealth category

Cons

−No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere
−Light public disclosure: founders, executive team, medical director, and specific compounding-pharmacy partners are not named on the public site, ask support before enrolling if provenance matters to you
−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

Fella Health edges out SkinnyRx with a score of 7.4/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: Fella Health is $299/mo month-to-month; SkinnyRx is from $199/mo.