HealthRX vs SkinnyRx: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
54 providers verified independently·Independent researchHow we rank →

Short answer: SkinnyRx scores higher on our rubric, 5.3/10 against 5.2/10. Full reasoning, pricing and the cases where the other one wins are below.

SkinnyRx beats HealthRX overall, scoring 5.3/10 vs 5.2/10. Published pricing is not a like-for-like monthly comparison: HealthRX is from $99/mo; SkinnyRx is from $199/mo. Choose HealthRX for cash-pay patients who want low flat-dose compounded glp-1 pricing, all-50-state access, fast shipping, and self-service cancellation. 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 HealthRX 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

HealthRX

#49 of 54
5.2/10

HealthRX is a cash-pay telehealth platform for compounded injectable semaglutide and tirzepatide. Its July 2026 landing page lists semaglutide at $133/mo on a 3-month plan or $99/mo on a 12-month plan, plus tirzepatide at $209/mo or $179/mo. Prices stay flat across doses and include clinician review, dose adjustments, and overnight shipping. MD Integrations supplies the clinician network, while the dispensing 503A pharmacy remains unnamed on the public site.

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Higher Rated

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.

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FeatureHealthRXSkinnyRx
Why each oneLow flat-dose pricing paired with linked LegitScript verification, nationwide clinician coverage, overnight shipping, and self-service account cancellation.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 Score5.2/105.3/10
Headline Pricefrom $99/mofrom $199/mo
Medication TypeCompoundedCompounded
Insurance AcceptedNoNo
Best ForCash-pay patients who want low flat-dose compounded GLP-1 pricing, all-50-state access, fast shipping, and self-service cancellationUsers who want flexibility in compounded GLP-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point
Watch out forThe dispensing 503A pharmacy is described by type while its name and license remain absent from the public siteNo brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere
Ranking#49#48
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Pros & Cons Compared

HealthRX

Pros

  • +$99/mo compounded semaglutide on the 12-month plan, with a $133/mo 3-month option
  • +Flat pricing across doses, clinician review, dose adjustments, and overnight shipping included
  • +Licensed clinicians in all 50 states through MD Integrations, with most files reviewed within about 24 hours
  • +LegitScript certificate 50087439 links to the issuer's verification checker
  • +Single-click account cancellation and refunds for unshipped doses
  • +Published HIPAA notice, telehealth consent, safety information, and emergency instructions

Cons

  • The dispensing 503A pharmacy is described by type while its name and license remain absent from the public site
  • Legal entity, headquarters, executive team, and medical director remain undisclosed
  • The tirzepatide product page advertises $149/mo while the current affiliate landing and FAQ say $179/mo, so confirm the checkout rate
  • The 4.8/5 from 12,000+ members block uses illustrative composites rather than an independent review platform
  • Cash-pay only, with no insurance billing or prior-authorization support
  • Compounded medications sit outside FDA premarket approval as finished products

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

SkinnyRx edges out HealthRX with a score of 5.3/10 vs 5.2/10. Published pricing is not a like-for-like monthly comparison: HealthRX is from $99/mo; SkinnyRx is from $199/mo.

Try HealthRX

Headline price: from $99/mo

Visit HealthRX

Try SkinnyRx

Headline price: from $199/mo

Visit SkinnyRx

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