Fella Health vs SkinnyRx: Which GLP-1 Provider Is Better?
By Iacob Pastina, Independent Researcher
Fella Health beats SkinnyRx overall, scoring 7.4/10 vs 7.3/10. SkinnyRx is more affordable at $199/mo vs $299/mo. Choose Fella Health for men who want a men-focused weight loss program with a money-. Choose SkinnyRx for users who want flexibility in compounded glp-1 medication fo.
A side-by-side comparison of Fella Health and SkinnyRx covering pricing, scores, medication types, insurance, and more to help you decide.
Fella Health
#32 of 47Men's health focused GLP-1 program with tailored support and a money-back guarantee for qualifying patients.
Visit Fella HealthSkinnyRx
#36 of 47Direct-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 |
|---|---|---|
| Our Score | 7.4/10 | 7.3/10 |
| Starting Price | $299/mo | $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 |
| Ranking | #32 | #36 |
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) — compounded-only model limits patients who want or need an FDA-approved finished product
- −Limited public transparency: founders, executive team, medical director, and specific compounding-pharmacy partners are not named on the public site
- −Cash-pay only — does not bill commercial insurance, Medicare, or Medicaid (HSA/FSA payments accepted)
- −Independent reviews flag inconsistent customer-service responsiveness, which is a real concern for a medication that requires titration support and dose-adjustment dialogue
Our Verdict
Fella Health edges out SkinnyRx with a score of 7.4/10 vs 7.3/10. If budget is your priority, SkinnyRx starts at $199/mo compared to Fella Health's $299/mo. Choose Fella Health if you want: men who want a men-focused weight loss program with a money-back guarantee. Choose SkinnyRx if you want: users who want flexibility in compounded glp-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point.